Agrawal Sanjana, Padhan Srikanta, Panneerselvam Suganya, Ramasamy Senthilkumar
Independent Public Health Researcher, Raipur, Chhattisgarh, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
J Educ Health Promot. 2025 Apr 30;14:153. doi: 10.4103/jehp.jehp_1588_24. eCollection 2025.
Cervical cancer is preventable and curable if detected early and treated at the right time. Most of these deaths (94%) occur in low- and middle-income countries (LMIC) due to limited access to screening, vaccination, and treatment services. The death from cervical cancer is nearly 100% preventable if the precancerous lesion is detected early and treated at the right time. Nurses and community health workers play a key role in increasing public awareness, early identification, and screening of cervical cancer, as well as implementing vaccination against Human Papillomavirus (HPV). In India, alarmingly, the screening rates are meager, especially in rural and remote areas, leading to delays in diagnosis and inadequate treatment, and contributing to loss of life. World Health Organization (WHO) has set ambitious goals to eliminate cervical cancer as a public health problem through its Global Strategy for Cervical Cancer Elimination, aiming to achieve them by 2030. The community health officers conduct both population-based screening and health facility-based screening for all individuals covered by their Ayushman Arogya Mandir. This integrated approach ensures women receive timely and appropriate care, reducing the burden of cervical cancer on families and the healthcare system. Nurses play a critical role in actively promoting HPV vaccination to combat the deadly disease.
宫颈癌如果早期发现并及时治疗是可预防和治愈的。这些死亡中的大多数（94%）发生在低收入和中等收入国家，原因是获得筛查、疫苗接种和治疗服务的机会有限。如果癌前病变能早期发现并及时治疗，宫颈癌导致的死亡几乎100%是可预防的。护士和社区卫生工作者在提高公众对宫颈癌的认识、早期识别和筛查以及实施人乳头瘤病毒（HPV）疫苗接种方面发挥着关键作用。令人担忧的是，在印度，筛查率很低，尤其是在农村和偏远地区，这导致诊断延误和治疗不足，造成生命损失。世界卫生组织（WHO）通过其《消除宫颈癌全球战略》设定了消除宫颈癌这一公共卫生问题的宏伟目标，旨在到2030年实现这些目标。社区卫生官员对其阿育吠陀健康神庙覆盖的所有个人进行基于人群的筛查和基于医疗机构的筛查。这种综合方法确保妇女获得及时和适当的护理，减轻宫颈癌对家庭和医疗系统的负担。护士在积极推广HPV疫苗接种以对抗这种致命疾病方面发挥着关键作用。
