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268454 Routine monitoring information successfully contributes to scaling up the Mozambican national cervical cancer prevention programMonday, October 29, 2012
The Mozambique cervical cancer prevention (CECAP) program was initiated in 2010 in seventeen facilities. The primary approach for CECAP is visual inspection of the cervix using acetic acid (VIA) and same-day treatment of precancerous lesions with cryotherapy. This approach is desirable because it provides a potentially life-saving service with just one visit; it is commonly referred to as the Single Visit Approach, or SVA. CECAP is integrated into the general sexual and reproductive Health (SRH) service package; women are offered VIA and cryotherapy, as well as breast cancer screening, when they seek family planning services. When the national health information system (NHIS) was recently updated, the MOH reviewed patient forms, registers and reporting procedures to ensure that the routine information system provided data on integrated SRH and cancer prevention services. Data from the NHIS from the initial 17 facilities shows that 15,080 women were screened using VIA and 15,309 were screened for breast cancer in 2010 and 2011. Seven percent of those screened for cervical cancer were VIA positive. Of all eligible VIA positive clients, 80% were treated with cryotherapy on the same day. Additionally, 909 clients were referred either for large lesions not treatable with cryotherapy, suspect cancer or other gynecological reasons. Monitoring routine information demonstrated the feasibility of integrating CECAP into SRH services. It also demonstrated the need for CECAP (7% VIA positivity rate). Based on this information, the MOH plans to expand CECAP from the current 96 facilities covering all provinces by 2014.
Learning Areas:
Other professions or practice related to public healthProgram planning Learning Objectives: Keywords: Cervical Cancer, Health Management Information Systems
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am the Senior Monitoring & Evaluation Advisor responsible for leading the project's efforts to support the Ministry of Health to strengthen the routine health information system to include key information on cervical cancer screening.
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Back to: 3083.0: Cancer Prevention and Control Across the Lifespan
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