Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action

Cervical cancer is an important disease in Ukraine: Among all cancers in females, it ranks 5th for incidence and 6th for mortality. While first year mortality shows some decline, progress in earlier detection has been very modest. This report prese...

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Main Author: World Bank
Format: Brief
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action
http://hdl.handle.net/10986/31156
id okr-10986-31156
recordtype oai_dc
spelling okr-10986-311562021-05-25T10:54:36Z Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action World Bank CERVICAL CANCER HEALTHCARE SERVICES Cervical cancer is an important disease in Ukraine: Among all cancers in females, it ranks 5th for incidence and 6th for mortality. While first year mortality shows some decline, progress in earlier detection has been very modest. This report presents key findings from an analysis of the continuum of cervical cancer care in Ukraine, where the World Bank implements a technical assistance program to support reforms and governance in the health sector. The analysis determined the breakpoints in the care cascade from screening to long-term monitoring of cases, and identified opportunities for action. The screening gaps were 47 percent (Lviv Region) and 38 percent (Poltava Region). Due to Ukraine's cervical cancer screening eligibility from 18 years of age, screening has a low yield, and this is further reduced by the short screening intervals with almost half of the women screening at least once every year, leading to efficiency concerns. Among the diagnosed cervical cancer cases, treatment completion and negative outcomes were not sufficiently documented. Understanding of diagnosis and treatment gaps helps pinpoint solutions ranging from simplified decision-making for cancer treatment, to improved pharmaceutical supplies and access to diagnostic equipment. The analysis highlights the need for age- and risk-appropriate screening invitations and recall systems to increase the efficiency and effectiveness of the cervical cancer program in Ukraine. 2019-01-15T14:32:56Z 2019-01-15T14:32:56Z 2019-01-11 Brief http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action http://hdl.handle.net/10986/31156 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Brief Europe and Central Asia Ukraine
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic CERVICAL CANCER
HEALTHCARE SERVICES
spellingShingle CERVICAL CANCER
HEALTHCARE SERVICES
World Bank
Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
geographic_facet Europe and Central Asia
Ukraine
description Cervical cancer is an important disease in Ukraine: Among all cancers in females, it ranks 5th for incidence and 6th for mortality. While first year mortality shows some decline, progress in earlier detection has been very modest. This report presents key findings from an analysis of the continuum of cervical cancer care in Ukraine, where the World Bank implements a technical assistance program to support reforms and governance in the health sector. The analysis determined the breakpoints in the care cascade from screening to long-term monitoring of cases, and identified opportunities for action. The screening gaps were 47 percent (Lviv Region) and 38 percent (Poltava Region). Due to Ukraine's cervical cancer screening eligibility from 18 years of age, screening has a low yield, and this is further reduced by the short screening intervals with almost half of the women screening at least once every year, leading to efficiency concerns. Among the diagnosed cervical cancer cases, treatment completion and negative outcomes were not sufficiently documented. Understanding of diagnosis and treatment gaps helps pinpoint solutions ranging from simplified decision-making for cancer treatment, to improved pharmaceutical supplies and access to diagnostic equipment. The analysis highlights the need for age- and risk-appropriate screening invitations and recall systems to increase the efficiency and effectiveness of the cervical cancer program in Ukraine.
format Brief
author World Bank
author_facet World Bank
author_sort World Bank
title Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
title_short Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
title_full Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
title_fullStr Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
title_full_unstemmed Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
title_sort cervical cancer in ukraine : the continuum of care and implications for action
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action
http://hdl.handle.net/10986/31156
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