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Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era

Cervical cancer remains the fourth most common cancer in women, with 85% of deaths occurring in LMICs. Despite the existence of effective vaccine and screening tools, efforts to reduce the burden of cervical cancer must be considered in the context of the social structures within the health systems...

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Main Authors: Woo, Yin Ling, Gravitt, Patti, Khor, Swee Kheng, Ng, Chiu Wan, Saville, Marion
Format: Article
Published: Elsevier 2021
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/25922/
https://doi.org/10.1016/j.ypmed.2020.106294
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spelling my.um.eprints.259222021-05-03T05:46:45Z http://eprints.um.edu.my/25922/ Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era Woo, Yin Ling Gravitt, Patti Khor, Swee Kheng Ng, Chiu Wan Saville, Marion R Medicine Cervical cancer remains the fourth most common cancer in women, with 85% of deaths occurring in LMICs. Despite the existence of effective vaccine and screening tools, efforts to reduce the burden of cervical cancer must be considered in the context of the social structures within the health systems of LMICs. Compounding this existing challenge is the global COVID-19 pandemic, declared in March 2020. While it is too soon to tell how health systems priorities will change as a result of COVID-19 and its impact on the cervical cancer elimination agenda, there are opportunities to strengthen cervical screening by leveraging on several trends. Many LMICs maximized the strengths of their long established community-based primary care and public health systems with expansion of surveillance systems which incorporated mobile technologies. LMICs can harness the momentum of the measures taken against COVID-19 to consolidate the efforts against cervical cancer. Self-sampling, molecular human papillomavirus (HPV) testing and digital health will shift health systems towards stronger public health and primary care networks and away from expensive hospital-based care investments. While COVID-19 will change health systems priorities in LMICs in ways that may de-prioritize cervical cancer screening, there are significant opportunities for integration into longer-term trends towards universal health coverage, self-care and digital health. © 2020 Elsevier Inc. Elsevier 2021 Article PeerReviewed Woo, Yin Ling and Gravitt, Patti and Khor, Swee Kheng and Ng, Chiu Wan and Saville, Marion (2021) Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era. Preventive Medicine, 144. p. 106294. ISSN 0091-7435 https://doi.org/10.1016/j.ypmed.2020.106294 doi:10.1016/j.ypmed.2020.106294
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Woo, Yin Ling
Gravitt, Patti
Khor, Swee Kheng
Ng, Chiu Wan
Saville, Marion
Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
description Cervical cancer remains the fourth most common cancer in women, with 85% of deaths occurring in LMICs. Despite the existence of effective vaccine and screening tools, efforts to reduce the burden of cervical cancer must be considered in the context of the social structures within the health systems of LMICs. Compounding this existing challenge is the global COVID-19 pandemic, declared in March 2020. While it is too soon to tell how health systems priorities will change as a result of COVID-19 and its impact on the cervical cancer elimination agenda, there are opportunities to strengthen cervical screening by leveraging on several trends. Many LMICs maximized the strengths of their long established community-based primary care and public health systems with expansion of surveillance systems which incorporated mobile technologies. LMICs can harness the momentum of the measures taken against COVID-19 to consolidate the efforts against cervical cancer. Self-sampling, molecular human papillomavirus (HPV) testing and digital health will shift health systems towards stronger public health and primary care networks and away from expensive hospital-based care investments. While COVID-19 will change health systems priorities in LMICs in ways that may de-prioritize cervical cancer screening, there are significant opportunities for integration into longer-term trends towards universal health coverage, self-care and digital health. © 2020 Elsevier Inc.
format Article
author Woo, Yin Ling
Gravitt, Patti
Khor, Swee Kheng
Ng, Chiu Wan
Saville, Marion
author_facet Woo, Yin Ling
Gravitt, Patti
Khor, Swee Kheng
Ng, Chiu Wan
Saville, Marion
author_sort Woo, Yin Ling
title Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
title_short Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
title_full Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
title_fullStr Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
title_full_unstemmed Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era
title_sort accelerating action on cervical screening in lower- and middle-income countries (lmics) post covid-19 era
publisher Elsevier
publishDate 2021
url http://eprints.um.edu.my/25922/
https://doi.org/10.1016/j.ypmed.2020.106294
_version_ 1699237731239985152
score 13.211869

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