From potential to practice: how accelerating access to HPV tests and screen and treat programmes can help eliminate cervical cancer  

作　　者：William Cherniak Nikki Tyler Kriti Arora Ilana Lapidos-Salaiz Emma Sczudlo Amy Lin Matthew Barnhart John Flanigan Shannon Silkensen 

机构地区：[1]Bridge to Health Medical and Dental,Toronto,Ontario,Canada [2]Family and Community Medicine,University of Toronto Faculty of Medicine,Toronto,Ontario,Canada [3]Bureau for Global Health,USAID,Washington,DC,USA [4]Center for Global Health,National Cancer Institute,Bethesda,Maryland,USA

出　　处：《Family Medicine and Community Health》2019年第4期46-52,共7页家庭医学与社区卫生（英文）

摘　　要：Human papillomavirus(HPV)vaccination campaigns to prevent cervical cancer are being considered and implemented in countries around the world.While vaccination will protect future generations,it will not help the millions of women currently infected,leading to an estimated 311000 deaths per year globally.This paper examines a selection of strategies that when applied to both existing and new technologies,could accelerate access to HPV testing.Authors from the US Agency for International Development,the National Institutes of Health,and the Bridge to Health Medical and Dental,a non-governmental organisation,joined forces to propose a scalable and country-directed solution for preventing cervical cancer using an end-to end approach.Collectively,the authors offer seven evidence-based strategies,that when used alone or in combination have the ability to reduce HPV-caused cervical cancer deaths and disability.These strategies include(1)consistent HPV test intervals to decrease HPV DNA test costs;(2)exploring market shaping opportunities;(3)employing iterative user research methodologies like human-centred design;(4)target product profiles for new HPV tests;(5)encouraging innovation around cervical cancer screen and treat programmes;(6)developing national cancer control plans;and(7)integrating cervical cancer screen and treat services into existing infrastructure.By using the strategies outlined here,in combination with HPV vaccination campaigns,national governments will be able to scale and expand cervical cancer screening programmes and provide evidence-based treatment programmes for HPV-infected women.

关 键 词：CERVICAL eliminate PROGRAMME 

分 类 号：R73[医药卫生—肿瘤]