Challenges to cervical screening in the Western Cape province

dc.contributor.authorSmith, N
dc.contributor.authorMoodley, J R
dc.contributor.authorHoffman, M
dc.date.accessioned2019-03-27T12:32:56Z
dc.date.available2019-03-27T12:32:56Z
dc.date.issued2003
dc.date.updated2019-03-19T08:54:29Z
dc.description.abstractCarcinoma of the cervix is the second most common cancer among South African women, with 1 in 41 women developing the disease in her lifetime.1 Although population-based screening programmes using Pap smears can substantially decrease the incidence of the disease, such programmes remain remarkably difficult to implement. Lack of resources and available treatment, low community awareness, poor quality of Pap smears, and inadequate rates of follow-up are foremost among the documented obstacles to successful cytological screening.2,3 In South Africa, work to develop a nationwide screening programme has been ongoing, culminating in 1999 in the release of a national cervical screening policy.4 The screening protocol is based on World Health Organisation (WHO) recommendations for regions with limited resources5 and models of the natural history of the disease.6 The incidence of invasive cancer in South Africa begins to rise for women between the ages of 35 and 39 years, with 87% of cases occurring in women over 35.1 A lifetime total of three Pap smears, taken at 10-year intervals, is to be made available free to all women aged over 30 years, with follow-up and treatment for abnormal tests also free. The goal is to screen 70% of women in the target age group within 10 years of initiating the programme. Screening and treatment based on this model should theoretically decrease cancer incidence by 64%.
dc.identifier.apacitationSmith, N., Moodley, J. R., & Hoffman, M. (2003). Challenges to cervical screening in the Western Cape province. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/29951en_ZA
dc.identifier.chicagocitationSmith, N, J R Moodley, and M Hoffman "Challenges to cervical screening in the Western Cape province." <i>South African Medical Journal</i> (2003) http://hdl.handle.net/11427/29951en_ZA
dc.identifier.citationSmith, N., Moodley, J., & Hoffman, M. (2003). Challenges to cervical cancer screening in the Western Cape province: Women's Health: SAMJ Forum. South African Medical Journal, 93(1), p-32.
dc.identifier.ris TY - AU - Smith, N AU - Moodley, J R AU - Hoffman, M AB - Carcinoma of the cervix is the second most common cancer among South African women, with 1 in 41 women developing the disease in her lifetime.1 Although population-based screening programmes using Pap smears can substantially decrease the incidence of the disease, such programmes remain remarkably difficult to implement. Lack of resources and available treatment, low community awareness, poor quality of Pap smears, and inadequate rates of follow-up are foremost among the documented obstacles to successful cytological screening.2,3 In South Africa, work to develop a nationwide screening programme has been ongoing, culminating in 1999 in the release of a national cervical screening policy.4 The screening protocol is based on World Health Organisation (WHO) recommendations for regions with limited resources5 and models of the natural history of the disease.6 The incidence of invasive cancer in South Africa begins to rise for women between the ages of 35 and 39 years, with 87% of cases occurring in women over 35.1 A lifetime total of three Pap smears, taken at 10-year intervals, is to be made available free to all women aged over 30 years, with follow-up and treatment for abnormal tests also free. The goal is to screen 70% of women in the target age group within 10 years of initiating the programme. Screening and treatment based on this model should theoretically decrease cancer incidence by 64%. DA - 2003 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2003 T1 - Challenges to cervical screening in the Western Cape province TI - Challenges to cervical screening in the Western Cape province UR - http://hdl.handle.net/11427/29951 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/29951
dc.identifier.vancouvercitationSmith N, Moodley JR, Hoffman M. Challenges to cervical screening in the Western Cape province. South African Medical Journal. 2003; http://hdl.handle.net/11427/29951.en_ZA
dc.language.isoeng
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleChallenges to cervical screening in the Western Cape province
dc.typeJournal Article
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