2021-11-16-世界卫生组织-Cervical_cancer_Dominica_2021_country_profile_1页_52kb

Summary of DOMINICA Cervical Cancer Profile

Morbidity and Mortality

• Crude and age-standardized cervical cancer incidence data not available (2020).
• Cumulative risk data not available (2020).
• Cervical cancer deaths data not available (2019).
• Cervical cancer mortality-to-incidence ratio not available (2020).
• Population-based cancer registry does not exist (2021).

Primary Prevention

• HPV vaccination programme established in 2019, included in national vaccination programme; coverage among girls aged 9-14 is 69% in 2020.
• Scale: 60% of girls in target cohort receive final HPV vaccine dose by 2020.
• Target cohort: Girls aged 15, coverage by age 15 is not specified.

Secondary Prevention Screening

• National cervical cancer screening programme exists; primary test used is cytology.
• Ever screened rate is 85%, target age range 18-65 years.
• Guidelines for early detection at primary health care level exist.
• Referral system from primary to secondary and tertiary care is defined.

Treatment and Supportive Care

• National guidelines on cervical cancer management exist.
• Data on radiotherapy, brachytherapy units, medical staff, and cancer center availability are not available. Palliative care services generally available.