2021-11-16-世界卫生组织-Cervical_cancer_Dominican_Republic_2021_country_profile_1页_64kb

Cervical Cancer Profile - Dominican Republic Summary

Morbidity and Mortality

• Age-standardized cervical cancer incidence: 17.9 per 100,000 women (2020).
• Mortality: 30,900 deaths among women in 2019.
• Mortality-to-incidence ratio: 0.66 (2020).
• Cumulative risk (ages 0-74): 1.8% (2020).
• Population-based cancer registry exists (2021).

Primary Prevention

• HPV vaccination program introduced in 2017 for girls aged 9-14 years, but low coverage: 7% of target population vaccinated by age 15 (2020).
• Final dose coverage: 63% among primary target cohort (9-14 years) by 2020.
• Risk factors include tobacco use prevalence of 7% (no fixed year), with HIV incidence not always available.

Secondary Prevention

• National cervical cancer screening program exists, using cytology as the primary test, targeting women aged 25-70 years (2021).
• Screening coverage: Approximately 92% ever screened, with 63-70% screened in the last 5 years.
• Guidelines for early detection at primary health care level exist (2021).

Treatment and Supportive Care

• National guidelines on cervical cancer management available (2021).
• Cancer diagnosis and treatment resources include radiotherapy units (0.41 per 10,000 patients in 2020), brachytherapy data not available, and limited staff availability.
• Palliative care facilities available for non-communicable diseases in the public system.