2021-11-16-世界卫生组织-Cervical_cancer_Cameroon_2021_country_profile_1页_65kb

Cervical Cancer Morbidity and Mortality

• Crude incidence rate: 20.9 per 100,000 women (2020).
• Age-standardized incidence rate: 33.7 per 100,000 women (2020).
• Cumulative risk of cervical cancer from age 0 to 74: 3.6% (2020).
• Cervical cancer deaths: 90,300 female deaths (2019).
• Mortality-to-incidence ratio: 0.65 (2020).
• A population-based cancer registry exists (established in 2021).

Primary Prevention: HPV Vaccination

• HPV included in the national vaccination programme: Yes.
• National vaccination coverage among girls (2020): 5% by age 15.
• First HPV vaccine dose uptake: 52% of the primary target cohort received their first dose in 2020.
• Date of introduction: Not specified.
• Primary target cohort: Girls aged 9–14 years.
• Vaccination scale: Limited, with fewer than 10% of target girls vaccinated.
• Related risk factors: Tobacco use prevalence is low or not specified (text indicates "No" or missing details); condom use at last high-risk sex and HIV incidence data are referenced but not quantified.

Secondary Prevention: Screening

• National cervical cancer screening programme: None exists (2019).
• Primary screening test used: Not specified.
• Target age range for screening: Not specified.
• Programme exists to strengthen early detection at primary health care level: Yes (2021).
• Referral system from primary to secondary and tertiary care: Yes (2021).

Treatment and Supportive Care

• National guidelines on cervical cancer management: Exist (2021).
• Resources: Limited radiotherapy, brachytherapy, chemotherapy, and imaging units; details vary, with significant shortages noted for some services like radiotherapy oncologists and brachytherapy units.
• Cancer diagnosis and treatment services: Basic availability, but numbers per 10,000 patients are sparse or outdated, indicating systemic gaps.
• Palliative care for non-communicable diseases: Available in the public health system (2021), but opioid consumption data is not directly relevant.

WHO Cervical Cancer Elimination Strategy (Targets for 2030)

• Goals not met in 2020 data; references include incomplete vaccination (5% by age 15) and no national screening, aligning with target deficits for high-performance screening and complete vaccination coverage by age 15.