2021-11-16-世界卫生组织-Cervical_cancer_Romania_2021_country_profile_1页_64kb

Romania Cervical Cancer Profile Summary

Morbidity and Mortality

• Crude cervical cancer incidence: 34.2 per 100,000 women in 2020.
• Age-standardized incidence: 22.6 per 100,000 women in 2020.
• Cumulative risk of cervical cancer by age 74: 2.3%.
• Cervical cancer deaths in 2019: 124,000.
• Mortality-to-incidence ratio: 0.53 in 2020.
• A population-based cancer registry exists (2021).

Primary Prevention (HPV Vaccination)

• HPV vaccination programme coverage among girls: 18% in 2020.
• HPV included in national vaccination programme: No, not included in the national schedule.
• Scale of vaccination programme: Programme coverage is low.
• Year of introduction: Not specified.
• Primary target cohort: Girls aged 9-14 years.
• Related risk factors:
  • Tobacco use prevalence: 0.02% among women aged 15+ years (2020).
  • Condom use at last high-risk sex: Not specified date.
  • HIV incidence: 0.02 per 1000 women aged 15+ years (2020).

Secondary Prevention (Screening)

• National screening programme for cervical cancer exists (2021).
• Primary screening test used: Cytology.
• Target age range: 25-64 years (2021).
• Programme or guidelines for strengthening early detection at primary health care level: Not specified details; reported percentages (e.g., 38% screened in last 5 years, 42% ever screened).
• Clearly defined referral system from primary to secondary/tertiary care: Not specified.
• Coverage by age 15 for HPV vaccination (ages 9-14): No data.

Treatment and Supportive Care

• National guidelines on cervical cancer management exist (2021).
• Cancer diagnosis and treatment services generally available.
• Radiation units: 7 radiotherapy units and 1 brachytherapy unit per 10,000 cancer patients (2021).
• Medical staff: 206 per 10,000 cancer patients (2021).
• Specialist personnel available, including radiation oncologists (2019), radiologists (2019), and surgeons (2013).
• Palliative care for non-cancer diseases available in public health system (2021).

Context

• Total female population in 2019: 9,946,000.
• WHO Cervical Cancer Elimination Strategy targets for 2030 not fully met, with low vaccination and screening coverage and high mortality rates.