2021-11-16-世界卫生组织-Cervical_cancer_Republic_of_Moldova_2021_country_profile_1页_65kb

Morbidity and Mortality

• Crude cervical cancer incidence in 2020: 22.8 per 100,000 women.
• Age-standardized incidence in 2020: 16.3 per 100,000 women.
• Cumulative risk of cervical cancer by age 74 in 2020: 1.6%.
• Cervical cancer deaths in 2019: 210.
• Mortality-to-incidence ratio in 2020: 0.52.
• Population-based cancer registry established in 2021.

Primary Prevention

• HPV vaccination programme coverage among girls in 2020: 40%.
• HPV included in national vaccination programme since 2010; target coverage 40%.
• Vaccination scale: 4 in 10 girls in primary target cohort vaccinated by 2020.
• Primary target cohort: girls aged 9-14 years.
• Related risk factors:
  • Tobacco use prevalence among women 15+ years in 2020: 4%.
  • Condom use at last high-risk sex (data from 2005, not current).
  • HIV incidence among women 15+ years in 2020: 0.17 per 1000.

Secondary Prevention

• National screening programme for cervical cancer exists (since 2021).
• Primary screening test used: cytology (in 2021).
• Target age range: 25-61 years (in 2021).
• Programme to strengthen early detection at primary health care level exists.
• Defined referral system from primary to secondary/tertiary care exists in 2021.
• Ever screened: 73% of women.
• Screening in last 5 years: high among women aged 30-49 years (73%).

Treatment and Supportive Care

• National guidelines on cervical cancer management exist (since 2021).
• Radiotherapy units: 2 per 10,000 cancer patients in 2021.
• Brachytherapy units: 1 per 10,000 cancer patients in 2021.
• Medical staff for cancer care (per 10,000 cancer patients in 2021):
  • Radiation oncologists in 2019: data available.
  • Medical physicists in 2019: data available.
  • Surgeons in 2013: data available.
  • Radiologists in 2019: data available.
  • Nuclear medicine physicians in 2019: data available.
• Cancer centre or department at tertiary level: exists.
• Palliative care for non-communicable diseases available in public health system (2021).
• Opioid consumption data from 2017: reported annual consumption in primary care and community care.

WHO Cervical Cancer Elimination Strategy Targets

• WHO targets for 2030 include reducing cervical cancer incidence and mortality.
• Total female population in 2019: 2,105,000.
• Vaccination coverage: 40% HPV final dose by age 15.
• Screening outcomes: 73% ever screened, with high rates among certain age groups.
• Note: Data not available (ND) for some indicators.