2021-11-16-世界卫生组织-Cervical_cancer_Eswatini_2021_country_profile_1页_65kb

ESWATINI Cervical Cancer Profile Summary

Morbidity and Mortality

• Cervical cancer incidence in 2020: Crude rate 57.8 per 100,000 women, age-standardized rate 84.6 per 100,000. Cumulative risk by age 74 is 8.6%.
• Deaths in 2019: 210. Mortality-to-incidence ratio in 2020 is 0.63.
• Population-based cancer registry exists (2021).

Primary Prevention

• HPV vaccination: Not included in national schedule; coverage among girls by age 15 is 60% in 2020. Other coverage details not specified.
• Related risk factors: Tobacco use prevalence among women aged 15+ is unavailable; condom use data from 2006-2007; HIV incidence among women aged 15+ is unavailable.

Secondary Prevention

• Screening: No national cervical cancer screening program in 2019. Visual inspection with acetic acid (VIA) used, with 15% of women in the last 5 years and 19% ever screened. Guidelines exist for strengthening early detection at primary care level (2021). Referral system is unclear.

Treatment and Supportive Care

• Cancer management guidelines exist (2021), but resources limited. Cancer diagnosis and treatment available, but data on radiotherapy, brachytherapy, and medical staff per patient not fully available. Palliative care may be limited.

WHO Cervical Cancer Elimination Strategy (2030)

• Targets not fully met; data includes 2020-21 indicators for incidence, mortality, vaccination, and screening, but some elements missing.