Abstract
INTRODUCTION: Cervical cancer is the leading cause of mortality among women worldwide. However, it is one of the most preventable and treatable forms of cancer, as long as detected early and managed effectively. METHODS: The performances of pap smear services were analysed through the annual data and report of pap smear services from all the states. It was later mapped with the latest incidence of cervical cancer in Malaysia to see the impact of the program. RESULT: In 1996, the second National Health and Morbidity Survey (NHMS II) revealed that only 26% of eligible women underwent cervical cancer screening using Pap smears while in 2006 (NHMS III) this proportion had doubled to 43.7%. However, five (5) years later, the NHMS 2011 reported that only 12.8% of eligible women had Pap smear examination. The MOH pap smear screening target was set at 40% of eligible women. The performance for the past 5 years (2013-2017) was on average 25%. There were multifactorial reasons for the poor uptake and the coverage of the program. CONCLUSION: With the success of a national HPV vaccination program, MOH recognises the need to review our national cervical screening program. While HPV vaccination will not remove the necessity for cervical screening, there is a need to change to a more effective screening modality that aligned with current international evidence.
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@proceedings{APCPH-2019-89,
title = {The Evolution of Cervical Cancer Control Program in Malaysia},
author = {Zakiah Mohd Said},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Cervical cancer is the leading cause of mortality among women worldwide. However, it is one of the most preventable and treatable forms of cancer, as long as detected early and managed effectively. METHODS: The performances of pap smear services were analysed through the annual data and report of pap smear services from all the states. It was later mapped with the latest incidence of cervical cancer in Malaysia to see the impact of the program. RESULT: In 1996, the second National Health and Morbidity Survey (NHMS II) revealed that only 26% of eligible women underwent cervical cancer screening using Pap smears while in 2006 (NHMS III) this proportion had doubled to 43.7%. However, five (5) years later, the NHMS 2011 reported that only 12.8% of eligible women had Pap smear examination. The MOH pap smear screening target was set at 40% of eligible women. The performance for the past 5 years (2013-2017) was on average 25%. There were multifactorial reasons for the poor uptake and the coverage of the program. CONCLUSION: With the success of a national HPV vaccination program, MOH recognises the need to review our national cervical screening program. While HPV vaccination will not remove the necessity for cervical screening, there is a need to change to a more effective screening modality that aligned with current international evidence.},
note = {Type: ORAL PRESENTATION; Organisation: Family Health Development Division, Ministry of Health},
keywords = {cancer, cervical screening, effective},
pubstate = {published},
tppubtype = {proceedings}
}