dc.contributor.author	World Bank
dc.date.accessioned	2019-01-15T14:32:56Z
dc.date.available	2019-01-15T14:32:56Z
dc.date.issued	2019-01-11
dc.description.abstract	Cervical cancer is an important disease in Ukraine: Among all cancers in females, it ranks 5th for incidence and 6th for mortality. While first year mortality shows some decline, progress in earlier detection has been very modest. This report presents key findings from an analysis of the continuum of cervical cancer care in Ukraine, where the World Bank implements a technical assistance program to support reforms and governance in the health sector. The analysis determined the breakpoints in the care cascade from screening to long-term monitoring of cases, and identified opportunities for action. The screening gaps were 47 percent (Lviv Region) and 38 percent (Poltava Region). Due to Ukraine's cervical cancer screening eligibility from 18 years of age, screening has a low yield, and this is further reduced by the short screening intervals with almost half of the women screening at least once every year, leading to efficiency concerns. Among the diagnosed cervical cancer cases, treatment completion and negative outcomes were not sufficiently documented. Understanding of diagnosis and treatment gaps helps pinpoint solutions ranging from simplified decision-making for cancer treatment, to improved pharmaceutical supplies and access to diagnostic equipment. The analysis highlights the need for age- and risk-appropriate screening invitations and recall systems to increase the efficiency and effectiveness of the cervical cancer program in Ukraine.	en
dc.identifier	http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action
dc.identifier.doi	10.1596/31156
dc.identifier.uri	https://hdl.handle.net/10986/31156
dc.language	English
dc.publisher	World Bank, Washington, DC
dc.rights	CC BY 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo
dc.subject	CERVICAL CANCER
dc.subject	HEALTHCARE SERVICES
dc.title	Cervical Cancer in Ukraine	en
dc.title.subtitle	The Continuum of Care and Implications for Action	en
dc.type	Brief	en
dc.type	Fiche	fr
dc.type	Resumen	es
dspace.entity.type	Publication
okr.crossref.title	Cervical Cancer in Ukraine: The Continuum of Care and Implications for Action
okr.date.disclosure	2019-01-11
okr.doctype	Publications & Research
okr.doctype	Publications & Research::Brief
okr.docurl	http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action
okr.guid	310921547237558102
okr.guid	794431547241531146
okr.identifier.doi	10.1596/31156
okr.identifier.externaldocumentum	090224b0868626aa_1_0
okr.identifier.internaldocumentum	30755226
okr.identifier.report	133694
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/310921547237558102/pdf/133694-WP-PUBLIC-ADD-SERIES-CervicalCancerinUkrainePolicybriefENGLFINAL.pdf	en
okr.region.administrative	Europe and Central Asia
okr.region.country	Ukraine
okr.topic	Health, Nutrition and Population::Cancer
okr.topic	Health, Nutrition and Population::Health Service Management and Delivery
okr.topic	Industry::Health Care Services Industry
okr.unit	Europe Eastern:Ukra/Moldov/Belar (ECCEE)

Publication: Cervical Cancer in Ukraine: The Continuum of Care and Implications for Action

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Cervical Cancer in Ukraine: The Continuum of Care and Implications for Action