Cervical Screening - PowerPoint PPT Presentation

Cervical Screening محرلا قنع صحف 子 宫颈 普 查 محر هناهد یرگلابرغ 子宮頸部検診 Proyección cervical 자궁암 검사 Dépistage cervical El cribado cervical การตรวจคัดกรองมะเร็งปากมดลูก ਬ ੱ ਚੇਦਾਨੀ ਸਕ੎ਰੀਨਨ ਿੱ ਗ सरॎवाइकल स्कॎरीन िःग સર૎વાઇકલ સ્ક૎રીનીઃગ

Metro Auckland Cervical Screening Coordination service Jane Grant Pauline Proud 307 4949 ext 27709

Cervical Screening: improving services for women in Auckland successes and challenges as services focus on women most at risk

Overview Introduction: • What is a cervical health check? • Why are regular cervical health checks important? • Who needs them? • Where do women go for a check? HPV Vaccine and Testing What’s Working Well?

What is a Cervical Health Check? • The cervix is the end of the womb • The cervical health check is looking to see if you have changes to your cervix. It is not a test for cancer. • Finding changes to the cervix can help to stop cervical cancer.

Why are regular cervical health checks important? They identify early changes to the cells of the cervix before cancer develops. Most often the changes go back to normal. If necessary they can be treated. Prevention saves lives:

Who needs regular cervical health checks? Any woman aged 20-69 who has ever been sexually active: • Even if she has only ever had sex with her husband • Even if she has not had sex for a long time • Even if she is past bearing children • Even if she has had her womb removed she should check with her doctor Women with disabilities

Women can: - have a female doctor or nurse - talk about having the check and then decide - take family for support - stop at any time

Where can women go for their cervical health check? • Family doctors and nurses • Family Planning Clinics are available across Auckland: • Well Women and Family Trust Clinics and Caravan (www.wons.org.nz ) 846 7886 • You may be eligible for a free check

HPV Vaccine and Testing • Human Papilloma Virus and cervical cancer • Getting vaccinated • Likely changes in the future

HPV: the virus the vaccine and cervical health checks

Cervical Cancer

Cervical Cancer

Cervical Cancer

Key Points: Human Papilloma Virus (HPV) and cervical cancer • The virus is passed on by skin to skin contact • It mostly will clear without any treatment • When it persists, it may cause cancer (men and women) • Vaccination reduces the risk of cervical cancer by 70%. • Vaccinated women still need cervical health checks.

HPV Vaccine • Free for young women aged 12 – 20 • Available in most schools in year 8 • Also available at the family doctor For young men, and for women over 20, the vaccine can be purchased through the family doctor.

What’s Working Well?

Improvements: The goal is 80% women having regular cervical checks. Since 2011: • 6% increase for Maori from 58% to 64% • 13% increase for Pacific from 62% to 75% • 8% increase for Asian from 56% to 64% • European/other women from 82% to 83% Women who have regular checks reduce their risk of cervical cancer by about 90 percent.

Improvements and Challenges • Higher rates of immunisation • 11% more nurse smear takers (59 more in 12 months) • Involving partners, families and communities to support women to get regular checks • Initiatives to make services accessible • Free smears available 24% priority women • More translated resources • Improving invitation and recall systems • Better information for practices so they can focus on women most at risk

What has contributed to improvement? Providers have worked hard to find out who has not been able to participate, and to provide information and encouragement Providers have worked to make their services more easily available More free cervical checks are available for Priority women. Phone 0800 for information. “Priority” women include Maori, Pacific and Asian and those who have never had a cervical check, and those who have not had one for a long time.

Challenges • Getting the messages out there • No universally free smears • Resources that support understanding • Busy General Practices • Social and Financial difficulties experienced by families – women’s health often not main concern

Free cervical checks are available for priority women* Phone 0800 729 729 for information. * “Priority” women include Maori, Pacific and Asian and those who have never had a cervical check, and those who have not had one for a long time.

Involving Family Members: For many women, the cervical health check is not easy; partners and family can provide valuable support and practical help. “We ask all of you to think about how you could support women in your family to get regular checks.”