Combined Screening for Breast and Gynecological Cancers Using Mobile Clinics: The Barretos Experience (Brazil)

Longatto‐Filho, Adhemar; Silva, Thiago Buosi; Rodrigues, Silvana; Haikel, Raphael Luiz

doi:10.1007/978-1-4614-1876-4_10

Cited by 1 publication

(2 citation statements)

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“…Cervical cancer screening programmes should also be aligned with the AAAQ framework: Availability, Accessibility, Acceptability, and Quality of health goods and services necessary for the right to SRH (4, paras [11][12][13][14][15][16][17][18][19][20][21]. Quality is of particular relevance to universal cervical cancer control.…”

Section: Discussionmentioning

confidence: 99%

“…Aware of these disparities, some Brazilian cancer hospitals now use mobile units, complete with laboratories, to bring screening to women in remote locations. Between 2002 and 2012, these vehicles navigated difficult terrain without roads, animal herds, and water crossings via ferry to screen 174,605 women who were unlikely to have otherwise been tested for cervical cancer or its precursors [21].…”

Section: Screening That Reaches Every Womanmentioning

confidence: 99%

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Universal cervical cancer control through a right to health lens: refocusing national policy and programmes on underserved women

Perehudoff

Vermandere

Williams

et al. 2020

BMC Int Health Hum Rights

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Background: Cervical cancer claims 311,000 lives annually, and 90% of these deaths occur in low-and middleincome countries. Cervical cancer is a highly preventable and treatable disease, if detected through screening at an early stage. Governments have a responsibility to screen women for precancerous cervical lesions. Yet, national screening programmes overlook many poor women and those marginalised in society. Under-screened women (called hard-to-reach) experience a higher incidence of cervical cancer and elevated mortality rates compared to regularly-screened women. Such inequalities deprive hard-to-reach women of the full enjoyment of their right to sexual and reproductive health, as laid out in Article 12 of the International Covenant on Economic, Social and Cultural Rights and General Comment No. 22. Discussion: This article argues first for tailored and innovative national cervical cancer screening programmes (NCSP) grounded in human rights law, to close the disparity between women who are afforded screening and those who are not. Second, acknowledging socioeconomic disparities requires governments to adopt and refine universal cancer control through NCSPs aligned with human rights duties, including to reach all eligible women. Commonly reported-and chronically under-addressed-screening disparities relate to the availability of sufficient health facilities and human resources (example from Kenya), the physical accessibility of health services for rural and remote populations (example from Brazil), and the accessibility of information sensitive to cultural, ethnic, and linguistic barriers (example from Ecuador). Third, governments can adopt new technologies to overcome individual and structural barriers to cervical cancer screening. National cervical cancer screening programmes should tailor screening methods to under-screened women, bearing in mind that eliminating systemic discrimination may require committing greater resources to traditionally neglected groups.

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