Cervical & Breast Cancer Screening Program

8/8/2019 Cervical & Breast Cancer Screening Program

1/22

CERVICAL & BREASTCERVICAL & BREASTCANCER SCREENINGCANCER SCREENING

PROGRAMPROGRAM

DIRECTORATE GENERAL OFDIRECTORATE GENERAL OF

DISEASE CONTROL AND ENVIRONMENTAL HEALTHDISEASE CONTROL AND ENVIRONMENTAL HEALTH

MINISTRY OF HEALTH, REPUBLIC OF INDONESIAMINISTRY OF HEALTH, REPUBLIC OF INDONESIA


2/22


3/22

Data SIRS 2005Data SIRS 2005--2008200810 JENIS KANKER TERBANYAK DI INDO NESIA TAHUN 2004-2007

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

Kanker

payudara

Kanker

serviks

uterus

Kanker hati &

saluran

empedu

intrahepatik

Leukemia Limfoma Non

Hodgkin

Kanker

bronkhus &

paru

Kanker

ovarium

Kanker kolon Kanker

daerah

rektosigmoid

& anus

Kanker

nasopharink

JENIS KANKER

JUMLAHKASUS

2004

2005

2006

2007

SUMBER : SIRS 2005-2008


4/22

10 Leading Cancers among women in 3110 Leading Cancers among women in 31Hospitals in Jakarta (Cancer Registry) 2005Hospitals in Jakarta (Cancer Registry) 2005

0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00

Liver Ca

Skin Ca

Lung Ca

Nasopharynx Ca

Thyroid Ca

Colorectal Ca

Leukaemia

Ca Ovarium

Cervix Ca

Breast Ca

TOPO

Percent

32.0

21.5

8.0

6.5

5.0

3.8

3.6

2.7

2.7

2.0


5/22

MOH of RI Organization StructureMOH of RI Organization Structure

DG of Disease

Control & EH

Directorate

VBDC

Directorate of

NCDC

Directorate

of EH

Directorate

of SESPIM

Secretary of DG of DC & EH

SubditCardiovas

Subdit. DM &Other Metabolik

SubditCancer

Subdit.Chronis &

degeneratif

Subdit.Violence &

Injury

Directorate

of DCDC

Ministry of Health

DG of

Public Health

Inspectorate

General

DG ofMedicalServices

Secretary General

DG of

Farmacies&med-supp


6/22

Pilot Project of Cervical & Breast Cancer Screening-- Goal : Increase ccoverage of cervical cancer & breast cancerGoal : Increase ccoverage of cervical cancer & breast cancer

screeningscreening-- Target : woman age 30Target : woman age 30--50 yrs50 yrs-- Coverage target: 80% from target population in 5 yearsCoverage target: 80% from target population in 5 years-- Location : 8 Districts @ 8 Primary Health Center (2008)Location : 8 Districts @ 8 Primary Health Center (2008)

-- Method :Method : single visit approachsingle visit approach with Visual Inspection withwith Visual Inspection withAcetic acid/Acetic acid/VIAVIA & Cryotherapy (for VIA+), and& Cryotherapy (for VIA+), and Clinical BreastClinical BreastExamination/CBE + Breast Self Examination/BSEExamination/CBE + Breast Self Examination/BSE

-- Provider : well trained MD & midwives in PHCProvider : well trained MD & midwives in PHC-- Supervisor: 1. Clinician (Obsgyn & Surgeon)Supervisor: 1. Clinician (Obsgyn & Surgeon)

2. Management: District & Provincial health officer2. Management: District & Provincial health officer

National Program, 21 April 2008


7/22

1)1) Need Assessment in districtsNeed Assessment in districts

2)2) Socialization & advocacy in MoH, provinces,Socialization & advocacy in MoH, provinces,districts, & subd distristrictsdistricts, & subd distristricts

3)3) Training of Trainier for managers of cancerTraining of Trainier for managers of cancer

controlcontrol4)4) Training of Trainers (TOT) for obsgyn, GP, &Training of Trainers (TOT) for obsgyn, GP, &

midwivesmidwives

5)5) Training for providers (GP & midwives)Training for providers (GP & midwives)

6)6) Training for cadresTraining for cadres7)7) Promotion, information, education to peoplePromotion, information, education to people

8)8) ScreeningScreening

9)9) Technical AssistanceTechnical Assistance

10)10)Monitoring & EvaluationMonitoring & Evaluation


8/22

Screening of Cervical & Breast Cancer in

Pilot Projects (8 Districts of 6 Provinces)

2007-2008

% ('08) % % %

1 Deli Serdang 27,597 5,519 4,510 16.34 109 2.42 0 1 0.02

2 Karawang 45,793 9,159 3,698 8.08 103 2.79 16 0.43 31 0.84

3 Kebumen 15,540 3,108 5,692 36.63 205 3.60 11 0.19 23 0.404 Gresik 34,572 6,914 3,394 9.82 221 6.51 2 0.06 24 0.71

5 Gunung Kidul 35,711 7,142 2,176 6.09 106 4.87 4 0.18 28 1.29

6 Gowa 16,846 3,369 1,019 6.05 18 1.77 13 1.28 7 0.69

7 Pekalongan 23,627 4,725 943 3.99 58 6.15 5 0.53 2 0.21

8 Malang 17,425 1,000 467 2.68 32 6.85 4 0.86 - 0.00

TOTAL 217,111 40,937 21,899 10.09 852 3.89 55 0.25 116 0.53

Breast tumorTARGET

1 year

Screened VIA (+)Suspect Ca

CervixNO DISTRICTSTARGET 5

years


9/22

RESULT OF THE SCREENING IN 8

DISTRICTS 2007-2008

Benar

IVA

positif

IVA tnyt

negatif % %

1 DELI SERDANG

2 GOWA 2 0 0 7 3 0

3 KARAWANG 37

4 GUNUNG KIDUL

5 KEBUMEN 84 48 1 0 61

6 GRESIK 98 375 6 4 196 140

7 PEKALONGAN

8 KOTA MALANG

TOTAL 184 423 7 0.028 11 0.044 297 140

Benar

CaCervix

Benar Kanker

Payudara

DILAKUKAN

KOLPOSKOPIKABUPATEN

DIRUJUK KE RSDATA DASAR

Dilakukan

Krioterapi

Follow up

pasca krio

NO


10/22

Source: Max Parkin, IARCSource: Max Parkin, IARC

KEY OF SUCESSFUL PROGRAMKEY OF SUCESSFUL PROGRAM

KeterkaitanDeteksi Dini

dan PengobatanEfektivitas

Pengobatan

KonselingPromosi

& Awareness

CakupanDeteksi Dini

Min 80% WUS

(30-50 TH)


11/22


12/22


13/22


14/22


15/22


16/22


17/22


18/22


19/22


20/22


21/22


22/22

Thank You

Documents

Cervical & Breast Cancer Screening Program