Guangdong will continue to implement it.
Free HPV vaccination program for school-age girls
Strengthen public welfare cervical cancer screening services.
In order to further improve the cervical cancer prevention and treatment service system, improve the comprehensive prevention and treatment capacity, build a social support environment, strive to curb the rising trend of cervical cancer incidence and mortality, and reduce the social burden of cervical cancer, the Guangdong Provincial Health Commission recently issued the "Guangdong Provincial Action Plan for Accelerating the Elimination of Cervical Cancer (2023-2030)" (hereinafter referred to as the "Action Plan").
The Action Plan is clear.
By 2030, the following three goals will be achieved
Continue to promote HPV vaccination services for school-age girlsSuitable before the age of 15The completion rate of the first dose of HPV vaccine among girls reached 90
35 70 per cent of women aged 64 years are screened for cervical cancer
90% of patients diagnosed with cervical cancer and precancerous lesions** have been diagnosed.
Guangdong will continue to implement it.
Free HPV vaccination program for school-age girls
The Action Plan proposes to popularize the knowledge of cervical cancer prevention and treatment and promote HPV vaccination. Guangdong will continue to implement the free HPV vaccination program for school-age girlsThe health department shall promptly publish the list of qualified vaccination clinics in the jurisdiction;The education department organizes school-age students to voluntarily receive HPV vaccination;Actively encourage women aged 15 and above to receive HPV vaccination, do a good job in HPV vaccination consulting services, and continuously improve the accessibility, convenience and standardization of HPV vaccination.
Targeted at specific groups
Strengthen public welfare screening services
Cervical cancer screening services should be strengthened to promote early diagnosis and early treatment. The Action Plan clearly states that the long-term working mechanism for cervical cancer screening will be improved, and the screening rate of cervical cancer among women aged 35-64 will be gradually increasedEmphasis is placed on rural and urban subsistence allowance and school-age women who have never been screened, improve the supporting policies for migrants to receive screening in their places of habitual residence, and promote more women to receive screening.
At the same time, give full play to the role of trade unions to strengthen cervical cancer screening services for female employees, especiallyStrengthen public welfare cervical cancer screening services for female employees of enterprises in difficulty, female workers in new forms of employment, and other groups。For women who are screened for abnormalities, through the establishment of a two-way referral mechanism and a screening service network, a green channel is established to refer them to designated diagnosis and treatment institutions in a timely manner, forming a closed-loop management and improving the effectiveness of screening and early diagnosis and early treatment.
Improve the multi-level medical security system
The Action Plan proposes to standardize cervical cancer and increase medical treatment guarantees. It is necessary to promote the application of unified and standardized guidelines for the diagnosis and treatment of cervical cancer, and standardize the detection of precancerous lesions and cervical cancer patients, including outpatient follow-up for patients with low-grade cervical lesions, and outpatient surgery for patients with high-grade lesionsThe medical expenses of ordinary outpatient clinics, outpatient specific diseases and hospitalizations of insured patients shall be paid by medical insurance** in accordance with regulations
At the same time, we should promote the management of clinical pathways, improve supporting measures such as guidance, pain management, nursing and nutrition, and psychological support, so as to improve the survival rate and quality of life of cervical cancer patients. Give full play to the advantages and role of traditional Chinese medicine in the prevention and treatment of cervical cancer, and explore a new model of integrated traditional Chinese and Western medicine prevention and treatment.
In order to reduce the burden of medical treatment for cervical cancer patients, the Action Plan is clearImprove the multi-level medical security system with basic medical insurance as the main body, medical assistance as the foundation, supplementary medical insurance, commercial health insurance, charitable donations, mutual medical assistance, and other common development。Civil affairs, trade unions, women's federations and other departments at all levels have worked closely together to strengthen assistance to eligible patients, carry out cervical cancer relief projects for low-income women, and guide public welfare organizations to participate in cervical cancer relief for low-income women.
Establish various forms of cervical cancer prevention and treatment consortiums
In order to ensure the implementation of relevant measures, the Action Plan also sets out a series of safeguard measures, including the establishment of various forms of cervical cancer prevention and control consortiums, the establishment of data sharing platforms, and the active promotion of new technologies. The county-level health administrative department shall review and determineOne or more medical and health institutions are normalized primary screening institutions, and one medical and health institution at or above the county level is a confirmed ** institutionand encourage the establishment of various forms of cervical cancer prevention and control consortiums to promote the integrated management of HPV vaccination consultation, cervical cancer screening, diagnosis and treatment.
In order to improve the ability of cervical cancer prevention and treatment, the "Action Plan" requires that the team of experts and teachers for cervical cancer prevention and treatment at all levels be improved, the training of cervical cancer prevention and treatment talents in county-level medical and health institutions should be strengthened, and the training of talents in key specialties such as endoscopy, molecular experiments, and pathology should be emphasized. At the same time, a provincial-level technical guidance expert group will be established to carry out quality control and guidance for cervical cancer screening institutions and diagnostic institutions on a regular basis, so as to improve the service quality of key links such as screening and diagnosis.
In addition, Guangdong will also promote the participation of new technologies in the prevention and treatment of cervical cancer, and actively promote appropriate technologies for cervical cancer screening and diagnosis and treatmentExplore the use of new technologies such as the Internet and artificial intelligence to optimize the process of cervical cancer screening and diagnosis and treatment services, including AI-assisted cervical cytology and histopathological examinations, and the use of telemedicine technology platforms such as "women and children on the cloud" to carry out remote consultation and guidance.
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*: Published in Guangzhou, China, official website of Guangdong Provincial Health Commission, Nanfang+, Guangdong Health**.
First instance: Junqi.
Second trial: Da Concubine.
Third trial: Yanlin.