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Annex 5: Prioritization Exercise<br />

PRIORITIZATION EXERCISE<br />

Once the analysis of the cervical cancer prevention and control program components is completed in<br />

the previous sections, conduct a general assessment of the situation. Complete the following<br />

questions by checking one of the four options:<br />

- H: High: M: Moderate; L: Low; U: Unknown<br />

- VG: Very good; G: Good; NI: Needs improvement; U: Unknown<br />

1.1. The cervical cancer burden in your country:<br />

High = > 87.3 / 100,000<br />

Medium = 25.8 to 87.3 / 100,000<br />

H M L U<br />

Low = < 25.8 / 100,000<br />

1.2. The need to improve women’s health services:<br />

Examples: screening for breast cancer, hypertension, diabetes, domestic violence…<br />

H M L U<br />

1.3. The need to improve adolescent health services:<br />

Examples: immunization against tetanus, rubella, hepatitis B, measles; deworming;<br />

distribution of bed nets for malaria prevention; treatment for schistosomiasis,<br />

onchocerciasis, filariasis and trachoma; iron and/or iodine supplementation; education<br />

H M L U<br />

about: hand washing; alcohol, tobacco and drug use; life-skills; body-awareness; sexual<br />

health…<br />

1.4. The potential for receiving support from external and<br />

collaborating organizations is:<br />

H M L U<br />

1.5. How would you rate current screening policies?<br />

Do current policies support or inhibit improved screening and treatment programs?<br />

VG G NI U<br />

1.6. The success of current screening policies is: H M L U<br />

1.7. How would you rate the current policies on adolescent<br />

immunization?<br />

Do current policies support or inhibit adolescent vaccination programs?<br />

VG G NI U<br />

1.8. The success of current adolescent immunization policies is: H M L U<br />

1.9. Political interest in improving cancer control is:<br />

To what extent has the government committed to cancer control?<br />

1.10. Political interest in improving cervical cancer control is:<br />

To what extent has the government committed to cervical cancer control?<br />

H M L U<br />

H M L U<br />

Personal assessments<br />

1.11. What is the possibility that the government will finance the<br />

strengthening of screening services?<br />

1.12. What is the possibility that the government will finance HPV<br />

vaccine introduction?<br />

1.13. The feasibility of strengthening screening programs in the<br />

coming years is:<br />

1.14. The feasibility of introducing HPV vaccination programs in the<br />

coming years is:<br />

H M L U<br />

H M L U<br />

H M L U<br />

H M L U<br />

Report of an African Regional Meeting on Cervical Cancer: September 2010 82

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