CHAPTER 4: SCREENING FOR CERVICAL CANCER

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102Chapter 4: Screening for Cervical Cancer4Chapter 4: Screening for Cervical CancerRecord-keepingRecords should be compatible throughout a country, so that all the data collected by thecervical cancer control programme can be compared. The information system shouldinclude every woman’s clinical record, appointments scheduled, and those kept ormissed. This can be a simple paper record or can be computer-based. A logbook can beused to register women screened and record their test results. If women need to returnlater for their results, a system must be in place to ensure that thosewith abnormal results are notified and that women who are hard toAnnex7locate are traced. Sample forms for follow-up can be found in Annex 7.Documents
Chapter 4: Screening for Cervical Cancer 103screening activities at different levels of the health systemIn the communityAt the health centre• Educate and inform the community, promote the screeningprogramme, and encourage women to attend.• Refer appropriate women for screening.• Assist women to attend screening clinics.• Assist in follow-up of women with a positive screening to ensurethat they return to the clinic for management.• Screen, using methods specified by national guidelines andintegrating screening into other services.• Train, support and supervise CHWs.• Work with CHWs to educate women, and recruit them forscreening.• Participate in campaigns to bring women at high risk for testing.• Provide counselling and health education in the clinic andcommunity.• Inform and counsel women with positive screening test results,and advise them on needed follow-up, diagnosis and treatment.• Implement an accurate patient information system, to allowproper tracking and follow-up of women after treatment.4Chapter 4: Screening for Cervical CancerAt the district hospital• Carry out screening activities as per national programme.• Inform and counsel women with positive screening test results,and advise them on needed follow-up, diagnosis and treatment.• Train, support and supervise providers at health centre level.• Manage referral systems with lower and higher levels of thehealth system.At the central hospital• Carry out screening in outpatient clinics where women are seen.• Maintain central cytology, pathology, and molecular laboratories,as feasible.• Interpret screening and histopathology results and ensure thatresults reach the screening site.• Train medical personnel, and support and supervise providers inlower-level health facilities.• Manage referral and links with lower levels of the health system.
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CHAPTER 4: SCREENING FOR CERVICAL CANCER

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