Evaluation of effectiveness of cervical cancer screening program

Rimantas Pečiūra, Romualdas Gurevičius, Danguolė Jankauskienė

Abstract


In the period of 1998 - 2010 the Lithuanian health program was implemented. Evaluation of effectiveness of the preventive programs showed that the mass screening process for preventive measures is undoubtedly one of the most important tools in the current public health policies and strategies. This article aims to present the evaluation of the the cervical cancer preventive program paid by the compulsory health insurance budget. The program was evaluated by direct effectiveness measuring mortality and morbidity and costeffectiveness in national level and also in the local level showing inequalities in it‘s effectiveness. Effectiveness of the programs is demonstrated also in the analysis of the facts relating to the implementation and management of the program (indirect measurement). Analyzing the results of the program it was found that in 2005-2009 period more than 2.8 thousand cases of early stagies and deaths associated with cervical cancer were prevented due to the program. Prevention measures had an undeniable impact on hospital cost savings associated with cervical cancer. It is recommended to continue the cervical cancer screening program with improved management, assigned national-level body to take care of its monitoring, and addressing the administrative costs for this issue and also devide responsibilities of the stakeholders.

Keywords


cervical cancer; screening; effectiveness of screening

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"Health Policy and Management" ISSN online 2029-9001 / ISSN print 2029-3569