Lessons from the renewal of the National Cervical Screening Program in Australia

Public Health Research & Practice
Megan SmithMarion Saville

Abstract

Australia was one of the first countries to make the transition from cytology-based to HPV-based cervical screening.This analysis of the national program's transition to a new model looks at the lessons learnt that can provide valuable insights to other settings. Type of program: Australia's National Cervical Screening Program (NCSP). Following an extensive policy review, in December 2017 the NCSP transitioned from 2-yearly cytology-based screening in women from age 18, to 5-yearly primary HPV screening from age 25. Some changes were more complex than initially anticipated. Building and implementing the National Cancer Screening Register was a more demanding and specialised project than expected. Regulatory requirements for self-collection were unexpectedly onerous, because self-collection was not formally included as an intended use by HPV test manufacturers. This delayed the rollout of a key measure to improve participation and equity. Colposcopy demand was expected to increase substantially but exceeded expectations. Uncertainty about appropriate clinical management or testing outside guideline recommendations may have contributed to the excess demand, highlighting the importance of training providers in the rationale for gu...Continue Reading

Citations

Jun 9, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Rachael H DoddKirsten J McCaffery
Jun 3, 2020·International Journal of Cancer. Journal International Du Cancer·Annabelle FarnsworthDorothy A Machalek
Sep 30, 2020·Australian Journal of Primary Health·Sally SweeneyDeborah Bateson
Jan 30, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Helena M ObermairRachael H Dodd
Feb 7, 2021·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Anita W W Lim
Mar 9, 2021·Australian and New Zealand Journal of Public Health·Rachael JaenkeLisa J Whop
Mar 14, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Denise AzarAmanda Proposch
May 9, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Felicia H X ChinJeffrey H J Tan
Jun 22, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Georgina MitchellTania Day

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