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Title: Universal cervical cancer control through a right to health lens: refocusing national policy and programmes on underserved women
Authors: Perehudoff, Katrina
Vermandere, Heleen
Williams, Alex
Bautista Arredondo, Sergio
De Paepe, Elien
Dias, Sonia
Gama, Ana
Keygnaert, Ines
Longatto Filho, Adhemar
Ortiz Segarra, Jose Ignacio
Padalko, Elizaveta
Reis, Rui Manuel
Vanderheijden, Nathalie
Vega Crespo, Bernardo Jose
Verberckmoes, Bo
Degomme, Olivier
metadata.dc.ucuenca.correspondencia: Perehudoff, Katrina, katrina.perehudoff@gmail.com
Keywords: Cancer prevention
Cancer screening
Cervical cancer
HPV test
Human papilloma
Human rights
National cancer policy
Right to health
Sexual and reproductive health
metadata.dc.ucuenca.areaconocimientofrascatiamplio: 3. Ciencias Médicas y de la Salud
metadata.dc.ucuenca.areaconocimientofrascatidetallado: 3.2.29 Medicina General e Interna
metadata.dc.ucuenca.areaconocimientofrascatiespecifico: 3.2 Medicina Clínica
metadata.dc.ucuenca.areaconocimientounescoamplio: 09 - Salud y Bienestar
metadata.dc.ucuenca.areaconocimientounescodetallado: 0912 - Medicina
metadata.dc.ucuenca.areaconocimientounescoespecifico: 091 - Salud
Issue Date: 2020
metadata.dc.ucuenca.embargoend: 31-Dec-2050
metadata.dc.ucuenca.volumen: Volumen 20, número 1
metadata.dc.source: BMC International Health and Human Rights
metadata.dc.identifier.doi: 10.1186/s12914-020-00237-9
metadata.dc.type: ARTÍCULO
Background: Cervical cancer claims 311,000 lives annually, and 90% of these deaths occur in low- and middle-income countries. Cervical cancer is a highly preventable and treatable disease, if detected through screening at an early stage. Governments have a responsibility to screen women for precancerous cervical lesions. Yet, national screening programmes overlook many poor women and those marginalised in society. Under-screened women (called hard-to-reach) experience a higher incidence of cervical cancer and elevated mortality rates compared to regularly-screened women. Such inequalities deprive hard-to-reach women of the full enjoyment of their right to sexual and reproductive health, as laid out in Article 12 of the International Covenant on Economic, Social and Cultural Rights and General Comment No. 22. Discussion: This article argues first for tailored and innovative national cervical cancer screening programmes (NCSP) grounded in human rights law, to close the disparity between women who are afforded screening and those who are not. Second, acknowledging socioeconomic disparities requires governments to adopt and refine universal cancer control through NCSPs aligned with human rights duties, including to reach all eligible women. Commonly reported- and chronically under-addressed- screening disparities relate to the availability of sufficient health facilities and human resources (example from Kenya), the physical accessibility of health services for rural and remote populations (example from Brazil), and the accessibility of information sensitive to cultural, ethnic, and linguistic barriers (example from Ecuador). Third, governments can adopt new technologies to overcome individual and structural barriers to cervical cancer screening. National cervical cancer screening programmes should tailor screening methods to under-screened women, bearing in mind that eliminating systemic discrimination may require committing greater resources to traditionally neglected groups. Conclusion: Governments have human rights obligations to refocus screening policies and programmes on women who are disproportionately affected by discrimination that impairs their full enjoyment of the right to sexual and reproductive health. National cervical cancer screening programmes that keep the right to health principles (above) central will be able to expand screening among low-income, isolated and other marginalised populations, but also women in general, who, for a variety of reasons, do not visit healthcare providers for regular screenings.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85088908034&doi=10.1186%2fs12914-020-00237-9&partnerID=40&md5=21b206fd96df3d2686a10a1600c4b7b1
metadata.dc.ucuenca.urifuente: https://bmcinthealthhumrights.biomedcentral.com/
ISSN: 1472-698X
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