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dc.contributor.authorPerehudoff, Katrina
dc.contributor.authorVermandere, Heleen
dc.contributor.authorWilliams, Alex
dc.contributor.authorBautista Arredondo, Sergio
dc.contributor.authorDe Paepe, Elien
dc.contributor.authorDias, Sonia
dc.contributor.authorGama, Ana
dc.contributor.authorKeygnaert, Ines
dc.contributor.authorLongatto Filho, Adhemar
dc.contributor.authorOrtiz Segarra, Jose Ignacio
dc.contributor.authorPadalko, Elizaveta
dc.contributor.authorReis, Rui Manuel
dc.contributor.authorVanderheijden, Nathalie
dc.contributor.authorVega Crespo, Bernardo Jose
dc.contributor.authorVerberckmoes, Bo
dc.contributor.authorDegomme, Olivier
dc.date.accessioned2021-01-22T16:12:34Z-
dc.date.available2021-01-22T16:12:34Z-
dc.date.issued2020
dc.identifier.issn1472-698X
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85088908034&doi=10.1186%2fs12914-020-00237-9&partnerID=40&md5=21b206fd96df3d2686a10a1600c4b7b1
dc.description.abstractBackground: 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.
dc.language.isoes_ES
dc.sourceBMC International Health and Human Rights
dc.subjectCancer prevention
dc.subjectCancer screening
dc.subjectCervical cancer
dc.subjectHPV test
dc.subjectHuman papilloma
dc.subjectVirus
dc.subjectHuman rights
dc.subjectNational cancer policy
dc.subjectRight to health
dc.subjectSexual and reproductive health
dc.titleUniversal cervical cancer control through a right to health lens: refocusing national policy and programmes on underserved women
dc.typeARTÍCULO
dc.ucuenca.idautor0000-0003-3958-0244
dc.ucuenca.idautor0000-0003-1274-8537
dc.ucuenca.idautor0000-0002-8619-9609
dc.ucuenca.idautor0000-0001-8910-3011
dc.ucuenca.idautor0000-0003-0439-3609
dc.ucuenca.idautor0000-0001-5085-0685
dc.ucuenca.idautor0000-0002-0647-9820
dc.ucuenca.idautor0000-0002-1707-0254
dc.ucuenca.idautor0000-0002-5779-9752
dc.ucuenca.idautor0101432185
dc.ucuenca.idautorSgrp-3992-11
dc.ucuenca.idautor0000-0002-9639-7940
dc.ucuenca.idautorSgrp,3992-13
dc.ucuenca.idautor0102146917
dc.ucuenca.idautorSGRP-392-15
dc.ucuenca.idautorSGRP-3992-16
dc.identifier.doi10.1186/s12914-020-00237-9
dc.ucuenca.embargoend2050-12-31
dc.ucuenca.versionVersión publicada
dc.ucuenca.embargointerno2050-12-31
dc.ucuenca.areaconocimientounescoamplio09 - Salud y Bienestar
dc.ucuenca.afiliacionPerehudoff, K., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica; Perehudoff, K., University of Toronto, Toronto, Canada
dc.ucuenca.afiliacionVermandere, H., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica
dc.ucuenca.afiliacionWilliams, A., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica
dc.ucuenca.afiliacionBautista, S., Instituto Nacional de Salud Pública, Cuernavaca, Mexico
dc.ucuenca.afiliacionDe Paepe, E., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica
dc.ucuenca.afiliacionDias, S., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica; Dias, S., Universidade Nova de Lisboa, Lisboa, Portugal
dc.ucuenca.afiliacionGama, A., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica; Gama, A., Universidade Nova de Lisboa, Lisboa, Portugal
dc.ucuenca.afiliacionKeygnaert, I., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica
dc.ucuenca.afiliacionLongatto, A., Barretos Cancer Hospital, Sao Paulo, Brasil; Longatto, A., Universidade de Sao Paulo - USP, Sao Paulo, Brasil; Longatto, A., Universidade do Minho (Braga), Braga, Portugal
dc.ucuenca.afiliacionOrtiz, J., Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
dc.ucuenca.afiliacionPadalko, E., Ghent University, Gent, Belgica
dc.ucuenca.afiliacionReis, R., Barretos Cancer Hospital, Sao Paulo, Brasil; Reis, R., Universidade do Minho (Braga), Braga, Portugal
dc.ucuenca.afiliacionVanderheijden, N., Ghent University, Gent, Belgica
dc.ucuenca.afiliacionVega, B., Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
dc.ucuenca.afiliacionVerberckmoes, B., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica; Verberckmoes, B., Ghent University, Gent, Belgica
dc.ucuenca.afiliacionDegomme, O., Ghent University, Gent, Belgica; Degomme, O., Academic Network on Sexual and Reproductive Health and Rights Policy, Ghent, Belgica
dc.ucuenca.correspondenciaPerehudoff, Katrina, katrina.perehudoff@gmail.com
dc.ucuenca.volumenVolumen 20, número 1
dc.ucuenca.indicebibliograficoSCOPUS
dc.ucuenca.factorimpacto0.88
dc.ucuenca.cuartilQ1
dc.ucuenca.numerocitaciones0
dc.ucuenca.areaconocimientofrascatiamplio3. Ciencias Médicas y de la Salud
dc.ucuenca.areaconocimientofrascatiespecifico3.2 Medicina Clínica
dc.ucuenca.areaconocimientofrascatidetallado3.2.29 Medicina General e Interna
dc.ucuenca.areaconocimientounescoespecifico091 - Salud
dc.ucuenca.areaconocimientounescodetallado0912 - Medicina
dc.ucuenca.urifuentehttps://bmcinthealthhumrights.biomedcentral.com/
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