Cervical screening by public nurses

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Cervical screening by public nurses humane
approach of improving outcome of screening

• dr. Simek Ágnes PhD
• National Institute of Public Health
• Hungary

The Future of Primary Health Care in Europe III.
30 - 31 August, 2010, Pisa, Italy
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DATA (2008.)

• Cervical cancer is the 3. in the cancer-mortality
  statistics amongst women in Hungary
• 5 of target population took part in the
  screening
• 527 women died due to cervical cancer
• Youngest victim 26 years old mother with two
  children

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Background

• Local campaign screening from the 60-s
• Centrally organized screening from 2004.
• Private gynaecologists
• Rules of financing

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Reasons of resistance

• Lack of information
• Lack of motivation
• Difficulties of accessibility
• Bad communication skills - equity

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Efforts

• National Public Health Service
• Local communities
• Gynaecologists
• Family physicians
• NGO-s
• Local results

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New actressNational Action Plan Against
Cancer2008.

• Health visitor nurse public nurse
• ADVANTAGES
• Female
• Well-known
• Traditions
• DISADVANTAGES ???

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Results

• 108 educated public nurses
• 30 117 invitation letter
• 13 823 visited women
• 6 787 screenings
• 397 pathologic diagnosis
• 23 suspect cancers
• 7 385 previous screenings
• 1702 refusals

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Additional results

• More screenings
• Real expectations personal connection
• Valid data
• Plannable health care
• Higher reputation

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Next steps

• Ordering of registration
• Financial interest
• Education physicians
• public nurses
• patients
• New curriculum

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Massage equality - equity

• Screening for everybody
• Actors gynaecologists, family physicians, public
  nurses
• Helpers NGO-s, peer-groups-reference persons,
  prominent members of settlements
• (teachers,
• clergymen)

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Thank you for your attention!

• dr. Simek Ágnes PhD
• National Institute of
• Public Health
• Hungary