PROBLEMS OF IMPLEMENTATION OF SCREENING PROGRAMS FORCERVICAL CANCER. THE ROLE OF ADHERENCE OF THE FEMALEPOPULATION IN THE EFFICIENCY OF SCREENING FOR CERVICALCANCER. LITERATURE REVIEW

Abstract

Introduction. This review is devoted to the study of the problems of implementation of cervical cancer screening
programs (CC) in the world and to determine the impact of adherence of the female population on the coverage of cervical
cancer screening. To obtain significant results in reducing the incidence and mortality rates from cervical cancer, programs
aimed at preventing and reducing the incidence of cervical cancer should provide for full coverage of all women of the target
age, with full access to them. In the Republic of Kazakhstan (RK), within the framework of the National Program, since 2008,
population-based cytological screening of cervical cancer has been used. To achieve positive indicators of the
implementation of screening programs, it is necessary to participate in them at least 70% of the target population, in the
Republic of Kazakhstan for CC screening, this figure is 48-50%. The results of the conducted studies show that the success
of these programs directly depends on the level of coverage and commitment of the population to them.
Aim: to analyze literature data to highlight the problems of implementing CC screening programs in the world and to
determine the impact of adherence of the female population on cervical cancer screening coverage.
Search strategy. The study included a search and analysis of relevant information from English and domestic sources,
scientific publications in peer-reviewed journals published over the past 20 years. The search was carried out on the
following queries: "CC screening programs", "Problems of implementation of the CC screening program", "Commitment of
the female population to CC screening", "Coverage of the CC screening program".
Results. The results of this scoping study showed the main problems in the implementation of the screening program.
As well as the relationship between the low level of adherence of the female population and the coverage of the CC
screening program. Studies conducted in different countries reveal the need to optimize CC screening programs, increase
coverage and increase the commitment of the female population to CC screening.
Conclusions. Cervical cancer screening is certainly a great progress towards reducing the burden of cervical cancer in
the world. However, to achieve the final goal of reducing morbidity and mortality rates, an integrated approach is needed, the
basis of which should be the study and increase in the commitment of the female population to cervical cancer screening.