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[Applying a cervical cancer control model in Soacha, Colombia]
Carolina Wiesner-Ceballos1, Ricardo Cendales-Duarte, Sandra L Tovar-Murillo
1Instituto Nacional de Cancerología, Bogotá, Colombia. cwiesner@cancer.gov.co
Revista De Salud Publica (Bogota, Colombia)
|April 11, 2009
Summary
Implementing a human rights-based cancer control model in Colombia significantly increased cervical cancer screening and improved public health services. This approach is vital for effective cancer control programs in low-income countries.
Area of Science:
- Public Health
- Cancer Control
- Human Rights in Healthcare
Context:
- Cervical cancer mortality remains high in low-income countries like Colombia.
- Existing cancer control models have had limited impact.
- The National Cancer Institute (Instituto Nacional de Cancerología) developed a novel model.
Purpose:
- To evaluate a community-based cancer control intervention in Colombia.
- To assess the impact of a human rights-based approach on cervical cancer control.
- To analyze changes in service demand, access, and community perceptions.
Summary:
- A three-phase participatory intervention (diagnosis, intervention, evaluation) was conducted.
- Key components included assessing human rights perceptions, population surveys, and service demand analysis.
- Results showed increased human rights claims and 75% cytological coverage in vulnerable populations.
Impact:
- The intervention enhanced the quality and credibility of public health services for women.
- It demonstrated the effectiveness of a multi-level, human rights-informed cancer control strategy.
- This model is pertinent for improving cancer control programs globally, especially in resource-limited settings.
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