Table 4.
Elements of Organised Screening that have been Implemented
Albania | Armenia | Azerbaijan | Belarus | Bosnia and Herzegovina Republika Srpska | Georgia Ex Tbilisi | Kazakhstan | Kosovo | Kyrgyzstan | Moldova | North Macedonia |
Serbia | Tajikistan | Turkey | Turkmenistan | Ukraine | Uzbekistan | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Central administrative unita | Yes | No | No | Yes | No | No | Yes | Yes | No | No | Yes | Yes | Yes | No | Yes | No | No | No | |
Central access to population datab | No | No | No | No | No | No | Yes | No | No | No | No | No | No | No | No | No | No | No | |
Recruitmentc | Loc | Loc | Opp | Opp | Opp | Loc | Loc | Loc | Loc, Opp | Opp | Loc | Loc | Loc, Opp | Opp | Loc | Loc | Opp | Loc | |
Data recordingd | ii,v | iii,v | iv | v | iii,iv | iii,iv | i,v | iii,iv | iii,v | v | iii,iv | ii,v | iii,iv | v | iii,iv | iii,iv | iii,v | iii,v | |
Cancer registrye | Nat | Imp | Nat | Nat | Reg | Reg | Nat | Nat | Nat | Reg | Nat | Nat | Nat | Nat | Nat | Nat | Nat | Nat | |
Member of the: | IACR | Yes | No | Yes | Yes | No | Yes | Yes | Yes | No | Yes | Yes | No | Yes | No | Yes | No | Yes | No |
ENCR | No | No | No | Yes | No | Yes | No | No | No | No | No | No | Yes | No | No | No | Yes | No | |
Central access to a cancer registryf | No | No | No | No | No | No | Yes | No | No | No | No | No | No | No | No | No | No | No | |
QAg | Yes | No | No | No | No | No | No | Yes | No | No | No | No | Yes | No | No | No | No | No | |
Screening guidelinesh - year | Yes | Yes | No | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | No | No | Yes | No | Yes | No | |
2019 | 2014 | 2008 | 2003 | 2010 | 2012 | 2018 | 2015 | 2020 | 2017 | 2014 | |||||||||
Clinical protocols colposcopyi - year | Yes | Yes | No | No | No | No | Yes | Yes | Yes | Yes | Yes | No | Yes | No | Yes | Yes 2014 | Yes | Yes | |
2019 | 2014 | 2010 | 2012 | 2018 | 2020 | 2020 | 2013 | 2017 | 2014 | 2019 |
a, Central administrative unit: a central (national/regional/municipal) administrative unit with official responsibility for coordinating the screening process; b, Central access to population data: the central administrative unit has access to a current database that could be used to characterise the target population with sufficient detail so women who should be screened can be identified and invited; c, Recruitment: Loc = the local screening providers identify the women who should be screened from their lists of the attached populations and invite them; Opp = women are screened opportunistically upon their own request or when they are attending the health care provider for other reasons; d, Data recording ; i. Central recording of ID details for each woman screened together with her screening test results and follow-up procedures; ii. Central recording of ID details for each woman screened together with her screening test results but not monitoring the follow-up/treatment of screen-positive women; iii. Central recording of the number of screening tests but not linked to any ID details; iv. Provider level recording of ID for each woman screened together with her screening test results and follow-up procedures; v. Provider level recording of ID details for each woman screened together with her screening test results but not monitoring the follow-up/treatment of screen-positive women.; e, Cancer registry: Nat = national; Reg = regional; Imp = implementing; f, Central access to a cancer registry: the central administrative unit has access to a population-based cancer registry for QA and audit; g, QA system: a centrally managed QA system covering the cervical screening process; h, Screening guidelines: guidelines for the entire screening process describing the roles of all the component services as well as the interaction between them; i., Colposcopy clinical protocols: protocols describing the management of screen-positive women based on their screening and/or follow-up test results, as well as the clinical procedures that are required at each step in the process.