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. 2015 Nov 22;5(4):225–232. doi: 10.15171/ijhpm.2015.201

Table . Suggested Statements Clustered and Ranked Based on Importance and Feasibility for Each Cluster .

Clusters Statements in Each Cluster (Statement ID) Importance Feasibility
Planning Developing a national ICC prevention guideline and defining appropriate screening test, starting age and interval for regular screenings (1) 8.4 6.6
Developing protocols for screening process and follow-up of the patients with precancerous lesions (2) 7.5 5.2
Implementation of screening programs Using an electronic registration system for screening data (8) 8.6 5.9
Coverage of cervical screening by insurance companies (4) 8.4 6.9
Providing necessary equipment and resources to laboratories for screening test (kits, instruments, personnel, and etc.) (7) 8.5 4.8
Engagement of family physicians and healthcare system in cervical screening (5) 8.2 4.8
Elimination of legal boundaries and implementing an organize cervical screening by MoHME (3) 9.0 4.1
Using appropriate screening strategy to increase the participation rate in the screening program (6) 7.9 4.1
Quality control program Developing quality control protocols for the process of patient follow-up (ie, management of precancerous lesions and the treatment of cancer patients) (11) 8.6 6.5
Developing quality assurance protocols for laboratories that are involved in the screening program (9) 8.7 5.3
Developing quality assurance protocols for management of the screening program in terms of accuracy and coverage (10) 4.4 4.6
Research Evaluating the role of partners/husbands in participation of women in cervical screening (18) 8.5 5.8
Conducting cost-effectiveness study for HPV vaccination in Iran (12) 8.1 5.7
Regular monitoring of the incidence and prevalence of precancerous lesions (20) 7.7 5.9
Evaluation of benefits and requirement for using Liquid Base Cytology technique for cervical screening test (15) 7.3 7.0
Identifying the incentives and barriers for participation in cervical cancer screening in the country (14) 7.3 6.2
Nationwide study of survival rate and prognostic factors for cervical cancer (22) 7.7 5.3
Determining the risk factors of cervical cancer specially determining variations in high risk behaviors associated with the incidence of cervical cancer among young people (13) 7.2 6.1
Identifying the knowledge, attitude, and practice of target group women and healthcare providers about cervical cancer screening programs (16) 7.6 5.0
Determining the prevalence of HPV infection and precancerous lesions among high-risk groups (17) 7.1 5.0
Conducting a demonstration project for organized screening program in a selected province (24) 8.1 3.8
Accurate assessment of the incidence, prevalence and mortality of cervical cancer (23) 6.5 4.4
Evaluation of sero-epidemiology of HPV infection in general population (21) 6.6 3.9
Research on epidemiology of genital warts (19) 6.2 5.4
Health promotion and training Increasing public awareness about cervical cancer screening through mass media (Internet, TV, radio, newspapers, etc.) (26) 8.1 6.2
Training of clinicians and other healthcare providers about cervical screening programs (25) 7.6 6.2

Abbreviations‏: ICC, invasive cervical cancer; MoHME, Ministry of Health and Medical Education; HPV, human papilloma virus.