The Prevention Program of Cervical Cancer in Public Health Settings: A Review
Keywords:cervical cancer, Indonesia, prevention, public health
This paper aimed to describe the World Health Organization (WHO) recommendation regarding cervical
cancer prevention program and its implementation in public health settings of Indonesia. Human
papillomavirus (HPV) vaccination, healthy sexuality education, and male circumcision belong to primary
prevention. In Indonesia, the target of HPV vaccination coverage was assumed to be 76.6% among girls in
the elementary school. Secondary prevention consisted of screening and treatment pre-cancer. Pap smear and
Visual Inspection with Acetic Acid (VIA) were the national program to detect cervical cancer in Indonesia.
Tertiary prevention included treatment and palliative care. Hospital had responsibility to treat advanced
cancer patients, while the implementation of palliative care in public health center (PHC) in Indonesia is still
limited. In the future, it is important for each country to develop a national policy regarding cervical cancer
prevention in accordance with the WHO framework.
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