Table 1 Proposed organisation of the French cancer cervical screening programme
From: Towards equity in organised cancer screening: the case of cervical cancer screening in France
All women 25–65 years of age | ||
|---|---|---|
Global Strategy | 1. Collective information campaigns and individual invitation 2. Training and diversification of health professionals (physicians, midwives, nurses) 3. Diffusion of recommendations to professionals, in particular for the follow-up of pregnant women (gynaecologists, general practitioners, midwives) 4. Practice harmonisation (standard, recommendations) 5. Data collection improvement 6. Evaluation | |
Targeted Strategies | Criteria: No Pap-smear recorded for 3 years or more | |
Women over 50 years of age (age at which participation declines) | → Collective awareness-raising for both women and health professionals → Individual invitation and information | |
Women unaware of their risks: precarious or homosexual women | → Collective awareness-raising → Targeted information relayed by associations | |
Vulnerable populations/ populations remote from the health system (prostitutes, Roma, migrants...) | → Implementation of targeted screening actions on the ground → Intervention of local and relevant associations → Targeted information → Action evaluation | |
Women at increased risk of cervical cancer (HIV, immunosuppression, diethylstilbestrol) | → Awareness-raising for both women and health professionals → Information relayed by associations | |