Thursday 02-22-2024,23:10 WIB
Reporter: Marieska Harya Virdhani
Editor : Marieska Harya Virdhani
JAKARTA, DISWAY.ID – Cervical cancer or better known as cervical cancer is a condition where the growth of malignant cells in the cervix/cervix is uncontrolled.
Cervical cancer is caused by persistent infection with the oncogenic Human Papilloma Virus (HPV).
Data from the Ministry of Health, based on its association with cervical cancer and precancerous lesions, HPV is grouped into high-risk and low-risk types.
More than 75% of cervical cancer cases are caused by high-risk HPV types 16 and 18.
It is Important for Girls to be Immunized with the HPV Vaccine
Head of the Ministry of Health’s PTM cancer and blood disorders work team, Dr. Sandra explained that WHO launched a Global Strategy for the Elimination of Cervical Cancer which targets cancer elimination by 2030.
The global strategy contains targets 90-70-90, namely 90% of girls under the age of 15 years should receive HPV vaccination to prevent infection, 70% of women aged 35 years and 45 years should be screened using high-performance tests, and 90% of women with Pre-cancerous lesions receive standard treatment.
“In order to support the acceleration of global cervical cancer elimination, in 2023 Indonesia has prepared a National Action Plan (RAN) to eliminate cervical cancer. “We are making a national action plan to eliminate cervical cancer which is even more advanced than what WHO requested,” said Dr. Sandra conveyed at a media meeting via Zoom Meeting on Thursday, February 22 2024.
This NAP consists of four pillars. Pillar 1 of service delivery contains vaccination, screening and management activities.
Pillar 2 education, training and counseling contains activities to strengthen health workers and public awareness.
Pillar 3 driving progress contains monitoring, evaluation, research and digital support activities (digital enablers).
Pillar 4 management and organization contains governance and policy activities, financing for elimination, collaboration and inter-sector partnerships.
For pillar 1, the RAN already contains targets for vaccination, screening and management. The Ministry of Health will carry out vaccination, screening and management in two phases, namely phase 1 in 2023-2027 and phase 2 in 2028-2030.
Vaccination Phase
In phase 1 vaccination, the Ministry of Health is targeting 90% of girls aged 11 and 12 years in grades 5 and 6 or equivalent, including those not in school, to receive the complete vaccine.
In this phase, the Ministry of Health is also targeting girls aged 15 years who have not received vaccination to receive further vaccination.
In phase 2, 90% of girls and boys aged 11 and 12 years should receive full vaccination.
Apart from that, the Ministry of Health will also carry out further vaccinations for those aged 15 years and all adult women aged over 21-26 years according to request and need.
“For ages 21 to 26, we will ask them to be independent, so they will not enter the national program but the independent program. “We will encourage those who want and need to get vaccinated,” said Dr. Sandra.
Chairman of the Indonesian Oncology Association, Dr. Dr. Brahmin Askandar, who was also a resource person at the media meeting, said that WHO said 30-50% of cancers could be prevented, especially those caused by infections.
“One example is cervical cancer which is caused by infection because cervical cancer is clearly caused by the HPV virus,” said Dr. Dr. Brahmin.
Dr. Dr. Brahmin continued, 90% of cervixes infected with high-risk HPV can actually be eliminated through treatment.
However, HPV that is not detected and eliminated slowly becomes cancer and is called pre-cancer.
Pre-cancer may or may not cause complaints.
The Indonesian Ministry of Health (Kemenkes) supports the acceleration of the elimination of cervical cancer or better known as cervical cancer through the National Action Plan (RAN) which was launched last year. The RAN for the Elimination of Cervical Cancer contains four pillars, including the service pillar which includes screening, Human papillomavirus (HPV) vaccine immunization, and management for pre-cancer patients. Cancer has become the highest cause of death both nationally and globally.
READ ALSO: Can Cervical Cancer Sufferers Recover and Not Recur Again? Listen to the Expert Explanation
WHO Regional Southeast Asia stated that Indonesia was ranked third highest in the region for incidence rate or number of new cases and fourth for mortality rate. The International Agency for Research on Cancer (IARC) estimates that there will be 408,661 new cases and 242,988 deaths in Indonesia in 2022. In addition, IARC predicts a 77% increase in cancer cases in 2050.
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2024-02-22 16:10:00
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