Cervical cancer screening and prevention in Kazakhstan and Central Asia

Gulzhanat Nuratdinovna Aimagambetova, Chee Kai Chan, Talshyn Ukybassova, Balkenzhe Imankulova, Askhat Balykov, Kuralay Kongrtay, Azliyati Azizan

2020

Closed access Metadata (CSL-JSON)

DOI 10.1177/0969141320902482

Data confidence 85 high

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Abstract

OBJECTIVE: To examine the state of cervical screening and prevention in Central Asian states, specifically Kazakhstan. RESULTS: In the five Central Asian countries that were formerly part of the Soviet Union (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan), cervical cancer incidence and mortality rates are far higher than those in most Western and high-income nations, and are increasing. Cervical cancer screening is available in all five countries, but is mainly opportunistic. Only Kazakhstan has a structured cytological screening program, from which screening coverage analysis is possible. CONCLUSION: Despite significant decreases in cervical cancer incidence and mortality in developed countries, the problem is still of great concern in these Central Asian countries and is attributed to poorly organized screening and the absence of vaccination programs.