Nino Kiknadze Associated Professor of Family Medicine Department Tbilisi State Medical University Georgian Representative in EURACT KIEV November 2016 SCREENING PROGRAMS IN GEORGIA Cancer Screening ID: 784768
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SCREENING PROGRAMS-GEORGIAN EXPERIANCE
Nino Kiknadze
Associated Professor of Family
Medicine
Department
Tbilisi State Medical University
Georgian Representative in EURACT
KIEV November 2016
Slide2Slide3SCREENING PROGRAMS IN GEORGIA
Cancer Screening
Slide4CANCER SCREENING - HISTORY
2006 y – Health and Social Affairs Department (HSAD) of the Tbilisi Municipality and UNFPA Georgia for Reproductive Tract (RT) cancers prevention and early detection was launched in Tbilisi.
2008 y -The project was redesigned to focus on breast and cervical cancer screening for the targeted population in Tbilisi. The NSC was selected to implement the project.
2009y – Replication of the project at the national level.
2011, the comprehensive cancer screening programme (breast, cervical, colorectal cancer screening and prostate cancer risk management) became available in Georgia through the national programme under NCDC&PH (MoLHSA)
2014y – Pilot programme launched in one region - PHC (Cervical cancer)
Slide5CANCER SCREENING PROGRAM
Slide6CANCER SCREENING PROGRAM
BREAST CANCER
2008
CERVICAL CANCER
2008
COLORECTAL CANCER
2011
PROSTATE CANCER
??? 2010
MAMMOGRAPHY
Ultrasound
Biopsy + Cytology
Physical examination
PAP - Smear
FOBT
PSA
Colonoscopy
Colposcopy
Biopsy
biopsy
Slide7CANCER SCREENING 2010-2015
CANCER
BREAST
CERVICAL
PROSTATE
COLORECTAL
SCREENING METHOD
MAMMOGRAPHY
PAP-SMARE
PSA
FOBT
AGE RANGE
40 - 70
25- 60
50-70
50-70INTERVAL3 y
3y1y1yAVE. N SCREENED
PER YAR 16180
1655342681393
COVERAGE14.70%
16.26%3.40%0.70%
Slide8SCREENING PROGRAMS - BUDGET
Slide9CANCER SCREENING PROGRAMPOPULATION BEHAVIOR CHANGE
Slide10SCRINING PROGRAMS IN PHC - ACTIVE RECRUETEMENT
PILOT PROGRAM IN ONE REGION OF GEORGIA
KAKHETI IORI
Village doctors will counsel women about cervical screening and then take a Pap test.
The Pap test will be sent to the KIC for processing.
Screening results will be sent to the referring doctor who will report them to the women and counsel those having an abnormal result.
Refer for Further Evaluation
Recalls
Slide11SCREENING PROGRAM CME/CPD
Slide12SCREENING PROGRAM CME/CPD
Local and International CME courses for
Radiologists, Morphologists, Gynecologists,
Mammologists
Village doctors
Program administration
IT Staff
Customer service staff
Slide13SCREENING PROGRAMS IT
2011 - New Information management system for the Screening Programme, developed through the UNFPA
The first module
of the system – the patients’/clients’ visits registration
The second module
of the system - management of clinical information - allows managing electronically all clinical information.
Slide14SCREENING PROGRAMS QUALITY MANAGEMENT
Unification of cytology results
Unification of Radiological Interpretation (BIRADS)
Development of indicators for each screening program
Quality assessment system in each provider
Slide15SCREENING PROGRAM EFFECTS
Stage distribution of breast cancer cases detected after treatment; the National Screening
Programme, 2009
According 2006-2007 national statistical data, only ~ 33% of new incidents of cancers were detected at I-II stages
Slide16SCREENING PROGRAM EFFECTS
Abnormal PAP - smear distribution (%) (N=1701) Total N of Screened Women 9650 2013 NCC
Slide17FINANSIAL EFFECTS OF CANCER SCREENING
AVIALLABLE STATISTICAL DATAS AND PROGRAM COVERAGE ARE NOT INOUGH FOR CALCULATE REAL FINANSIAL EFFECT OF CURRENT SCREENING PROGRAMS, BUT -
“ounce of prevention is worth a pound of cure,”
Benjamin Franklin
(1706 - 1790) one of the Founding Fathers of the US .