1. dr. Simek Ágnes PhD National Institute of Public Health Hungary
Cervical screening by public nurses – humane approach of improving outcome of screening
dr. Simek Ágnes PhD
National Institute of Public Health
Hungary
The Future of Primary Health Care in Europe III August, 2010, Pisa, Italy

2. DATA (2008.)
Cervical cancer is the 3. in the cancer-mortality statistics amongst women in Hungary
5 % of target population took part in the screening
527 women died due to cervical cancer
Youngest victim: 26 years old mother with two children
Hans Baldung Grien: A három életkor és a Halál 1510.

3. Background Local campaign screening from the ‘60-s
Centrally organized screening from 2004.
Private gynaecologists
Rules of financing
Also private gynaecologist

4. Reasons of resistance Lack of information Lack of motivation
Difficulties of accessibility
Bad communication skills - equity

5. Efforts National Public Health Service Local communities
Gynaecologists
Family physicians
NGO-s
Local results

6. New actress National Action Plan Against Cancer 2008.
Health visitor nurse – public nurse
ADVANTAGES
Female
Well-known
Traditions
DISADVANTAGES ???

7. Results 108 educated public nurses 30 117 invitation letter
visited women
6 787 screenings
397 pathologic diagnosis
23 suspect cancers
7 385 previous screenings
1702 refusals

8. Additional results More screenings
Real expectations – personal connection
Valid data
Plannable health care
Higher reputation
Naturally the absolute winner is the patient herself.

9. Next steps Ordering of registration Financial interest
Education: physicians
public nurses
patients
New curriculum
Elaboration and monotoring of the uniform data recording in the official and private gynaecological care
New communication and investigation-skills must be applied by gynacologists to ensure equity of patients. Beside that patients’ education, information and motivation is very important
Creation of the financial interest in every part of the medical care system
The implementation of cervical smeer screening as a new element of the curricula of diplome public nurses means the expansion of this method of investigation all over Hungary. It takes 1o-12 years according to the plans.

10. Massage: equality - equity
Screening for everybody
Actors: gynaecologists, family physicians, public nurses
Helpers: NGO-s, peer-groups-reference persons, prominent members of settlements
(teachers,
clergymen)
Screening must be provided to every member of target population without respect of age, residence, social beckground
The political will must be put into practice by gynaecologists, family physicians, public nurses
To achieve this goal the collaboration and network of NGO-s leaders, peer-groups of local communities, but also teachers and members of different churches must be elaborated.

11. Thank you for your attention!
dr. Simek Ágnes PhD
National Institute of
Public Health
Hungary