Reducing Cervical Cancer in Thailand: NHSO Pilot Project and Self-Testing Initiative in Region 7, Khon Kaen

2023-07-05 09:23:32

NHSO pilot region 7, Khon Kaen proactive model 2, distributing “cervical cancer specimen collection kits” at the primary care unit innovation Both pharmacies and nursing clinics in 4 provinces, 119 places ready to increase convenience, join hands with Krung Thai Bank Register via the “Pao Tang” app to take care of Thai women, reduce illness and death from cervical cancer. Ready to push the model at Phanom Phrai Hospital, a model for organizing the service system

On June 29, 2023 Dr Chadet Thammathatchaaree, M.D. Secretary-General of the National Health Security Office (NHSO) along with Dr. Paiboon Pensuwan Director of Provincial Group Region 7 Khon Kaen, Dr. Watchara Iamrasameekul Director of Phanom Phrai Hospital /Deputy Chief Public Health Officer, Roi Et Province together with executives from Krung Thai Bank Public Company Limited jointly opened a pilot project to pull drug stores nursing clinic Distributing cervical cancer specimen collection kits by yourself Caring for Thai women to be far away from cervical cancer in 4 provinces, Region 7, Khon Kaen, at Phanom Phrai Hospital, Roi Et Province.

Dr. Jadet said Cervical cancer is an HPV vaccine preventable disease. Including disease screening and effective treatment. But it is still a disease that is a major cause of morbidity and death of many Thai women. At present, approximately 6,000 new cases of cervical cancer are reported per year and more than 2,000 deaths per year. look after In addition to the HPV vaccination service for girls in Grade 5 who are target groups It is also possible to increase effective cervical cancer screening services for Thai women aged 30-59 or aged 15-29 who are at risk.

In 2020, the NHSO board has approved the cervical cancer screening service using the highly accurate HPV DNA testing method (HPV DNA Test). It is a national health insurance benefit. Check every 5 years to replace the Pap smear or VIA (VIA). But with the inconvenience of accessing the screening service at the service unit. Including the shy behavior to enter the service, the NHSO board has therefore approved the cervical cancer specimen collection kit “HPV DNA Self Collection” (HPV DNA Cell Collection) as an additional benefit. as an alternative to self-collecting specimens

In the past, many areas have already begun providing services to the public. Participating in self-care health care will result in reducing congestion in hospital services. It is also a model for promoting health and preventing disease. that people and communities will be involved as a model in organizing service systems in other cancers or other diseases in the future

Dr. Paiboon said Area 7, Khon Kaen, consisting of 4 provinces: Kalasin, Khon Kaen, Mahasarakham and Roi Et, has been proactive in 2022, being the area with the highest results of cervical cancer screening, 40,000 cases, with the distribution of cervical cancer specimen collection kits by themselves. Through the sub-district health promotion hospital (Hospital) that is model 1 and in 2023, there has been an increase in the distribution of cervical cancer specimens collected by themselves. At the innovative primary care unit as well, such as a pharmacy – (name) Lan Ya Kong Suk and Montira Nursing Clinic, Nursing and Midwifery Clinic, etc., is a Model 2 model.

There are 98 drugstore networks in District 7, Khon Kaen, and 21 warm community nursing clinics, totaling 119 locations. It is also a network inviting women to target groups for screening. ready to coordinate with the Thai Post Office To allow specimens to be collected for laboratory examination at the hospital to increase access to screening.

In addition, it has partnered with Krung Thai Bank Public Company Limited to open for Thai women who are eligible for cervical cancer screening. Register through the “Paotang” application to obtain a cervical cancer specimen collection kit. Both at drugstores and nursing clinics nearby to facilitate the people.

Dr. Watchara said Phanom Phrai Hospital gives importance to health promotion and disease prevention services for the health of people in Roi Et Province. Including the ongoing cervical cancer screening service Both from the Pasmear test to the HPV DNA test under this National Health Security Benefit. As for the cervical cancer self-testing kit service, in 2023, Phanom Phrai Hospital has expanded the cervical cancer self-testing kit service at 22 pharmacies in the province and nursing clinics. in the area as well, according to model 2

for the form of service In the case of registration via the wallet app Just enter the health bag menu. choose the right to be healthy, prevent disease Choose a service for women and choose to receive the HPV Self-sampling test kit by selecting a service unit that accepts the test kit when picking up the test kit At the service unit ready to receive specimen collection advice to collect the specimen which, in addition to returning the specimens to the pharmacy Specimens can also be sent by post directly to Phanom Phrai Hospital, which is the Center Lab for examination.

However, after the examination, the Phanom Phrai Hospital will inform the results of the screening recipients. In case no abnormality is found, the data will be collected into the system and an appointment will be made for cervical cancer screening every 5 years. There will be follow-up to be imported into the medical examination and treatment system.

Dr. Watchara added that We need to create a new awareness that cervical cancer can be prevented and cured. In the past, villagers understood that cervical cancer was a matter of fate. But nowadays we find that the clear cause is HPV (Human Papilloma Virus), which if we can give a vaccine for women who haven’t been infected, it means 80% of grade 5 students will be able to be protected. Filtration is considered important because some people are infected and do not have symptoms but have the infection in their body. The age at risk is about 30-39 years that needs to be screened.

At present, the National Health Security Office has provided benefits for screening that are very effective. HPV test This makes people who are shy more likely to be screened. The HPV test can be checked by yourself. Which, after completing the self-examination, must be re-confirmed whether Endoscopy to dilate the cervix If abnormalities are found, a biopsy will be performed for further examination. and continue the treatment according to the next steps

A 24-year-old woman who received a cervical cancer self-checking kit Give more information that Self-screening for cervical cancer can be done at home and not embarrassed by the staff. Which is very convenient to travel, so you don’t have to wait in long queues at the hospital Can talk and consult at any time How to use is not complicated. and the important thing is You can also choose a time that is convenient for you. because we usually work at night During the day, I will rest for a long time. Therefore, having a clinic that provides services for those who want to do cervical cancer screening themselves is very helpful. In addition, I would like to suggest that AIDS screening would like to have this as well. I would like to tell everyone to come in for a preliminary examination because if we find out sooner, we can heal quickly. A 24-year-old woman said.

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