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research impact on community

RESEARCH IMPACT ON COMMUNITY

PILOT PROJECT ROSE – REMOVING OBSTACLES IN CERVICAL SCREENING:
DESIGN THINKING APPLIED TO CERVICAL SCREENING IN MALAYSIA

Training session at one of the participating community clinics.

PROFESSOR DR WOO YIN LING an organized cervical screening programme
DEPT OF OBSTETRICS & GYNAECOLOGY that improves coverage and effectiveness is
ervical cancer is one of the top three most urgently required. The uptake of Pap smears
Ccommon cancers in Malaysian women in Malaysia is low despite campaigns and
with four out of five cases occurring in women accessible healthcare facilities. The National
between 15 to 64 years of age. Worldwide, Health & Morbidity Survey (NHMS) 2011 survey
cervical cancer remains one of the gravest reported only 12.8% of eligible Malaysian
threats to women’s lives with one woman dying women have had a Pap smear within the last 12
of cervical cancer every two minutes. This months. Barriers to cervical screening include
need not be the case as cervical cancer is one ‘patient factors’ such as fear, embarrassment,
of the most preventable and treatable forms of inconveniences and ‘health system factors’
cancer if detected early, managed effectively, including inadequate screening infrastructure
and with the use of HPV vaccination. and human resources for conventional
pap smear.
While Malaysia is internationally recognized
and praised for its successful national school- In June 2018, Dr Tedros Adhanom
based HPV vaccination programme which Ghebreyesus, WHO Director-General issued a
was implemented in 2010, the impact of HPV ‘call for coordinated action globally to eliminate
vaccination on cervical cancer incidence and cervical cancer’. The World Bank has endorsed
mortality may not be realized for decades. To HPV vaccination and HPV-based cervical
significantly reduce the incidence of cervical screening as ‘best buys’ for cancer control in
cancer and make it a rare disease in Malaysia, LMICs. Cervical screening with HPV testing is

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