Table 3 |
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Availability of Cervical Cancer Services in the Public Sector in Uttar Pradesh |
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| Health Care Level |
Description |
Services Available |
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|
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| First Referral Sites |
Rural community health centers, Primary health centers, and rural sub-centers |
Only referrals of women with reproductive tract infections symptoms to district hospitals
for Pap smears. |
| Second Referral Sites |
Urban district hospitals |
A few Pap smears performed on symptomatic women, treatment of precancer (cryotherapy*
available but hysterectomy was most often used). In many secondary referral sites,
women just referred to tertiary facilities. |
| Tertiary Hospitals |
Urban Medical Colleges and Universities |
Pap-tests, colposcopy, Treatment of precancer (cryotherapy* available but hysterectomy
was most commonly performed), cancer treatments (radical surgery, radiotherapy or
chemotherapy). |
| Specialized Oncology Treatment Centers (Under National Cancer Control Program) |
11 in Uttar Pradesh state, with one in Lucknow; none in Agra or Saharanpur |
A range of cancer treatment services, including surgery, radiotherapy, chemotherapy. |
|
|
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*Cryotherapy equipment and supplies were available in some sites; however, they were mostly used for treating "cervical erosion" but not for the treatment of precancerous lesions. |
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Dabash et al. Reproductive Health 2005 2:11 doi:10.1186/1742-4755-2-11 |
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