Asia Oceania Federation of Obstetrics and Gynecology (AOFOG)'s efforts in the cervical cancer elimination program in the Asia-Pacific

J Obstet Gynaecol Res. 2024 Oct:50 Suppl 1:42-48. doi: 10.1111/jog.16032.

Abstract

Cervical cancer poses a significant health burden, particularly in low- and middle-income countries, where access to screening and treatment remains limited. Asia Oceania Federation of Obstetrics and Gynecology (AOFOG)'s response, guided by the World Health Organization's global strategy, emphasizes three key targets: achieving high HPV vaccination coverage among girls, ensuring widespread screening with high-performance tests, and guaranteeing timely treatment for precancerous and cancerous lesions. AOFOG supports member countries through initiatives such as educational campaigns, guidelines development, and collaboration with local and international partners. Variations in screening methods across AOFOG member countries reflect diverse socioeconomic contexts and healthcare infrastructures, ranging from HPV testing in countries like Australia and Malaysia to cytology and visual inspection methods in others. Innovations such as HPV self-testing and AI-enhanced screening are emerging to improve accessibility and accuracy, addressing barriers like stigma and resource scarcity. Despite challenges, AOFOG remains committed to reducing cervical cancer incidence and mortality through coordinated regional efforts, aiming for equitable access to preventive measures and treatment across the diverse landscape of the Asia-Pacific region.

Keywords: Asia Oceania Federation of Obstetrics and Gynecology (AOFOG); HPV vaccination; Manila declaration; cervical cancer prevention; cervical cancer screening; health disparities.

MeSH terms

  • Asia / epidemiology
  • Early Detection of Cancer*
  • Female
  • Gynecology* / standards
  • Humans
  • Obstetrics / standards
  • Oceania
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / prevention & control
  • Papillomavirus Vaccines / administration & dosage
  • Societies, Medical
  • Uterine Cervical Neoplasms* / diagnosis
  • Uterine Cervical Neoplasms* / prevention & control

Substances

  • Papillomavirus Vaccines