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What We Do

We Provide:

  • Practical support for practices wanting to improve their systems
  • Practical support for novice and experienced cervical health check nurses to ensure safe practice
  • Support for practices working with the latest data supplied monthly by the NCSP through their PHOs to prioritise invitation and recall.  This data replaces the paper-based "Due and Overdue" lists that previously were available.   It is comprehensive, includes women who have not yet participated in screening in NZ, and can be manipulated to prioritise by ethnicity as well as clinical risk.
  • Clinical support for collaborative, community-based, "pop-up" clinics which make it easy for women to attend for a cervical check
  • Regular networking for all stakeholders in the Auckland Region to work together to improve services and participation rates for women at risk.
  • CNE and CME events to update health practitioners on all issues relating to cervical screening
  • Promote cervical screening and HPV vaccination, as the best protection against cervical cancer
  • Two training modules for PHOs and Practices to use to improve services.

We prioritise services according to the communities served and the degree of deficit in participation.  We also prioritise initiatives that are collaborative.

Data

We also provide statistical updates to demonstrate improvements in rates of participation, by ethnicity, by DHB and (on request) by PHO.  The coverage rates published by the NCSP take the denominator from Statistics NZ population estimates, with an applied hysterectomy adjuster.

The PHO coverage rates are based on a denominator calculated from the eligible females enrolled with that PHO, also with an applied hysterectomy adjuster.  This will always provide a higher coverage rate because non-enrolled women are not included in the denominator.

Both the NCSP (DHB level) targets, and the PHO targets are 80% 3-year coverage for all population groups.  The disparity by ethnicity is an enduring feature of the coverage in NZ.  The incentive framework (IPIF) no longer provides finanicial incentives for increased coverage among our vulnerable populations.  However, individual PHOs and Practices can address disparities and track progress using the prioritised data match lists. Here is a dummy prioritised list.  Instructions are being prepared for PHOs to create these from the raw data they receive each month.  These will be available here soon.  Support at practice level to use the prioritised lists will be provided through this project.  Contact Jane Grant

Progress since 2012:

NSU data on 25-69 year old women screened in the three years is reported every three months. 

The focus of work for the project in Auckland is to achieve equity. 

In December 2015 Dr Karen Bartholomew presented on "Work on improving cervical screening coverage and equity in the Auckland region".  See the Video on Youtube:  Part One and Part Two

Coverage rates are much lower for Maori and Asian women and (to a lesser extent in the ADHB area) Pacific women. There is a small and steady improvement, but significant disparity is evident in most areas and in most age groups. 

 
For updates and breakdown by age group as well as ethnicity, see the NSU website.

The fact that the majority of women who progress to cancer of the cervix have never, or rarely, been  screened requires an emphasis on providing information, invitation and support to encourage participation in screening for women across all ethnicities. The Metro Auckland Cervical Screening Coordination Service has developed a training package to support clinical and non-clinical staff.

National Women's Health
Phone: 09 307 4949
Email:
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