Báo cáo nghiên cứu khoa học: Chương trình kiểm soát ung thư ở Thừa Thiên Huế, Việt Nam, 2008-2009

Tuyển tập báo cáo nghiên cứu khoa học trường đại học huế đề tài: Chương trình kiểm soát ung thư ở Thừa Thiên Huế, Việt Nam, 2008-2009...
Nội dung trích xuất từ tài liệu:
Báo cáo nghiên cứu khoa học: "Chương trình kiểm soát ung thư ở Thừa Thiên Huế, Việt Nam, 2008-2009"JOURNAL OF SCIENCE, Hue University, N0 61, 2010 CANCER CONTROL PROGRAM IN THUA THIEN HUE, VIETNAM, 2008 - 2009 Nguyen Dinh Tung Oncology Department of Hue Central Hospital Lecturer of Hue College of Medicine & Pharmacy SUMMARY Thua thien Hue is one of three biggest networks for Cancer Control Program inVietnam. The first phase of program implementation was conducted in 2008, providing thecancer burden and assessement the abilities of the cancer screening in breast and cervix,improvement the facilities in diagnosis and cancer treatment. Methods: Cancer patients wasregistered in 14 hospital in Thua thien Hue from 2008 January to 2009 December.Women of 4districts was attended the screening program of breast and cervix cancer was taken by studyforms and analysed in SPSS 16.0. The other informations for cancer patients almost wascollected from Hue Central Hospital and Thua thien Hue Health Office. Results: There is 2,641cancer cases was registered in this province periode 2008, 2009; males 56.94%, females43.06%. Order Prohibiting Smoking in public places for tobacco control, improving the cancertreatment net, mass media education in television, publishing the discs and brochures for cancerprevention and vaccination against HBV for 10,000 pupil. There was 14,017 women attendedthe screening program for breast and cervix cancer. The facilities for cancer diagnosis andtreatment would be upgrading for meeting the needs of population. The collaboration to UICC,IARC and others would be sharring experience in cancer control program. Conclusion:Although the Cancer Control Program is just begining in preparation , some efforts by thegovernment have already been made with cancer control. However,the cancer control in Thuathien Hue still has to deal with challenges such as poor quality of cancer morbidity andmortality data, shortage of resources and limited knowledge of general practitioners as well asthe public about this disease.1. Introduction Vietnam Cancer Control Program was approved by Primer Minister in 2007. Thegoal is to establish and maintain a system that integrates scientific progress and itspractical applications into a comprehensive program that will reduce cancer morbidityand mortality in Vietnam.The first phase of program implementation was conducted in2008 in six main cities o f Vietnam, providing the guidelines for specifying programpolicy, components, implementing guidelines and timetable. 511 Viet Nam has proposed a National Strategy for Cancer Control up to 2010 and2020 with the following objectives: 1. Reduce the incidence of tobacco related cancers by 30%, compared to theyear 2000. 2. Ensure HBV vaccination coverage for all newborns. 3. Reduce breast, cervix, mouth and rectum cancers mortality rates. 4. Decrease the proportion of advanced stage cancers from 80 to 50%. 5. Establish a community-based terminal care system for cancer patients andensure enough supplies of essential drugs. Thua Thien Hue is one of province was chosen in performing this program.The Cancer Control Programme begun in 2008, is an integrated approach utilizingprimary, secondary and tertiary prevention in different regions of province at bothhospital and community levels.2. Methodology The cancer patients was registered in 14 hospitals in Thua Thien Hue from 2008January to 2009 December. Data was analysed in CANREG softvare version 4. Thescreening of breast cancer and cervix cancer was carried out in 4 districs in over 14,000women from 35 to 60 year old. Data was stored and analysed in SPSS 16.03. Results and discussion 3.1. Cancer problem in ThuaThien Hue 2008-2009 The population-based cancer registries have been introduced in Hanoi since1987 and HochiMinh city in 1990. The data produced by these two registries are thefirst on cancer incidence in Vietnam. Although the registries st ill have many difficultiessuch as a non-homogeneous quality of primary health information and a shortage ofhuman and financial resources, the quality o f the data were compatible with those ofother countries. The percentage of microscopic verification of registered cases is about60% in Hanoi and about 70% in HochiMinh City. In 2000, Cancer registry was foundedin Hue to assess the cancer burden in the Middle of Vietnam, to monitor trends in cancerincidence and to provide the public, health professionals and scientists with statisticalinformation for education and research. Table 1 and ...