{"id":553,"date":"2023-06-12T14:24:00","date_gmt":"2023-06-12T14:24:00","guid":{"rendered":"https:\/\/accesscg.org\/front-germany\/"},"modified":"2026-04-07T17:55:57","modified_gmt":"2026-04-07T17:55:57","slug":"front-germany","status":"publish","type":"page","link":"https:\/\/accesscg.org\/en-sp\/","title":{"rendered":"Front (Spain)"},"content":{"rendered":"

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ACCESS Consensus Group expert report urges action to improve cervical cancer screening participation and equity across Spain<\/h2>\n

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RECOMMENDATIONS ON CERVICAL CANCER SCREENING IN SPAINExpert views from different autonomous communities<\/em><\/p>\n

Cervical cancer remains a preventable yet persistent health burden in Spain despite scientific and technological advances. In response to declines in cervical cancer screening uptake across high-income countries, the ACCESS International Consensus Group developed the \u201cTurning the Tide<\/em><\/a>\u201d<\/em> White Paper, which outlines six key recommendations to improve screening participation, equity, and accessibility. A new exploratory analysis in Spain led by leading experts in the field was undertaken to identify good practices that can serve as examples for other regions and pinpoint policy gaps hindering implementation of the six recommendations. The analysis includes a RAG (red\/amber\/green) rating model to reflect current implementation levels and help prioritise areas for improvement.<\/p>\n

Key recommendations include:\u00a0<\/strong><\/span><\/p>\n

National level:<\/strong><\/p>\n

    \n
  1. Strengthen the Ministry of Health\u2019s strategic role via an ambitious, coordinated roadmap for screening implementation, with defined timelines, targets exceeding WHO minimums, and an equity-centred approach.<\/li>\n
  2. Improve equity and data quality through standardised systems that enable comparable monitoring of invitations, participation, follow-up, and outcomes across regions, age groups, and vulnerable populations.<\/li>\n
  3. Standardise and link key registries\u2014including population, cancer, primary care, screening, and vaccination\u2014to assess territorial inequities, ensure interoperability and enable comprehensive, data-driven decisions.<\/li>\n
  4. Promote culturally adapted national information and awareness campaigns targeted at under-screened women, coordinating traditional, digital, and community channels with regional health services.<\/li>\n
  5. Integrate economic evaluation into the national indicator framework, promoting cost-effectiveness analyses that compare screening strategies to inform investment decisions and assess health and budget impacts.<\/li>\n
  6. Promote partnerships with key social stakeholders\u2014such as patient groups, community organizations, and women\u2019s health entities\u2014by implementing funding mechanisms, technical support, and educational campaigns to boost screening uptake and address cultural and social barriers.<\/li>\n
  7. Create permanent mechanisms for interregional learning to enable systematic exchange of experiences, best practices, and lessons learned, to reduce implementation gaps and increase screening uptake across the country.<\/li>\n
  8. Strengthen multilevel coordination by aligning efforts between the Ministry of Health, regional health services, and civil society stakeholders to reduce implementation disparities and ensure nationwide coverage.<\/li>\n
  9. Mobilise European and national resources, prioritising allocation to autonomous communities facing greater technical and institutional challenges, in order to accelerate the rollout of population-based screening and promote innovative measures.<\/li>\n<\/ol>\n

    Regional Level:<\/strong><\/p>\n

      \n
    1. Align regional plans with the national framework, including coverage targets, quality standards, and equity priorities, with the Ministry of Health\u2019s technical support where operational or budgetary constraints exist.<\/li>\n
    2. Deploy effective accessibility strategies, especially in regions with lower screening coverage, prioritising optimised invitation systems (SMS, mail, and digital channels), extended screening appointments, and offering screening in settings beyond primary healthcare centres.<\/li>\n
    3. Consider the gradual implementation of HPV self-sampling an additional tool to improve screening participation, ensuring its deployment is subject to evaluation, appropriate mechanisms for quality control and traceability. Implementation should be progressive and evaluated, ensuring device validation, analysis of screening coverage and outcomes, traceability of samples, and the existence of clear clinical follow-up protocols.<\/li>\n
    4. Incorporate economic evaluation into the design and monitoring of screening programmes, considering cost-effectiveness analyses, selection of the primary test, screening intervals, and follow-up strategies. This approach would help optimise resources, support evidence-based decision-making, and strengthen the long-term sustainability of the programme.<\/li>\n
    5. Ensure continuous training and support for healthcare professionals, providing tools to strengthen communication with under-screened women. Explore non-financial incentives such as harmonised criteria for professional accreditation, institutional recognition, or including screening promotion in performance evaluation systems.<\/li>\n
    6. Strengthen technical coordination between regional health services and scientific societies to harmonise quality standards, training, and professional accreditation in cervical cancer screening and follow-up.<\/li>\n<\/ol>\n

      <\/span><\/p>\n

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      Project Team<\/span><\/h2>\n

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      National Expert Group<\/strong> \u2013 provided both regional and national perspectives<\/p>\n

      Project Coordinators \u2013 ACCESS members responsible for overseeing the project methodology in Spain and ensuring alignment of the analysis with the study objectives<\/em><\/p>\n