Influences on Women Health Care After Change and Reduction of Financial Resources for Cytological Screening of Cervical Cancer in Fukuoka Prefecture, Japan

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  • Kaku Tsunehisa
    Department of Nursing, Faculty of Medicine, Kyushu University : Fukuoka Cancer Society(Kaku)
  • Hirata Nobuko
    Department of Nursing, Faculty of Medicine, Kyushu University(Hirata, Shinkoda, Noguchi, Kitahara)
  • Shinkoda Harumi
    Department of Nursing, Faculty of Medicine, Kyushu University(Hirata, Shinkoda, Noguchi, Kitahara)
  • Noguchi Yukari
    Department of Nursing, Faculty of Medicine, Kyushu University(Hirata, Shinkoda, Noguchi, Kitahara)
  • Kitahara Etsuko
    Department of Nursing, Faculty of Medicine, Kyushu University(Hirata, Shinkoda, Noguchi, Kitahara)
  • Hirakawa Toshio
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University(Hirakawa)
  • Miyahara Noriko
    Fukuoka Cancer Society(Miyahara, Enjoji)
  • Enjoji Munetomo
    Fukuoka Cancer Society(Miyahara, Enjoji)

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Other Title
  • 子宮癌検診の財源の変化(一般財源化)による母性保健活動へ及ぼす影響に関する検討 : 福岡県について
  • シキュウガンケンシンノザイゲンノヘンカ（イッパンザイゲンカ）ニヨルボセイホケンカツドウヘオヨボスエイキョウニカンスルケントウ : フクオカケンニツイテ

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Abstract

In women health care, early detection of cervical cancer which is the most common malignancy in gynecologic field, is one of the most important issues to keep women health. In 1998, the ministry of health and welfare-commissioned project for screening for cervical cancer was discontinued and reduction of financial resources for this project from the Ministry of Health and Welfare occurred because these financial resources were included in the general ones, and most cities, towns and villages decided to reduce the cost for screening program. The Fukuoka Cancer Association is covering about half of screening for cervical cancer [59/97 (60%) municipalities] in Fukuoka Prefecture. In this study, the changing pattern of number of people who undergo cancer screening and anti-cancer movement of these 59 municipalities after 1998 were reviewed. The number of people declined from 59,606 in 1997 to 54,100 (90.7%) in 1998. The number were on the fall among women in every age group, especially in their 30s (88%) and 40s (83.8%). In 42 (71%) municipalities, there were cutting the expenses by ten percent, cutting the public health nurses, and diminishing the public relation for Pap in 1998 to cut the indirect cost for screening, and then decreasing of applicants occurred. In 17 (29%) municipalities with the increase of women having screening was reported in 1998. The municipal authorities promoted the package of several medical examination such as Pap test, group stomach checkup, breast checkup, and so forth, and the business concerning the screening was computerized to be effective. Announcement for screening was sent to residents on their own birthday and questionnaire of women health was also sent to applicants before Pap test. National, prefectural, and municipal governments should offer financial support to preventive health care and screening, and these activity should be promoted by gynecologists, and public health nurses in charge of it in each municipalities.

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