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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Hariyono Winarto
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
Health Professions Medicine & Pharmacology Public Health

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Eliminating Cervical Cancer in Asia–Pacific: From HPV Policy to Real-World Oncology Practice Hariyono Winarto
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.3200

Abstract

Cervical cancer remains a major burden in Asia-Pacific, with nearly 70% of women presenting at advanced stages and survival rates for metastatic disease as low as 17.6%. Despite WHO’s 90-70-90 targets for 2030, vaccination and screening coverage remain insufficient, and treatment capacity—especially brachytherapy—faces severe shortages, with a deficit of 904 machines in the region. Recent progress, such as school-based HPV vaccination programs and evidence supporting single-dose efficacy, offers hope, but prevention must be tightly linked with screening and timely treatment. Oncologists are urged to integrate vaccination histories into clinical records, promote HPV testing and self-sampling, and ensure guideline-concordant chemoradiation. Robust local data on stage distribution and treatment completion are essential to drive policy and funding. Ultimately, aligning HPV policy with oncology practice is critical to transform elimination from aspiration into reality within professional lifetimes.
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