DESIGNING A SUSTAINABLE CERVICAL CANCER SCREENING PROGRAM FOR THE PUBLIC HEALTH- CARE IN GILGIT-BALTISTAN: LESSONS FROM THE PUNJAB MODEL

Abstract

Women in Gilgit Baltistan (GB) are still affected by cervical cancer, as access to healthcare services is limited by the area’s remoteness and few available resources. By effectively screening women, GB can tackle delays in diagnosis, lower the risks of cancer and make health outcomes better for women living in distant areas. The Punjab Cervical Cancer Screening Program has gained broad acceptance and reduced deaths from cervical cancer, so GB’s public sector can take inspirations for its own screening system. A narrative review of the Punjab Cervical Cancer Screening Program (2018–2024) was carried out alongside an analysis of GB’s healthcare structure and culture. The analysis of peer-reviewed materials and interviews with GB health administrators and gynecologists helped in singling out program components that assist GB in overcoming the issue of limited hospital availability and cultural stigma. The main steps to ensure health care for GB involved: (1) providing continuous training for mid-level providers in BHUs and RHCs to cover staff shortages; (2) establishing a referral system of BHUs/RHCs to the secondary and tertiary hospitals; (3) using low-bandwidth technology to oversee health records across GB; and (4) reaching out to communities to address stigma and encourage women to seek cancer care. Following these strategies is important for GB to build a trustworthy VIA screening program. If GB uses its current infrastructure and creates partnerships between public and private companies, it can detect cancers early, reduce deaths from cervical cancer and strengthen healthcare services.