According to the Council Recommendation of 2 December 2003 on cancer screening, it was continued implementation of breast cancer, colon cancer and cervical cancer programmes in Lithuania:
|Cervical cancer||2004||women aged 25-60||once every 3 years||Pap smear test|
|Mammography screening||2005||women aged 50-69||once every 2 years||Mammography|
|Colorectal cancer||2009||women, men aged 50-74||once every 2 years||Fecal occult blood test (iFOBT)|
In 2011 the Ministry of Health and the National Health Insurance Fund (NHIF) organised research, aimed to evaluate effectiveness of Lithuanian screening programmes. The programmes were evaluated according to how they met the WHO adopted parallel programming principles and experience of foreign countries, according to established and approved prior to the start of the program performance evaluation criteria, targets and the cost-effectiveness analysis. Experts noted, that positive effect is demonstrated by analyzing the facts relating to the performance of these programmes.
Colorectal cancer screening programme aims to detect colorectal cancer at an early stage (in people with no symptoms) and reduce mortality due to this disease. This programme started in two largest regions – Vilnius and Kaunas districts in 2009 as a pilot project, since 2012 implementation of the programme was extended in other two regions – Klaipėda and Šiauliai, since 2013 – to Panevėžys and Tauragė, since 2014 – to Alytus.
Other Preventive programmes financed from the budget of Compulsory Health Insurance are:
- Prostate cancer early diagnostics programme
- Cardiovascular disease prevention programme
- Dental programme for children (coverage of molars with silants)
Almost each programme has the national cancer screening coordinating or administrative committee, consisting of pathologists, specialised doctors, GP, epidemiologists, representatives from NHIF and the Ministry of Health. The primary task of these committees is review the results and provide the advice to make necessary changes in the guidelines of screening programmes. Committees meet approximately twice a year and review the implementation of programs according to programmes performance indicators.
According to the reccommendations of cervical cancer, mammography and colorectal screening programmes coordinating committees, it was improved implementation and quality of perfomance of these programmes in 2011-2013 year.