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Possible approaches to downstaging would include a health education program to raise awareness of cervical cancer and the importance of early diagnosis for curability.
In order to identify women in the target age group of 35-50 years in the community, a
practical and effective mechanism must be devised.
Female primary health workers should be trained to examine the cervix visually and to identify abnormalities. They should also be instructed on proper case finding and referral procedures.
A link would be needed between identification of an abnormality and referral in order to be sure that all suspected lesions are properly diagnosed and treated, and that women receive proper follow-up.
An information system will also need to be established to allow for monitoring and evaluation of the program, including measurement of the downstaging phenomenon.