BREAST CANCER SCREENING PROGRAMME

Reporting year for qualitative data:	2019
Source of qualitative data:	Directly from Programme

Organization of screening
An individual/team/institution responsible to coordinate the programme:	Yes
Dedicated budget for screening programme:	Yes
Documented cancer screening policy:	Yes
Nature of documentation of the policy:	Law
Year programme was initiated:	2006
Programme introduction was preceded by a pilot:	No
Screening tests provided free of charge:	Yes
Diagnostic tests provided free of charge:	Yes
Treatment services provided free of charge:	Yes
Information system and data collection
System that collects data:	Individual & Aggregated
• Identification of eligible population:	Individual
• Screening participation:	Individual & Aggregated
• Screening test results:	Individual & Aggregated
• Further assessment:	Individual & Aggregated
• Final pathology diagnosis:	Individual & Aggregated
• Cancer staging:	Individual & Aggregated
• Treatment:	Individual & Aggregated
The information system exists at national or sub-national level:	Individual: National Aggregated: National
The information system collects data outside the programme (opportunistic screening/private sector):	Cannot differentiate
Cancer screening data is linked with population-based cancer registry (PBCR):	No
Screening protocol
A screening protocol or guideline:	Yes
Year of published/updated protocol:	2011
Target age (min-max) and screening interval [months] for each test:	Mammography/DBT (40-49 years / [24 months]) Mammography/DBT (50-99 years / [12 months])
All mammograms read by two radiologists independently:	-
Invitations for screening and further assessment
Initiatives to create population awareness by the Health Ministry/Health Authority:	Mass media campaign Small media campaign Group education One-on-one education
Invitations to eligible population:	No
Source of the eligible individuals identified:	-
Method of invitation:	-
Screen positive individuals actively contacted for further assessment:	Yes
Individuals with a precancer or cancer diagnosis actively contacted:	Yes
Quality Assurance (QA) of screening activities
Documented standard operating procedure/policy for QA:	Yes
An individual/team/institution responsible for QA:	Yes
Accreditation of mammography units:	No
Accreditation of pathology services:	No
Documented performance indicators:	Yes
Reference standards for performance indicators:	Yes
Evaluation reports published in the last five years:	No
Performance indicators
Reporting year for quantitative data:	2019
Source of quantitative data:	Directly from programme
Age range and regional limitation if applicable:	40-79 years
Invitation coverage (%):
Participation rate (%):
Examination coverage (%):	3.5
Completeness of data related to screening test results (%):	100.0
Completeness of data related to further assessment results (%):
Further assessment rate (%):	2.9
Further assessment participation rate (%):
Detection rate of CIS (x 1000):	0.5
Detection rate of invasive cancer (x 1000):	22.1
Detection rate of CIS and invasive cancer (x 1000):	22.6
Positive Predictive Value of abnormal screening test to detect CIS (x 1000):
Positive Predictive Value of invasive cancer (x 1000):
Positive Predictive Value of CIS and invasive cancer (x 1000):
More quantitative data (2019)

Check also the following factsheets: Nicaragua, Cervical, Colorectal