Cervical Cancer Prevention in Macedonia

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ANNEX 2 CITATIONS – FIELD RESEARCH (sources - the interviews, the observations and the media accounts) (I_06_PG_SK_a): “Well, the association of private gynecologists of RM has 110 members which have contracts with the Fund and secondary gynecologists are from “Mala Bogorodica” and “Remedika”… and other private gynecologists, 20-30 more in Macedonia, which do not have contracts with the Fund”. (I_03_SG_PP_a): “…me, I can not be a selected gynecologist, but I deal with all patients that will come to me, because we don’t ask for a referral from anybody. He comes without referral, finishes his business and it’s over. For now – it is like this. I think in future it’ll be that he can go only at the selected doctor, and then our task will be limited to curing, and the prevention will not be our task.” (IN_04_SG_PP_a): “For a general gynecological check-up in the hospital, we do not ask for a referral from the primary selected gynecologist. We ask for a referral only in case there is a need to open a patient history and the women to stay in the hospital for more days.” (I_05_SG_PP_a): “Unfortunately we are only a few colleagues at the department up here and in couple of years, as we get old, we’ll be retired, and this department will have to be locked” (I_06_PG_SK_b): “Yes, we send the samples at the gynecology clinic, although there are other cytological laboratories now. Look, this is a sample from cytological laboratory “Citolab” – diagnostic laboratory, which has a contract with the Fund, uses the same filling form, same results form, and of course – has a cadre from the Clinic.” (IN_14_PAT_SK_a): “In the other towns in Macedonia in the general hospitals, there are histopatologists: in Tetovo, Gostivar, Veles, Ohrid, Bitola, Strumica, Prilep and two in the Military hospital. They perform triage and definitive diagnostics.” (IN_04_SG_PP_b): “The biopsy and PAP samples – we read them here in this hospital. We have two pathologists employed, and the results are ready in one week.” (I_09_TG_SK_a): “…the liquid cytology, yes we had it for only two years, and then the reagents were missing.” (I_06_PG_SK_c): “Well, it was introduced here, and was functioning for a year this, so called liquid PAP, which is taken in a medium. The Clinic performed it, and we even went for an education. They had two laboratories for preparation of such smears; so, we take the sample here, in a medium, the medium is taken in one of the laboratories and after handling it there, it is taken to be read in the cyto-

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