| Objective | 
          Measurement | 
          Acceptable value  | 
        
        
          | To minimise risk of invasive cervical cancer | 
          Screen  women aged 25 - 64 at least once every 5yrs
 | 
          80%coverage of 
women aged 25-64 | 
        
        
          | To ensure effective sampling of Transformation zone
 | 
          Cytological evidence of 
T-Z Sampling
 | 
          80% of smears contain metaplastic cells | 
        
        
          | To ensure accuracy of smear reporting
 | 
          Sensitivity of primary screening with respect to final report for all negative or inadequate smear 
 | 
          85-95%(see next slide for method of calculation)
 | 
        
        
          | To ensure accuracy of smear reporting | 
          Determine Positive Predictive value for HSIL
 | 
          65-90% for HSIL or worse (see next slide for method of calculation) | 
        
        
          | To ensure all personnel are competent to screen &
report  cervical smears | 
          All staff  are certified  for screening and participate in  continuing professional
education
 | 
          100% staff have acceptable performance |