Integration of cervical cancer screening into HIV/AIDS care in low-income countries: a moral imperative
- PMID: 34221120
- PMCID: PMC8225333
- DOI: 10.3332/ecancer.2021.1237
Integration of cervical cancer screening into HIV/AIDS care in low-income countries: a moral imperative
Abstract
Although cervical cancer is preventable, in 2018, approximately 570,000 new cases occurred globally. Cervical cancer disproportionately affects low- and middle-income countries (LMICs), which accounted for 90% of deaths in 2018. Women living with the Human Immunodeficiency Virus (WLWH) are at increased risk of cervical cancer and are in urgent need of prevention. Despite evidence-based guidelines for screening and prevention of cervical cancer, the majority of WLWH in LMICs lack access to cervical cancer screening. Despite tremendous gains made in access to life prolonging antiretroviral therapy for WLWH, most are served by vertical human immunodeficiency virus (HIV) programmes which do not integrate these two crucial services. We present a case of a WLWH, in HIV care for a decade, who was recently diagnosed with preventable, advanced stage cervical cancer.
Keywords: HIV and HPV; cervical cancer elimination; low- and middle-income countries.
© the authors; licensee ecancermedicalscience.
Conflict of interest statement
The authors have no conflict of interest to declare.
Similar articles
-
The time has come to make cervical cancer prevention an essential part of comprehensive sexual and reproductive health services for HIV-positive women in low-income countries.J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20282. doi: 10.7448/IAS.18.6.20282. eCollection 2015. J Int AIDS Soc. 2015. PMID: 26643456 Free PMC article.
-
Veteran Women Living With Human Immunodeficiency Virus Have Increased Risk of Human Papillomavirus (HPV)-Associated Genital Tract Cancers.Clin Infect Dis. 2021 May 4;72(9):e359-e366. doi: 10.1093/cid/ciaa1162. Clin Infect Dis. 2021. PMID: 32785700 Free PMC article.
-
Cervical Cancer and Cervical Cancer Screening in Women with HIV in Guangxi, China: A Model Simulation Study.MDM Policy Pract. 2025 Jan 4;10(1):23814683241308905. doi: 10.1177/23814683241308905. eCollection 2025 Jan-Jun. MDM Policy Pract. 2025. PMID: 39764429 Free PMC article.
-
Barriers to Cervical Cancer Screening Among Women Living With HIV in Low- and Middle-Income Countries: A Systematic Review.J Assoc Nurses AIDS Care. 2020 Sep-Oct;31(5):497-516. doi: 10.1097/JNC.0000000000000194. J Assoc Nurses AIDS Care. 2020. PMID: 32675646
-
Cervical cancer screening - The challenges of complete pathways of care in low-income countries: Focus on Malawi.Womens Health (Lond). 2020 Jan-Dec;16:1745506520914804. doi: 10.1177/1745506520914804. Womens Health (Lond). 2020. PMID: 32364058 Free PMC article. Review.
Cited by
-
Prevalence and risk factors associated with high-risk human papillomavirus infection among women living with HIV (WLWH) at a tertiary health facility in Accra, Ghana.PLoS One. 2024 May 30;19(5):e0303535. doi: 10.1371/journal.pone.0303535. eCollection 2024. PLoS One. 2024. PMID: 38814956 Free PMC article.
-
Benefits and harms of cervical screening, triage and treatment strategies in women living with HIV.Nat Med. 2023 Dec;29(12):3059-3066. doi: 10.1038/s41591-023-02601-3. Epub 2023 Dec 12. Nat Med. 2023. PMID: 38087116 Free PMC article.
-
Assessing differences in healthcare access by HIV status to inform cervical cancer and HIV screening in rural Uganda.PLOS Glob Public Health. 2025 Jul 21;5(7):e0003918. doi: 10.1371/journal.pgph.0003918. eCollection 2025. PLOS Glob Public Health. 2025. PMID: 40690458 Free PMC article.
-
Community cervical cancer screening and precancer risk in women living with HIV in Jos Nigeria.BMC Public Health. 2024 Jan 16;24(1):193. doi: 10.1186/s12889-024-17739-z. BMC Public Health. 2024. PMID: 38229083 Free PMC article.
-
Real-World Cervical Cancer Screening Uptake and Predictors of Visual Inspection With Acetic Acid Positivity Among Women Living With HIV in Care Programs in Western Kenya.JCO Glob Oncol. 2024 Feb;10:e2300311. doi: 10.1200/GO.23.00311. JCO Glob Oncol. 2024. PMID: 38359369 Free PMC article.
References
-
- World Health Organisation. WHO Guidelines for Screening and Treatment of Precancerous Lesions for Cervical Cancer Prevention. Geneva: World Health Organisation; 2013. pp. 1–40. [ www.who.int/about/licensing/copyright_form/en/index.html] - PubMed
Publication types
Grants and funding
LinkOut - more resources
Full Text Sources