Article

Consensus recommendations for the prevention of cervical cancer in sub-Saharan Africa

DOI: 10.1080/20742835.2013.11441209
Author(s): I F AdewoleDepartment of Obstetrics and Gynaecology, Nigeria, Y R AbaulethUniversity Teaching Hospital of Cocody, Cote d’Ivoire, I AdoubiOncology Unit, Teaching Hospital of Treichville Teacher, Medical College; Coordinator of the PNLC, Cote d’Ivoire, F AmorissaniDepartment of Paediatrics, Cote d’Ivoire, R I AnorluProfessor College of Medicine, University of Lagos/Lagos University Teaching Hospital, Nigeria, O A AwoludeObstetrician and Gynaecologist College of Medicine, University of Ibadan/University College Hospital, Nigeria, H BothaAssociate Professor and Head Unit of Gynaecological Oncology, Stellenbosch University; Tygerberg Academic Hospital, South Africa, J K ByamugishaDepartment of Obstetrics and Gynaecology Makerere University School of Medicine, College of Health Sciences, Makerere University, Uganda, L CisseHead of Neonatal Unit, Paediatric Unit, Treichville Teaching Hospital Center, Cote d’Ivoire, M DiopDirector of Dakar Cancer Institute, Le Dantec University Hospital, Senegal, S DohEmeritus Professor of Obstetrics and Gynaecology, Cameroon, A O FabamwoLagos State University College of Medicine Ikeja, Nigeria, D GahoumaClinic Union Medical, University of Health Sciences, Gabon, H S GaladanciMedical Advisory Committee; Obstetrician and Gynaecologist, Aminu Kano Teaching Hospital, Nigeria, D GithangaKenyan Paediatric Association, Kenya, T M MagureUniversity of Zimbabwe College of Health Sciences, Zimbabwe, C MabogunjeMassey Street Children’s Hospital, Nigeria, J MbuthiaUniversity of Nairobi, Kenya, L W MuchiriDepartment of Human Pathology, Kenya, O NdiayeCheikh Anta Diop University of Dakar,, A M NyakabauClinical Oncologist, Parirenyatwa Hospital, Zimbabwe, S B O OjwangProfessor of Obstetrics and Gynaecology, University of Nairobi, Kenya, D Ramogola-MasireUniversity of Pennsylvannia; University of Botswana, Botswana, O SekyereKorle-Bu Teaching Hospital, Ghana, T H SmithUniversity of Witwatersrand, Charlotte Makeke Johannesburg Academic Hospital, South Africa, F O G TauloDirector Centre for Reproductive Health, Deputy Head and Associate Professor College of Medicine, Malawi, A WewegePrivate Practice, South Africa, E WireduUniversity of Ghana Medical School and School of Allied Health Sciences, Ghana, O YaroshYarosh Medservice (PTY), Gaborone Private Hospital, Botswana

Abstract

Cervical cancer is the second most common cancer and the leading cause of cancer-related death in women in sub-Saharan Africa. It is estimated that more than 200 million females older than 15 years are at risk in this region. This paper highlights the current burden of cervical cancer in sub-Saharan Africa, reviews the latest clinical data on primary prevention, outlines challenges in the region, and offers potential solutions to these barriers. Based on these factors, clinical recommendations for the prevention of cervical cancer from the sub-Saharan African Cervical Cancer Working Group expert panel are presented.

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