Estimating the lost benefits of not implementing a visual inspection with acetic acid screen and treat strategy for cervical cancer prevention in South Africa

by Gwinyai Masukume
Wikiversity Journal of Medicine, Vol. 2, No. 1, August 2015

12 pp. 813 kB
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South Africa has had a national cervical cancer screening policy (2002) based on the Pap (Papanicolaou) smear for more than 10 years which has not been effective. Cancer of the cervix remains a very common cancer among women in South Africa. The authors conclude that had South Africa adopted a pragmatic low cost method to prevent cervical cancer like Zambia (Botswana and Zimbabwe) did, substantial morbidity and mortality from cervical cancer would have been prevented. Important public health lessons for politicians, policy makers and others can be drawn from this missed opportunity.

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