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Cervical Cancer Screening Coverage at Tertiary Care Institutes Across India
Rakhi Rai1, Rohini Sehgal1, Seema Singhal1
1Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
Asian Pacific Journal of Cancer Prevention : APJCP
|December 29, 2023
Summary
Low cervical cancer screening coverage in India is due to limited HPV tests and poor awareness among women, despite adequate treatment facilities at tertiary centers. Addressing these barriers is crucial for cancer elimination goals.
Area of Science:
- Oncology
- Public Health
- Gynecology
Background:
- The global strategy for cervical cancer elimination aims for 70% screening coverage.
- India faces challenges in achieving this target, even in tertiary care settings.
Purpose of the Study:
- To conduct a situational analysis of cervical cancer screening facilities and barriers in Indian tertiary care institutes.
- To assess knowledge, attitudes, and practices regarding cervical cancer screening among women and healthcare professionals.
Main Methods:
- A cross-sectional, multicentric study involving six tertiary care institutes in India.
- Structured questionnaires administered to women (aged 30-49) and healthcare professionals (HCPs).
- Analysis of screening uptake, availability of screening kits, and diagnostic modalities.
Main Results:
- Only 24.8% of eligible women received screening; screening kit availability was limited.
- Significant lack of awareness among women regarding cervical cancer, its preventability, and screening methods.
- Healthcare professionals demonstrated higher knowledge but varied awareness of specific screening modalities.
Conclusions:
- Limited availability of Human Papillomavirus (HPV) tests and reluctance to implement Visual Inspection with Acetic Acid (VIA) are major barriers.
- Lack of awareness among women is a critical barrier to achieving cervical cancer screening targets.
- Optimizing screening strategies requires addressing these awareness and resource limitations.
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