Table 2.
Outcome | |
---|---|
Primary Prevention | No national screening or HPV testing programmes |
Two pilot programs are in place in Marondera, Beitbridge and Centenary | |
UNICEF intends to scale up the pilot to the rest of the country in 2016 | |
Screening | No consistent cervical cancer screening in Zimbabwe |
Unsuccessful national pap smear program | |
Current adaptation of VIAC national screening program | |
Of 514 participants, 91% had not been screened for cervical cancer; 81% did not know about cervical cancer screening; 80 % were interested in screening after education intervention | |
HPV DNA testing was examined as a mode of screening however low specificity thus need for co-screening. | |
Treatment | Single visit approach of VIAC followed by LEEP or cryotherapy is feasible and safe |
Most cervical cancer patients present late, not qualifying for surgery or radiotherapy | |
Chemoradiation is most common form of treatment administered | |
Knowledge, Perception and attitudes | Cervical cancer is the dirtiness of the womb caused by sperm retention |
Causes of cervical cancer- vaginal preparations (vaginal herb/ chemical use), multiple sexual partners, cold weather and witchcraft, | |
Poor understanding of predisposing factors of cervical cancer and screening No knowledge of HPV and vaccines |