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

Authors

  • Isaac F Adewole University of Ibadan
  • Yao R Abauleth University Teaching Hospital of Cocody
  • Innocent Adoubi Teaching Hospital of Treichville
  • Folquet Amorissani University Hospital of Cocody
  • Rose I Anorlu University of Lagos
  • Olutosin A Awolude University of Ibadan
  • Hennie Botha University of Stellenbosch
  • Josaphat K Byamugisha Makerere University
  • Lassina Cisse Treichville Teaching Hospital Center
  • Mamadou Diop Le Dantec University Hospital
  • Anderson S Doh Gynaeco-Obstetrics and Paediatric Hospital
  • Adetokunbo O Fabamwo Lagos State University College of Medicine
  • Daniel Gahouma University of Health Sciences
  • Hadiza S Galadanci Aminu Kano Teaching Hospital
  • David Githanga Kenyan Paediatric Association
  • Tsitsi M Magure University of Zimbabwe College of Health Sciences
  • Cecilia Mabogunje Massey Street Children’s Hospital
  • Joseph Mbuthia University of Nairobi
  • Lucy W Muchiri University of Nairobi
  • Ousmame Ndiaye Cheikh Anta Diop University of Dakar
  • Anna M Nyakabau Parirenyatwa Hospital
  • Shadrack B O Ojwang University of Nairobi
  • Doreen Ramogola-Masire University of Pennsylvannia & University of Botswana
  • Owusu Sekyere Korle-Bu Teaching Hospital
  • Trudy H Smith University of the Witwatersrand
  • Frank O G Taulo University of Malawi
  • Ashley Wewega
  • Edwin Wiredu University of Ghana Medical School and School of Allied Health Sciences
  • Oleksandr Yarosh Gaborone Private Hospital
  • Somi Dokpesi-Igbene

Keywords:

Africa, cervical cancer, CC, human papillomavirus, HPV, prevention, recommendations, screening, vaccination

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.

Author Biographies

  • Isaac F Adewole, University of Ibadan
    MBBS, FMCOG, FWACS, FAS Professor Department of Obstetrics and Gynaecology College of Medicine University of Ibadan Nigeria
  • Yao R Abauleth, University Teaching Hospital of Cocody
    Professor Department of Obstetrics and Gynaecology University Teaching Hospital of Cocody Abidjan Côte d'Ivoire
  • Innocent Adoubi, Teaching Hospital of Treichville
    Oncologist, Professor and Head of Oncology Unit Teaching Hospital of Treichville Teacher at the Medical College Coordinator of the PNLC National Program of Cancer Control Côte d'Ivoire
  • Folquet Amorissani, University Hospital of Cocody
    Head Department of Paediatrics University Hospital of Cocody Abidjan Côte d'Ivoire; Secretary-General Ivorian Society of Paediatrics; Vice President Association of Paediatricians Africa UFR/SM Abidjan Côte d’Ivoire
  • Rose I Anorlu, University of Lagos
    MBChB, FMCOG, MRCOG, FWACS, MPH Professor College of Medicine Lagos University Teaching Hospital University of Lagos Nigeria
  • Olutosin A Awolude, University of Ibadan
    MBBS, MSc, FWACS Lecturer and Consultant Obstetrician and Gynaecologist College of Medicine University College Hospital University of Ibadan Ibadan Nigeria
  • Hennie Botha, University of Stellenbosch
    MMed, FCOG, PhD Associate Professor and Head Unit of Gynaecological Oncology Stellenbosch University and Tygerberg Academic Hospital South Africa
  • Josaphat K Byamugisha, Makerere University
    MBChB, PhD Associate Professor and Chair Department of Obstetrics and Gynaecology Makerere University School of Medicine College of Health Sciences Makerere University Uganda
  • Lassina Cisse, Treichville Teaching Hospital Center
    PhD Assistant Professor Head Of Neonatal Unit\ Paediatric Unit Treichville Teaching Hospital Center Abidjan Côte d'Ivoire
  • Mamadou Diop, Le Dantec University Hospital
    Surgical Oncologist Director of Dakar Cancer Institute Le Dantec University Hospital Sénégal
  • Anderson S Doh, Gynaeco-Obstetrics and Paediatric Hospital
    FRCS, FRCOG, FWACS, FICS Emeritus Professor Department of Obstetrics and Gynaecology Director General Gynaeco-Obstetrics and Paediatric Hospital Yaoundé Cameroon
  • Adetokunbo O Fabamwo, Lagos State University College of Medicine
    MBChB, FMCOG, FWACS, FICS Associate Professor Lagos State University College of Medicine Ikeja Lagos Lagos State University Teaching Hospital Ikeja Lagos Nigeria
  • Daniel Gahouma, University of Health Sciences
    Paediatrician and Professor Clinic Union Medical University of Health Sciences Libreville Gabon
  • Hadiza S Galadanci, Aminu Kano Teaching Hospital
    MBBS, MSc, DLSTM&H, MRCOG, FWACS, FICS Associate Professor and Chairman Medical Advisory Committee Obstetrician and Gynaecologist Aminu Kano Teaching Hospital Kano Nigeria
  • David Githanga, Kenyan Paediatric Association
    MBChB, MSc Med (Paediatrics), MSc (Public Health) Chairman Kenyan Paediatric Association Kenya
  • Tsitsi M Magure, University of Zimbabwe College of Health Sciences
    MBChB, MMed Obs and Gyn Doctor University of Zimbabwe College of Health Sciences Zimbabwe
  • Cecilia Mabogunje, Massey Street Children’s Hospital
    MBBS, MSc Comm Paeds, MRCP, MRCPCH Consultant Paediatrician Massey Street Children’s Hospital Lagos Nigeria
  • Joseph Mbuthia, University of Nairobi
    MBChB, MMed Paediatrics Consultant Paediatrician Honorary Lecturer Department of Paediatrics University of Nairobi Kenya
  • Lucy W Muchiri, University of Nairobi
    MBChB, MMed (Path), PG-BRM, PhD Doctor Department of Human Pathology School of Medicine College of Health Sciences University of Nairobi Kenya
  • Ousmame Ndiaye, Cheikh Anta Diop University of Dakar
    Professor Department of Paediatrics Cheikh Anta Diop University of Dakar Senegal
  • Anna M Nyakabau, Parirenyatwa Hospital
    MBChB, MMed Rad Onc, MPH, Dip Palliative Care Clinical Oncologist Parirenyatwa Hospital Zimbabwe
  • Shadrack B O Ojwang, University of Nairobi
    MD, MMedOG, Dip Gyn Oncol Professor Department of Obstetrics and Gynaecology University of Nairobi Kenya
  • Doreen Ramogola-Masire, University of Pennsylvannia & University of Botswana
    BMed Sci, BMBS, FCOG Country Director and Lead Physician Botswana UPenn Partnership University of Pennsylvannia & University of Botswana Botswana
  • Owusu Sekyere, Korle-Bu Teaching Hospital
    BSc Med Sci, MBChB, MWACP Doctor Korle-Bu Teaching Hospital Accra Ghana
  • Trudy H Smith, University of the Witwatersrand
    MBBCh, FCOG Gynaecology Oncologist University of Witwatersrand Charlotte Makeke Johannesburg Academic Hospital South Africa
  • Frank O G Taulo, University of Malawi
    FCOG, MPH, MBBS, BSc Director Centre for Reproductive Health Deputy Head and Associate Professor College of Medicine President Association of Obstetricians and Gynaecologists University of Malawi College of Medicine Malawi
  • Ashley Wewega
    MBChB, FCP, MBA Doctor Private Practice South Africa
  • Edwin Wiredu, University of Ghana Medical School and School of Allied Health Sciences
    MBChB, FRCPath, MIAC, FWACP, FGCP, Professor University of Ghana Medical School and School of Allied Health Sciences Ghana
  • Oleksandr Yarosh, Gaborone Private Hospital
    Paediatrician Yarosh Medservice (PTY) Gaborone Private Hospital Botswana

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Published

2013-11-04

Issue

Vol. 5 No. 2 (2013)

Section

Consensus Paper

License

South African Journal of Gynaecological Oncology (SAJGO) Copyright is held by South African Society of Gynaecologic Oncology (SASGO). Copyright of the articles is held by the authors. The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License (CC BY NC). Material submitted for publication in the SAJGO is accepted provided it has not been published elsewhere. The SAJGO does not hold itself responsible for statements made by the authors. The opinions expressed in this publication are those of the authors. They do no purport to reflect the opinions or views of SASGO or its members.