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

  • 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

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
Published
2013-11-04
How to Cite
ADEWOLE, Isaac F et al. Consensus recommendations for the prevention of cervical cancer in sub-Saharan Africa. Southern African Journal of Gynaecological Oncology, [S.l.], v. 5, n. 2, p. 47-57, nov. 2013. Available at: <http://www.sajgo.co.za/index.php/sajgo/article/view/135>. Date accessed: 22 nov. 2017.
Section
Consensus Paper

Keywords

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