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

Section

Consensus Paper