ICRH Kenya

Cervical cancer screening in Primary Health Care


  • To improve the reproductive health of Nicaraguan women through the implementation of an adequate, integrated pilot programme for cervical cancer screening at 3 levels (population, health care centre, district hospital).



  • Population-based KAP study at start and end of project
  • Set up of screening- and treatment programme
  • Monitoring of attendance rate and follow-up rate
  • Comparison between cytology and visual inspection as screening tests



  • Training of community health workers
  • Invitation of target population
  • Screening, colposcopy and treatment of precancerous lesions
  • Follow-up of women treated
  • Dissemination of results



  • At the end of the intervention, 63% of women of the target population had attended the screening programme, compared to 42.5% prior to the intervention
  • Of patients with abnormal screening tests, 80% attended the colposcopy clinic
  • Of women with high-grade lesions, 91% were treated and more than 90% attended the follow-up visits
  • Results were dissimated during the national workshops
  • Results of the KAP study and the performance of the screening tests were published in international journals: Trop Med Int Health, 2002 Nov;7(11):935-41 and Trop Med Int Health, 2003 Aug;8(8):704-9.