Evidence map›Paper›PMID 35948944›Full record

SynthesisBMC public health2022

Cervical cancer prevention in countries with the highest HIV prevalence: a review of policies.

Serra Lem Asangbeh-Kerman, Maša Davidović, Katayoun Taghavi, James Kachingwe, Kereng Molly Rammipi, Laura Muzingwani, Magaret Pascoe, Marielle Jousse, Masangu Mulongo, Mulindi Mwanahamuntu and 5 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  15. The effect of HIV on patients' lives: a phenomenological qualitative study.International journal of qualitative studies on health and well-being · 2024
    Article
  16. Cancer in People with HIV.Infectious disease clinics of North America · 2024
    Review
  17. Article
  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 9 countries.

Serra Lem Asangbeh-KermanSwiss Tropical and Public Health Institute, Allschwil, Switzerland. serra.asangbeh@swisstph.ch.
Maša DavidovićSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
Katayoun TaghaviGraduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.
James KachingweMalawi Ministry of Health, Lilongwe, Malawi.
Kereng Molly RammipiPrincipal Health Officer, Ministry of Health, Gaborone, Botswana.
Laura MuzingwaniInternational Training and Education Center for Health (I-TECH) Namibia, Windhoek, Namibia.
Magaret PascoeNewlands Clinic, Harare, Zimbabwe.
Marielle JousseSolidarMed, Chiure, Mozambique.
Masangu MulongoClinical HIV Research Unit, Wits Health Consortium, Women's Cancer Research Department, Johannesburg, South Africa.
Mulindi MwanahamuntuDepartment of Obstetrics and Gynecology, Women and Newborn Hospital, Lusaka, Zambia.
Neo TapelaBotswana-Harvard AIDS Institute Partnership, Gaborone, Botswana.
Oluwasanmi AkintadeElizabeth Glaser Paediatric AIDS Foundation, Maseru, Lesotho.
Partha BasuEarly Detection, Prevention and Infections Branch, International Agency for Research On Cancer, Lyon, France.
Xolisile DlaminiMinistry of Health, Mbabane, Eswatini.
Julia BohliusSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
Swiss Tropical and Public Health Institute · CHBrigham and Women's Hospital · USCentre International de Recherche sur le Cancer · FRInstitute of Social and Preventive Medicine · CHLesotho Planned Parenthood Association · LSMinistry of Health · BWMinistry of Health · SZMinistry of Health · MWPerinatal HIV Research Unit · ZAUniversity of Basel · CHUniversity Teaching Hospital · ZM

Funding

Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
NIAID NIH HHS U01 AI069924World Health Organization 001
6 · The paper itself

Abstract

introductionCervical cancer (CC) is the leading cause of cancer-related death among women in sub-Saharan Africa. It occurs most frequently in women living with HIV (WLHIV) and is classified as an AIDS-defining illness. Recent World Health Organisation (WHO) recommendations provide guidance for CC prevention policies, with specifications for WLHIV. We systematically reviewed policies for CC prevention and control in sub-Saharan countries with the highest HIV prevalence.

methodsWe included countries with an HIV prevalence ≥ 10% in 2018 and policies published between January 1

resultsWe reviewed 33 policy documents from nine countries. All included countries had policies on CC prevention and control either as a standalone policy (77.8%), or as part of a cancer or non-communicable diseases policy (22.2%) or both (66.7%). Aspects of HPV vaccination were reported in 7 (77.8%) of the 9 countries. All countries (100%) planned to develop or review Information, Education and Communication (IEC) materials for CC prevention including condom use and tobacco control. Age at screening commencement and screening intervals for WLHIV varied across countries. The most common recommended screening and treatment methods were visual inspection with acetic acid (VIA) (88.9%), Pap smear (77.8%); cryotherapy (100%) and loop electrosurgical procedure (LEEP) (88.9%) respectively. Global indicators disaggregated by HIV status for monitoring CC programs were rarely reported. CC prevention and care policies included service costs at various stages in three countries (33.3%).

conclusionConsiderable progress has been made in policy development for CC prevention and control in sub Saharan Africa. However, in countries with a high HIV burden, there is need to tailor these policies to respond to the specific needs of WLHIV. Countries may consider updating policies using the recent WHO guidelines for CC prevention, while adapting them to context realities.

Indexed as

HIV InfectionsPapillomavirus InfectionsUterine Cervical NeoplasmsEarly Detection of CancerFemaleHumansMalePolicyCervical cancerNational policiesPrevention and controlSub Saharan AfricaWLHIV

Identifiers

PMID35948944
PMCPMC9367081
OpenAlexW4291020294

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.