Evidence map›Paper›PMID 38979918›Full record

ArticleJournal of the International AIDS Society2024

Cervical cancer prevention and care in HIV clinics across sub-Saharan Africa: results of a facility-based survey.

Serra Lem Asangbeh-Kerman, Maša Davidović, Katayoun Taghavi, Tafadzwa Dhokotera, Albert Manasyan, Anjali Sharma, Antoine Jaquet, Beverly Musick, Christella Twizere, Cleophas Chimbetete and 15 more

Abstract read
In one paragraph

Article in Journal of the International AIDS Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

25 authors.

Serra Lem Asangbeh-KermanGraduate School of Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-6426-2032
Maša DavidovićSwiss Tropical and Public Health Institute, Allschwil, Switzerland.ORCID https://orcid.org/0000-0002-9575-7799
Katayoun TaghaviInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-0812-0069
Tafadzwa DhokoteraGraduate School of Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.
Albert ManasyanCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Anjali SharmaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Antoine JaquetUniversity of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Centre, Bordeaux, France.
Beverly MusickDepartment of Biostatistics and Health Data Science, School of Medicine, Indiana University, Indianapolis, Indiana, USA.
Christella TwizereCentre National de Reference en Matière de VIH/SIDA, Bujumbura, Burundi.ORCID https://orcid.org/0000-0003-1102-5564
Cleophas ChimbeteteNewlands Clinic, Harare, Zimbabwe.
Gad MurenziEinstein-Rwanda Research and Capacity Building Programme, Research for Development and Rwanda Military Hospital, Kigali, Rwanda.ORCID https://orcid.org/0000-0002-5513-5522
Hannock TweyaInternational Training and Education Centre for Health (I-TECH), Lilongwe, Malawi.ORCID https://orcid.org/0000-0002-8247-1273
Josephine MuhairweSolidarMed, Partnerships for Health, Maseru, Lesotho.
Kara Wools-KaloustianDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Karl-Gunter TechnauEmpilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Kathryn AnastosDepartment of Medicine and Epidemiology, Albert Einstein College of Medicine, Bronx, New York, USA.
Marcel YotebiengDepartment of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Marielle JousseSolidarMed, Partnership for Health, Chiure, Mozambique.
Oliver EzechiDepartment of Clinical Sciences, Nigerian Institute of Medical Research, Lagos, Nigeria.
Omenge Orang'oMoi University, Eldoret, Kenya.
Samuel BosomprahCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Simon Pierre BoniProgramme National de Lutte contre le Cancer (PNLCa), Abidjan, Côte d'Ivoire.
Partha BasuEarly Detection, Prevention and Infections Branch, International Agency for Research on Cancer, Lyon, France.
Julia BohliusSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
IeDEA

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI AGGREY SEMWENDERO SEMEERE, Kara Kay Wools-Kaloustian · 2006 to 2026
$57.7M
Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
WADA (West Africa Database on Antiretroviral Therapy) CollaborationU01AI069919 · NIAID · UNIVERSITY OF BORDEAUX II · PI Didier Koumavi Ekouevi, Antoine Jaquet · 2006 to 2026
$29.9M
Harmonist: A Scalable Toolkit for Standardizing and Coordinating Data Sharing Across International Research NetworksR24AI124872 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephany Norah Duda · 2016 to 2026
$12.5M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Cecile Delille Lahiri, Vasiliki Michopoulos · 2018 to 2026
$12.2M
Shared ResourcesU54CA190163 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ANASTOS, KATHRYN M., CASTLE, PHILIP E · 2014 to 2019
$4.1M
Central Africa U01AI096299East Africa U01AI069911Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentEuropean Union's Horizon 2020 research and innovation program (Marie Skłodowska-Curie grant) 801076FIC NIH HHSHarmonist project R24AI24872NCI NIH HHS U54 CA190163NHLBI NIH HHSNIAAA NIH HHSNIAID NIH HHS R24 AI124872NIAID NIH HHS U01 AI069911NIAID NIH HHS U01 AI069919NIAID NIH HHS U01 AI069924NIAID NIH HHS U01 AI096299NIA NIH HHS U54 AG062334NIDA NIH HHSNIDDK NIH HHSNIMH NIH HHSSouthern Africa U01AI069924Swiss National Science Foundation (r4d program) 177319U.S. National Institutes of Health's National Institute of Allergy and Infectious DiseasesWest Africa U01AI069919World Health Organization 001
6 · The paper itself

Abstract

introductionTo eliminate cervical cancer (CC), access to and quality of prevention and care services must be monitored, particularly for women living with HIV (WLHIV). We assessed implementation practices in HIV clinics across sub-Saharan Africa (SSA) to identify gaps in the care cascade and used aggregated patient data to populate cascades for WLHIV attending HIV clinics.

methodsOur facility-based survey was administered between November 2020 and July 2021 in 30 HIV clinics across SSA that participate in the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. We performed a qualitative site-level assessment of CC prevention and care services and analysed data from routine care of WLHIV in SSA.

resultsHuman papillomavirus (HPV) vaccination was offered in 33% of sites. Referral for CC diagnosis (42%) and treatment (70%) was common, but not free at about 50% of sites. Most sites had electronic health information systems (90%), but data to inform indicators to monitor global targets for CC elimination in WLHIV were not routinely collected in these sites. Data were collected routinely in only 36% of sites that offered HPV vaccination, 33% of sites that offered cervical screening and 20% of sites that offered pre-cancer and CC treatment.

conclusionsThough CC prevention and care services have long been available in some HIV clinics across SSA, patient and programme monitoring need to be improved. Countries should consider leveraging their existing health information systems and use monitoring tools provided by the World Health Organization to improve CC prevention programmes and access, and to track their progress towards the goal of eliminating CC.

Indexed as

HIV InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsAdultAfrica South of the SaharaFemaleHealth Services AccessibilityHumansMiddle AgedPapillomavirus InfectionsSurveys and QuestionnairesYoung AdultPapillomavirus Vaccinescervical cancer preventionHIVmonitoringoutcomesprevention and care cascadessub‐Saharan Africa

Identifiers

PMID38979918
PMCPMC11232047

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Registered trials

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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.