The State of Cervical Cancer Screening and HPV Vaccination in Africa: In the Advent of Advanced Health Care

E. K. Drokow, C. Effah, Clement Agboyibor, G. Akpabla, Kai Sun
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Abstract

Cervical cancer if not detected and treated promptly can be lethal to females. In several advanced nations, the relevance of coordinated screening services has been implemented. Nevertheless, most developing nations have not implemented a nationwide screening and vaccination programme accessible to all women owing to inadequate screening and vaccination services coupled with vaccine scepticism, misconception concerning vaccination, and lack of awareness are causing an upsurge in Africa's cervical cancer cases. Cervical cancer could be greatly reduced if comprehensive screening services and HPV vaccination are implemented. In this review, we discussed the cervical cancer incidence in Africa, factors influencing the high rate of cervical cancer in Africa, screening and HPV vaccination programs and the potential intervention and recommendations to reduce the incident and mortality rates of cervical cancer in Africa. Also, we highlighted the disadvantages and advantages of widely accessible screening tests in Africa.
非洲宫颈癌筛查和人乳头瘤病毒疫苗接种状况:在先进医疗保健的到来
宫颈癌如果不及时发现和治疗,对女性来说可能是致命的。在一些发达国家,已经实施了相关的协调筛查服务。然而,大多数发展中国家没有实施面向所有妇女的全国性筛查和疫苗接种方案,原因是筛查和疫苗接种服务不足,再加上对疫苗的怀疑、对疫苗接种的误解和缺乏认识,导致非洲宫颈癌病例激增。如果实施全面的筛检服务和人乳头瘤病毒疫苗接种,可大大减少子宫颈癌。在这篇综述中,我们讨论了非洲宫颈癌的发病率、影响非洲宫颈癌高发病率的因素、筛查和HPV疫苗接种计划以及降低非洲宫颈癌发病率和死亡率的潜在干预措施和建议。此外,我们还强调了在非洲广泛获得筛查测试的缺点和优点。
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