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Table 2 Secondary prevention research, n= 208

From: Cervical cancer prevention and treatment research in Africa: a systematic review from a public health perspective

 

Primary focus

Literature type

Countries/Geographic Regions Included

Secondary Prevention

Screening Test Performance (N = 46)

 11 VIA/VILI [194, 196, 197, 232, 278284]

 15 HPV Testing [163, 182192, 285287]

 3 Cytology [288290]

 1 Colposcopy [291]

 16 Comparison of 2+ tests [16, 193, 195, 198, 292303]

41 Original Research [182, 184186, 188198, 232, 278293, 295, 296, 298303]

4 Review Article [16, 187, 294, 297]

Lessons Learned

1 Policy Papers [163]

Africa (2) [285, 297], Developing Countries (4) [16, 284, 294, 302], Angola (1) [197], Botswana (1) [232], Burkina Faso (5) [194, 280, 282, 291, 298], Cameroon (4) [182, 193, 286, 300], Democratic Republic of Congo (3) [195, 198, 296], Republic of the Congo (6) [191, 194, 280, 282, 291, 298], Egypt (2) [186, 278], Gambia (1) [192], Ghana (1) [288], Guinea (5) [194, 280, 282, 291, 298], Ivory Coast (1) [190], Kenya (2) [184, 301], Mali (5) [194, 280, 282, 291, 298], Niger (5) [194, 280, 282, 291, 298], Nigeria (4) [279, 287, 289, 293], Rwanda (1) [294], South Africa (7) [163, 183, 187, 188, 290, 292, 299], Tanzania (2) [196, 295]

Screen-and-Treat (SNT) (N = 16)

 8 VIA then Cryotherapy [63, 199201, 304307]

 5 Other SNT methods [61, 308311]

 3 Guidelines/Overview [51, 202, 203]

10 Original Research [61, 63, 200, 201, 305, 307311]

2 Review [203, 304]

2 Lessons Learned [199, 202]

2 Policy [51,283 1,217]

Global (1) [51], Africa (1) [203], Botswana (1) [307], Ghana (1) [63], Kenya (1) [61], Madagascar (1) [306], Malawi (1) [306], Nigeria (2) [306, 311],South Africa (2) [308, 310], Tanzania (1) [306], Uganda (2) [200, 306], Zambia (7) [199, 201, 202, 304306, 309]

Feasibility (N = 28)

 2 Infrastructure [215, 220]

 18 Provider Knowledge/Training/Attitudes [60, 82, 83, 208211, 312322]

 8 Cost/Cost-effectiveness [59, 125, 212214, 323325]

26 Original Research [59, 83, 125, 208215, 220, 312325]

2 Review [60, 82]

0 Lessons Learned

0 Policy

Africa (3) [82, 125, 212], Cameroon (1) [313], Ghana (1) [323], Ivory Coast (1) [208], Kenya (2) [59, 325], Nigeria (11) [83, 211, 220, 312, 315317, 319321], South Africa (6) [59, 213, 214, 318, 324, 325], Tanzania (1) [209], LRC [60]

Awareness and Utilization (N = 59)

 44 Knowledge, Attitudes, Uptake [53, 70, 72,  74, 7880, 204207, 225, 326357]

 15 Determinants of Uptake [62, 73, 358370]

59 Original Research [53, 62, 70, 7274, 7880, 204207, 225, 326370]

0 Review

0 Lessons Learned

0 Policy

Global (1) [368], Developing Countries (1) [328], Botswana (3) [72, 205, 349], Cameroon (1) [74], Ghana (2) [70, 326], Kenya (5) [204, 335, 340, 355, 358], Malawi (1) [53], Mozambique (1) [207], Morocco (1) [365], Nigeria (18) [78, 79, 225, 332334, 337, 338, 342, 344346, 348, 351, 352, 363, 366, 367], South Africa (12) [80, 327, 329, 330, 341, 347, 353, 356, 360, 361, 369], Sudan (1) [343], Tanzania (5) [62, 336, 362, 364, 370], Tunisia (1) [331]

HIV-Positive Women (N = 18)

 5 Service Integration [77, 84, 229231]

 9 Test Performance [371379]

 3 Knowledge, Attitudes, Uptake [75, 227, 228]

 1 Screen-and-Treat [226]

17 Original Research [75, 77, 84, 226230, 371379]

1 Review [231]

0 Lessons Learned

0 Policy

Global (1) [231], Burkina Faso (1) [373], Cameroon (1) [230], Kenya (4) [229, 374, 376, 378], Nigeria (3) [75, 84, 227], South Africa (6) [226, 228, 371, 373, 375, 377], Uganda (1) [379], Tanzania (1) [77]

Males and HPV Screening (N = 3)

 1 Knowledge and Beliefs [221], 1 Male Partner  Support [222], 1 Penile HPV Detection [223]

3 Original Research [221223]

0 Review

0 Lessons Learned

0 Policy

Ghana (1) [221], Kenya (1) [223], Uganda (1) [222]

Other (N = 38)

 23 Program/Policy Implementation [54, 71, 216219, 224, 380395]

 3 Screening Follow-Up [396, 397] and Side-effects [398]

 5 Overview of Current Situation [123, 399402]

 7 Other Ethical Issues,[403] message development, [404] overviews,[69, 85, 405, 406] publication output [407]

17 Original Research [71, 216, 217, 219, 224, 380, 381, 383385, 388, 395398, 403, 404]

14 Review [54, 69, 85, 123, 382, 391, 392, 394, 399, 400, 402, 405407]

4 Lessons Learned [218, 386, 387, 393]

3 Policy [389, 390, 401]

Africa (3) [391, 400, 405], Developing Countries (7) [54, 69, 85, 123, 382, 392, 406], Middle East/North Africa (1) [399], Ghana (2) [217, 401], Ivory Coast (1) [224], Kenya (2) [384, 403], Mali (1) [383], Mozambique (1) [216], Nigeria (6) [386388, 393, 396, 398], South Africa (11) [71, 218, 219, 381, 385, 390, 394, 395, 402, 404, 407], Sudan (1) [389]

 

Total

N = 208

173 Original Research

23 Review Article

6 Lessons Learned

6 Policy Papers

Global (3), Africa (9), Developing Countries (11), Middle East/North Africa (1), Angola (1), Botswana (5), Burkina Faso (6), Cameroon (7), Congo (9), Egypt (2), Gambia (1), Ghana (8), Guinea (5), Ivory Coast (3), Kenya (17), Madagascar (1), Malawi (2), Mali (6), Morocco (1), Mozambique (2), Niger (5), Nigeria (43), Rwanda (1), South Africa (45), Sudan (2),Tanzania (9), Tunisia (1), Uganda (4), Zambia (7),