Number of women living with HIV who were screened for cervical cancer using any screening test
Progress towards scaling up population-based screening for the prevention of cervical cancer among women living with HIV
The purpose of this indicator is to assess the availability and uptake of screening to prevent cervical cancer among women living with HIV. To prevent invasive cervical cancer, women can be screened using various tests to identify those who have or are at risk of cervical precancer. Low cost and appropriate technology screening methods are available that make most precancerous lesions identifiable at stages when they can easily be treated and cured. Achieving high coverage of screening of women - with treatment of precancerous lesions detected by screening - can lead to a low incidence of invasive cervical cancer.
The traditional method to screen women for cervical cancer has been cytology (the Papanicolaou test, also known as the Pap or smear test). Newer screening tests include visual inspection with acetic acid (VIA) and molecular tests, mainly high-risk HPV DNA-based tests, which are suitable for use in all settings. Other molecular tests - as well as more advanced visual inspection tests based on artificial intelligence/machine learning platforms - have also been developed. Cervical cancer screening can be done using different primary screening and triage tests, and there are numerous combinations or algorithms in use in different settings.
Number of women living with HIV who had a screening test for cervical cancer using any screening test
The number is generated by counting the number of women living with HIV among all women who were screened for cervical cancer in the last 12 months, using cervical cancer programme screening and/or HIV programme data as the source.
Each individual should only be counted once within the reporting period. If a second triage test or a follow-up test was performed as part of the screening strategy, that individual should only be counted once.
- Age (15-29, 20-24, 25-29, 30–49, 50+ years).
- People who were screened for the first time in their lives.
Since the screening interval between tests depends on the test used, the number of women screened may vary from year to year.
Coverage levels of screening for all women living with HIV is not possible without an estimate of the population size.
Changes in this indicator as measure of progress over time should be interpreted in light of related data, including the number of women known to be living with HIV.