• JNMA J Nepal Med Assoc · Jun 2024

    Cervical Cancer Screening Services in Nepal: A Descriptive Crosssectional Study.

    • Bibek Kumar Lal, Ghanshyam Kumar Bhatta, Ramesh Adhikari, Abhishek Karn, Ranju K C, Sujata Nyaupane, Anuska Adhikari, Binita Shrestha, Merina Shrestha, Pankaj Bhattarai, Sujit Sah, and Bijaya Shrestha.
    • Family Welfare Division, Ministry of Health and Population, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2024 Jun 30; 62 (275): 439445439-445.

    IntroductionCervical cancer, the most prevalent cancer among women, is also the primary cause of cancer-related deaths in reproductive age women in Nepal. The study aims to assess the situation of cervical cancer screening services in Nepal.MethodsThis cross-sectional study used quantitative methods to understand the situation of cervical cancer screening in 572 health facilities of Nepal. The research was conducted to assess screening facilities, the allocation of separate screening rooms, the availability of screening services on a routine basis throughout the week, screening facilities that are free of charge, human resources, and the availability of treatment. It was conducted in October to December 2022.ResultsThe research was carried out among 572 healthcare facilities, out of which 134 (23.42%) had provision for cervical cancer screening services. Ethical approval was obtained from the Nepal Health Research Council (NHRC) under reference number 397/2022 P. Amongst those 134, 72 (53.73%) healthcare facilities had assigned separate rooms for screening intentions. One hundred and two (76.12%) healthcare facilities provided regular screening services throughout the week, while 112 (83.58 %) had free-of-charge  screening services. Concerning trained personnel, 121 (90.30%) health facilities had personnel trained in visual inspection with Acetic acid, 9 (6.72%) had personnel trained in use of colposcopy, and 5 (3.73%) had personnel trained in use of Loop Electrosurgical Excision Procedure (LEEP). Lastly, 31 (23.13%) healthcare facilities offered treatment choices for cervical cancer.ConclusionsMost of the health care facilities did not have provision of cervical screening. Amongst those who had the provision, personnel trained in loop electrosurgical excision procedure colposcopy.

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