Improving women's health and saving lives through cervical cancer prevention programs in developing countries.
Between 1999 and 2004, with a grant from the Bill & Melinda Gates Foundation, five international organizations implemented the Alliance for Cervical Cancer Prevention (ACCP) with a shared goal of working to prevent cervical cancer in developing countries.
Since ACCP's inception, the partners have continued collaborating and meeting regularly. ACCP works with developing-country partners to:
- Assess innovative approaches to screening and treatment.
- Improve service delivery systems.
- Ensure that community perspectives and needs are incorporated into program design.
- Heighten awareness of cervical cancer and effective prevention strategies.
ACCP has published a new fact sheet summarizing recent data on cervical cancer screening approaches for low-resource settings. This summary presents evidence published since ACCP's 2009 article (see below) on alternative screening approaches.
New evidence continues to support the feasibility and accuracy of screening technologies that are alternatives to resource-intensive Pap smears. Comprehensive prevention programs that include human papillomavirus (HPV) vaccination of young adolescent girls before exposure to HPV, timely screening with HPV testing or visual inspection for mid-adult women, and appropriate treatment can dramatically reduce cervical cancer mortality.
September 2009 article by ACCP partners
Sherris J, Wittet S, Kleine A, et al. Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource Settings. International Perspectives on Sexual and Reproductive Health. 2009;35(3)147-152.
New evidence on the impact of cervical cancer screening and treatment using HPV DNA tests, visual inspection, or cytology
- Download file (100 Kb PDF)
This 3-page fact sheet puts new evidence from India into context and provides guidance relating to investment in visual inspection-based screening programs in low-resource settings. The document seeks to help program managers and decision-makers interpret and use the new data.
In early 2007, the ACCP partners met to assess newly-analyzed results of key studies in India, South Africa, Peru, and Thailand. These new data spurred the partners to outline ten key findings and recommendations for global policy and practice related to cervical cancer screening and treatment in low-resource settings.
ACCP holds symposium on “10 Key Findings and Recommendations for
Effective Cervical Cancer Screening and Treatment”
Please click here for further information.
- Download 4-page information sheet (145 Kb PDF)
ACCP presents at 2006 XVIII FIGO World Congress of Gynecology and Obstetrics
The ACCP offered several sessions at the 2006 XVIII FIGO World Congress of Gynecology and Obstetrics on the topic of "Cervical Cancer Prevention in Low-Resource Settings: Lessons Learned in Screening, Treatment, and Advocacy." This panel presentation examined the experiences of Alliance for Cervical Cancer Prevention (ACCP) member organizations in the developing world. The following four presentations were given:
Moving from Research to Practice: Expanding Cervical Cancer Prevention Services in Low Resource Settings
Harshad C. Sanghvi, JHPIEGO
- Browse/download (461 Kb PowerPoint file)
Delivering, Safe, Effective and Acceptable Cervical Cancer Prevention Services in Low Resource Settings
J. Bradley, EngenderHealth
- Browse/download (306 Kb PowerPoint file)
ACCP Evidence Base: Implications for Policy and Practice
Dr. R. Sankaranarayanan, International Agency for Research in Cancer (IARC)
- Browse/download (718 Kb PowerPoint file)
Advocating for Existing and New Cervical Cancer Prevention Approaches: Lessons Learned
Dr. Jacqueline Sherris, PATH
- Browse/download (788 Kb PDF)
BBC World Kill or Cure? episode on cervical cancer and the HPV vaccine features the ACCP
BBC World’s third series of Kill Or Cure? provides a look at screening strategies to prevent cervical cancer and the development of a vaccine to protect against the human papillomavirus (HPV), the cause of cervical cancer. The documentary features ACCP projects in Costa Rica and India. First aired on BBC World on Friday, October 7, 2005 as a 30-minute film, you may now view a shortened version online by clicking below. Windows Media Player is required to view (Size: 38.7 Mb).
Screen-and-Treat Approaches for Cervical Cancer Prevention in Low-Resource Settings; A Randomized Controlled Trial. Denny L, Kuhn L, De Souza M, Pollack AE, Dupree W, Wright TC. Journal of the American Medical Association. 2005;294: 2173-2181.
In an article in JAMA, published on November 2, 2005, Dr. Lynette Denny and her colleagues in South Africa found that screen-and-treat prevention methods are safe and effective, and that they represent a practical way forward in the prevention of cervical cancer in low- and medium resource countries. This study reports on work implemented as part of the Alliance for Cervical Cancer Prevention.
ACCP supplement of International Journal of Gynecology and Obstetrics: "Alliance for Cervical Cancer Prevention: Shifting the Paradigm."(Vol 89, Supplement 2, May 2005)
In a new special supplement of the International Journal of Gynecology and Obstetrics, the ACCP summarizes 5 years of experience in the prevention of cervical cancer in developing countries. Two of the eight articles report the results of research on innovative approaches to screening and treatment in low-resource settings. Three articles highlight the Alliance's findings from various projects exploring programmatic issues of service delivery, clinical training, and community involvement. One article underscores the critical role of advocacy efforts at the international, regional, national, and local levels for raising awareness and gaining support for prevention program policy. The final paper analyzes the implications of the ACCP's efforts and the current status of cervical cancer prevention worldwide.
See the Publications page for more publications, including translations in Spanish, French, and Russian.
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