Integrating cervical cancer with HIV healthcare services: a systematic review

Sigfrid, Louise; Murphy, Georgina; Haldane, Victoria; Leh Hoon Chuah, Fiona; Ee Ong, Suan; Cervero Liceras, Francisco; Watt, Nicola; Alconada Romero, Álvaro; Otero García, Laura; Balabanova, Dina; Hogarth, Sue; Maimaris, Will; Buse, Kent; Mckee, Martin; Piot, Peter; Perel, Pablo; Legido Quigley, Helena

doi:https://doi.org/10.1371/journal.pone.0181156

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Issue date

2017

Author

Sigfrid, Louise

Murphy, Georgina

Haldane, Victoria

Leh Hoon Chuah, Fiona

Ee Ong, Suan

Cervero Liceras, Francisco

Watt, Nicola

Alconada Romero, Álvaro

Otero García, Laura

Balabanova, Dina

Hogarth, Sue

Maimaris, Will

Buse, Kent

Mckee, Martin

Piot, Peter

Perel, Pablo

Legido Quigley, Helena

Abstract

Cervical cancer is a major public health problem. Even though readily preventable, it is the fourth leading cause of death in women globally. Women living with HIV are at increased risk of invasive cervical cancer, highlighting the need for access to screening and treatment for this population. Integration

of services has been proposed as an effective way of improving access to cervical cancer screening especially in areas of high HIV prevalence as well as lower resourced settings. This paper presents the results of a systematic review of programs integrating cervical cancer and HIV services globally, including feasibility, acceptability, clinical outcomes and facilitators for service delivery.