AUTHOR=Grover Surbhi , Raesima Mmakgomo , Bvochora-Nsingo Memory , Chiyapo Sebathu P. , Balang Dawn , Tapela Neo , Balogun Onyinye , Kayembe Mukendi K. A. , Russell Anthony H. , Monare Barati , Tanyala Senate , Bhat Jailakshmi , Thipe Kealeboga , Nchunga Metlha , Mayisela Susan , Kizito Balladiah , Ho-Foster Ari , Gaolebale Babe Eunice , Gaolebale Ponatshego A. , Efstathiou Jason A. , Dryden-Peterson Scott , Zetola Nicola , Hahn Stephen M. , Robertson Erle S. , Lin Lilie L. , Morroni Chelsea , Ramogola-Masire Doreen 

TITLE=Cervical Cancer in Botswana: Current State and Future Steps for Screening and Treatment Programs

JOURNAL=Frontiers in Oncology

VOLUME=Volume 5 - 2015

YEAR=2015

URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2015.00239

DOI=10.3389/fonc.2015.00239

ISSN=2234-943X

ABSTRACT=Botswana has a high burden of cervical cancer due to a limited screening program and high HIV prevalence. About 60% of the cervical cancer patients are HIV positive; most present with advanced cervical disease. Through initiatives by the Botswana Ministry of Health and various strategic partnerships, strides have been made in treatment of pre-invasive and invasive cancer. The See and Treat program for cervical cancer is expanding throughout the country. Starting in 2015, school-going girls will be vaccinated against HPV. In regards to treatment of invasive cancer, a multi-disciplinary clinic has been initiated at the main oncology hospital to streamline care. However, challenges remain such as delays in treatment, lack of trained human personnel, limited follow up care and little patient education. Despite improvements in the care of pre-invasive and invasive cervical cancer patients, for declines in cervical cancer related morbidity and mortality to be achieved, Botswana needs to continue to invest in decreasing the burden of disease and improving patient outcomes of patients with cervical cancer.