HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.
Alanna J Bergman, Silas Daniels-Donkor, Sujeong Go et al.
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In 30 seconds
This PRISMA-guided systematic review with narrative synthesis assessed models integrating HIV and cervical cancer screening or services. Of 4,280 records, 24 studies met inclusion criteria; 21 were conducted in sub-Saharan Africa and the remainder in high-income settings. Most integrated cervical cancer screening into HIV care (19 studies), while three incorporated HIV screening into cervical cancer screening or treatment, and two offered both in community settings. Integrated services were reported as highly acceptable and feasible, although the review highlights ongoing challenges in equitable access and measuring HIV outcomes.
Key findings
- Of 24 included studies, 21 were conducted in sub-Saharan Africa; the remaining studies were from high-income settings.
- Nineteen studies integrated cervical cancer screening into HIV care, while three integrated HIV screening into cervical cancer services.
- Two studies implemented fully integrated HIV and cervical cancer screening in community settings.
- Integrated services were considered highly acceptable and feasible.
Why it matters
Women with HIV face increased cervical cancer risk, while geographic disparities in both conditions reflect unequal access to care. The review suggests that linking services may offer an acceptable and feasible way to deliver screening, particularly through HIV care. However, the limited number of community-based models and the need to address equitable access and HIV metrics remain important considerations.
What to keep in mind
The review included only 24 studies, and most were conducted in sub-Saharan Africa; only two evaluated fully integrated community-based screening.