HPV primary screening and abnormal screen follow-up

Equity and access to HPV primary screening

Some populations have been historically underserved by screening programs and increasing participation of these groups is one of the most impactful ways to reduce the incidence of cervical cancer. Specific attention should be given to promoting uptake of cervical screening by the following populations:

• First Nations, Inuit, and Métis
• People living in rural and remote communities
• People with low income and those that are long-term unemployed
• Gender diverse individuals
• Recent immigrants
• Survivors of rape and sexual abuse
• Individuals with special needs (e.g., physical, intellectual, or psychosocial disabilities)
• Elderly individuals

While the screening pathway remains constant, program delivery can be tailored to meet community needs. For example, Australia has state- and territory-level health programs for Aboriginal and Torres Strait Islander people led by nurses and community liaisons that reflect the values and cultural beliefs of the community.

The different countries examined in this environmental scan have improved participation in organized cervical screening programs by engaging with communities that have lower screening rates, conducting research to better understand community needs, and developing community-specific materials and approaches.