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U.S. National Institutes of Health
Last Updated: 03/05/13

Human Resources Needed for Cervical Cancer Screening

Cervical cancer is among the most common cancers of women worldwide, with an estimated 530,000 new cases in 2008 (http://globocan.iarc.fr/). More than 85% of the cases of invasive cancer occur in developing countries.

The table below lists the projected human resources (based on assumptions below) needed to, on 3 occasions, screen for (and treat when indicated) preinvasive cervical cancer all women aged 30-45 years in selected low and middle income countries. These projections are to provide a general scope of need and not to define specific needs or plans for any country.

The countries listed are those where cervical cancer is among the five most common cancers in women (http://globocan.iarc.fr/). Due to the lack of age-stratified population data for many countries, the table assumes that 10% of all women are 30-45 years old but that can be modified if more accurate data are available. One mobile unit can annually screen approximately 25,000 women where reasonably good roads are available. Each mobile unit will consist of one supervisor (usually a physician) plus 4 other health workers who may be specially trained non-physicians (nurses, midwives, etc).

For questions, suggestions and comments please e mail:
Bhadrasain Vikram, M.D. Vikramb@mail.nih.gov
Maithili Daphtary, Ph.D. Daphtarymm@mail.nih.gov
C. Norman Coleman, M.D. ccoleman@mail.nih.gov

Country Overall Rank of Cervix Cancer among all cancers in Both Sexes Rank of Cervix Cancer among Women Is cervix cancer among the top 5 cancers in both sexes? Population of Women (Globocan 2008) % Women aged 30-45 Women aged 30-45 Number of mobile units required for cervical cancer screening
Afghanistan > 5 3 No 13116000 10 1311600 53
Algeria > 5 2 No 17021000 10 1702100 69
Angola 1 1 Yes 9137000 10 913700 37
Argentina > 5 3 No 20322000 10 2032200 82
Armenia > 5 3 No 1642000 10 164200 7
Azerbaijan > 5 3 No 4467000 10 446700 18
Bahamas 4 2 Yes 172000 10 17200 1
Bahrain > 5 4 No 330000 10 33000 2
Bangladesh 3 2 Yes 79076000 10 7907600 317
Barbados 4 3 Yes 131000 10 13100 1
Belize 2 1 Yes 149000 10 14900 1
Benin 1 1 Yes 4293000 10 429300 18
Bhutan 2 1 Yes 324000 10 32400 2
Bolivia 1 1 Yes 4861000 10 486100 20
Bosnia-Herzegovena > 5 4 No 1957000 10 195700 8
Botswana 2 1 Yes 962000 10 96200 4
Brazil 4 2 Yes 97395000 10 9739500 390
Bulgaria > 5 4 No 3918000 10 391800 16
Burkina Faso 1 1 Yes 7627000 10 762700 31
Burundi 1 1 Yes 4119000 10 411900 17
Cambodia 1 1 Yes 7444000 10 744400 30
Cameroon 2 2 Yes 9549000 10 954900 39
Cape Verde 1 1 Yes 260000 10 26000 2
Central African Republic 3 2 Yes 2208000 10 220800 9
Chad 2 2 Yes 5491000 10 549100 22
Chile > 5 3 No 8492000 10 849200 34
Chinese Taipei > 5 5 No 11495000 10 1149500 46
Columbia 4 2 Yes 22849000 10 2284900 92
Comoros 1 1 Yes 329000 10 32900 2
Costa Rica 5 2 Yes 2223000 10 222300 9
Cote D-Ivoire 2 1 Yes 10094000 10 1009400 41
Cuba 5 4 Yes 5585000 10 558500 23
Democratic Republic Of Congo 2 1 Yes 32419000 10 3241900 130
Djibouti 3 2 Yes 424000 10 42400 2
Dominican Republic 3 2 Yes 4951000 10 495100 20
Ecuador 4 2 Yes 6726000 10 672600 27
El Salvador 1 1 Yes 3235000 10 323500 13
Equatorial Guinea 2 2 Yes 332000 10 33200 2
Eritrea 2 2 Yes 2505000 10 250500 11
Estonia > 5 5 No 723000 10 72300 3
Ethiopia 2 2 Yes 40566000 10 4056600 163
France (Guadeloupe) > 5 3 No 240000 10 24000 1
France (La Reunion) > 5 3 No 418000 10 41800 2
France (Martinque) > 5 3 No 214000 10 21400 1
French Guyana 3 2 Yes 110000 10 11000 1
FYR Macedonia > 5 3 No 1021000 10 102100 5
Gabon 1 1 Yes 725000 10 72500 3
Gautemala 2 1 Yes 7016000 10 701600 29
Georgia > 5 4 No 2279000 10 227900 10
Ghana 1 1 Yes 11517000 10 1151700 47
Guinea 1 1 Yes 4867000 10 486700 20
Guinea – Bissau 1 1 Yes 795000 10 79500 4
Guyana 2 1 Yes 371000 10 37100 2
Haiti 4 2 Yes 4999000 10 499900 20
Honduras 2 1 Yes 3664000 10 366400 15
Hungary > 5 5 No 5259000 10 525900 22
India 1 1 Yes 570793000 10 57079300 2284
Indonesia > 5 3 No 113827000 10 11382700 456
Jamaica 3 2 Yes 1382000 10 138200 6
Kazakhstan 5 2 Yes 8123000 10 812300 33
Kenya 2 2 Yes 19393000 10 1939300 78
Kyrgyzstan 3 2 Yes 2742000 10 274200 11
Lao PDR 1 3 Yes 3111000 10 311100 13
Lesotho 2 1 Yes 1083000 10 108300 5
Liberia 1 1 Yes 1909000 10 190900 8
Lithuania > 5 4 No 1768000 10 176800 8
Madagascar 2 2 Yes 9595000 10 959500 39
Malawi 2 1 Yes 7473000 10 747300 30
Malaysia 4 2 Yes 13294000 10 1329400 54
Maldives 5 3 Yes 150000 10 15000 1
Mali 1 1 Yes 6432000 10 643200 26
Mauritiana 1 1 Yes 1585000 10 158500 7
Mauritius 3 2 Yes 645000 10 64500 3
Mexico 3 2 Yes 55078000 10 5507800 221
Mongolia 3 2 Yes 1334000 10 133400 6
Montenegro > 5 5 No 316000 10 31600 2
Morocco 3 2 Yes 16077000 10 1607700 65
Mozambique 1 1 Yes 11512000 10 1151200 47
Myanmar 3 2 Yes 25341000 10 2534100 102
Namibia 3 2 Yes 1080000 10 108000 5
Nepal 1 1 Yes 14498000 10 1449800 58
Nicaragua 1 1 Yes 2859000 10 285900 12
Niger 3 2 Yes 7342000 10 734200 30
Nigeria 2 2 Yes 75453000 10 7545300 302
Oman > 5 4 No 1211000 10 121100 5
Pakistan 3 2 Yes 85814000 10 8581400 344
Panama 3 2 Yes 1685000 10 168500 7
Paraguay 3 2 Yes 3087000 10 308700 13
Peru 2 1 Yes 14381000 10 1438100 58
Peurto Rico > 5 5 No 2062000 10 206200 9
Philippines 5 2 Yes 44840000 10 4484000 180
Portugal > 5 4 No 5507000 10 550700 23
Qatar > 5 3 No 317000 10 31700 2
Republic Of Congo 3 2 Yes 1811000 10 181100 8
Republic of Moldova > 5 3 No 1907000 10 190700 8
Romania > 5 3 No 10971000 10 1097100 44
Russian Federation > 5 5 No 76011000 10 7601100 305
Rwanda 1 1 Yes 5015000 10 501500 21
Senegal 1 1 Yes 6155000 10 615500 25
Serbia > 5 4 No 4972000 10 497200 20
Sierra Leone 1 1 Yes 2853000 10 285300 12
Slovakia > 5 4 No 2780000 10 278000 12
Somalia 2 2 Yes 4500000 10 450000 18
South African Republic 5 2 Yes 25190000 10 2519000 101
Sri Lanka > 5 2 No 10174000 10 1017400 41
Sudan > 5 2 No 20529000 10 2052900 83
Suriname 3 2 Yes 256000 10 25600 2
Swaziland 1 1 Yes 597000 10 59700 3
Tajikistan 5 4 Yes 3460000 10 346000 14
Thailand 4 2 Yes 34231000 10 3423100 137
The Gambia 2 1 Yes 836000 10 83600 4
Timor Leste 5 2 Yes 539000 10 53900 3
Togo 2 2 Yes 3262000 10 326200 14
Trinidad and Tobago 5 2 Yes 685000 10 68500 3
Tunisia > 5 3 No 5054000 10 505400 21
Turkmenistan > 5 5 No 2557000 10 255700 11
Uganda 2 1 Yes 15807000 10 1580700 64
Ukraine > 5 4 No 24778000 10 2477800 100
United Arab Emirates > 5 4 No 1457000 10 145700 6
Uruguay > 5 3 No 1733000 10 173300 7
Uzbekistan 4 2 Yes 13673000 10 1367300 55
Venezuela 3 2 Yes 13999000 10 1399900 56
Viet Nam > 5 5 No 44122000 10 4412200 177
Western Sahara 2 2 Yes 233000 10 23300 1
Zambia 2 1 Yes 6327000 10 632700 26
Zimbabwe 2 1 Yes 6437000 10 643700 26

The assumption that 10% of all women are 30-45 years old has been made due to the lack of age-stratified population data for many countries.