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U.S. National Institutes of Health
Last Updated: 05/27/15

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 2012 (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 in all women aged 30-44 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/). The estimate of the population that is between the ages of 30-44 was obtained from the United Nations, Population Division (http://esa.un.org/wpp/excel-Data/mortality_1.htm).

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. maithili.daphtary@nih.gov
C. Norman Coleman, M.D. ccoleman@mail.nih.gov

Country Rank of
cervix cancer
in both sexes
Is cervix cancer
among the top 5 cancers in both sexes?
Rank of cervix cancer in females Female Population (ages 30–44) % of population between the ages of 30-44 Number of mobile units required for cervical cancer screening
Afghanistan >5 No 2 1970350 6.9 79
Algeria >5 No 3 4023858 10.9 161
Angola 1 Yes 1 1409351 7.2 57
Argentina 5 Yes 3 4157151 10.3 167
Azerbaijan >5 No 2 1003168 11.0 41
Bahamas 4 Yes 2 41018 11.4 2
Bangladesh 3 Yes 2 15796231 10.5 632
Barbados 5 Yes 4 30283 10.8 2
Belarus >5 No 5 1022797 10.8 41
Belize 3 Yes 2 31385 10.2 2
Benin 2 Yes 2 767974 8.1 31
Bhutan 3 Yes 1 64708 9.0 3
Bolivia
(Plurinational State of)
1 Yes 1 925855 9.1 38
Bosnia and Herzegovina >5 No 4 388018 10.1 16
Botswana 1 Yes 1 165103 8.4 7
Brazil >5 No 2 22049366 11.3 882
Bulgaria >5 No 4 772532 10.5 31
Burkina Faso 2 Yes 1 1192602 7.7 48
Burundi 1 Yes 1 656753 7.1 27
Cambodia 2 Yes 1 1203482 8.4 49
Cameroon 2 Yes 2 1569039 7.6 63
Cape Verde 1 Yes 1 42603 8.7 2
Central African Republic 2 Yes 2 349756 8.0 14
Chad 2 Yes 2 789236 6.7 32
Chile >5 No 4 1824989 10.6 73
Colombia >5 No 2 5066451 10.9 203
Comoros 1 Yes 1 57657 8.4 3
Costa Rica >5 No 5 491629 10.5 20
Côte d’Ivoire 3 Yes 2 1527390 8.0 62
Cuba >5 No 4 1351695 12.0 55
Dem. People’s Republic of Korea >5 No 4 2963073 12.1 119
Djibouti 2 Yes 2 78950 9.5 4
Dominican Republic 3 Yes 2 1002638 10.0 41
Ecuador 4 Yes 2 1544589 10.3 62
El Salvador 2 Yes 1 621958 10.0 25
Equatorial Guinea 2 Yes 2 55714 8.0 3
Eritrea 2 Yes 2 457314 8.0 19
Estonia >5 No 4 134021 10.3 6
Ethiopia 2 Yes 2 6467298 7.4 259
Fiji 2 Yes 2 85366 9.9 4
French Guiana 3 Yes 2 24403 10.6 1
Gabon 1 Yes 1 127402 8.2 6
Gambia 2 Yes 1 136703 8.1 6
Georgia >5 No 3 449526 10.2 18
Ghana 1 Yes 1 2236886 9.2 90
Greece >5 No >5 1260763 11.3 51
Guatemala 3 Yes 1 1216482 8.5 49
Guinea 1 Yes 1 837401 7.7 34
Guinea-Bissau 1 Yes 1 127248 8.0 6
Guyana 2 Yes 2 81028 10.3 4
Haiti 2 Yes 1 872268 8.8 35
Honduras 1 Yes 1 683763 9.0 28
India 2 Yes 2 120168621 10.0 4807
Indonesia 4 Yes 2 27110864 11.3 1085
Jamaica 5 Yes 2 290455 10.6 12
Kazakhstan 5 Yes 2 1750286 11.0 71
Kenya 1 Yes 1 3258725 8.0 131
Kyrgyzstan 3 Yes 2 508969 9.5 21
Lao People’s
Democratic Republic
5 Yes 3 551807 8.6 23
Latvia >5 No 5 213801 10.2 9
Lesotho 2 Yes 1 144115 7.2 6
Liberia 2 Yes 1 321976 8.1 13
Libya >5 No 3 682623 11.3 28
Lithuania >5 No 3 331534 10.8 14
Madagascar 1 Yes 1 1737640 8.2 70
Malawi 1 Yes 1 1043417 6.9 42
Malaysia 4 Yes 2 3006048 10.6 121
Mali 1 Yes 1 1041955 7.5 42
Mauritania 1 Yes 1 313520 8.7 13
Mauritius >5 No 3 139584 11.3 6
Mexico 3 Yes 2 13591454 11.5 544
Mongolia 3 Yes 2 312111 11.5 13
Montenegro >5 No 4 63466 10.2 3
Morocco >5 No 2 3482605 11.0 140
Mozambique 1 Yes 1 1916919 8.0 77
Myanmar 3 Yes 2 6254148 12.0 251
Namibia 3 Yes 2 204324 9.4 9
Nepal 2 Yes 1 2535424 9.4 102
Nicaragua 1 Yes 1 549537 9.4 22
Niger 4 Yes 2 1111739 7.0 45
Nigeria 2 Yes 2 12525342 7.8 502
Pakistan >5 No 3 15081531 8.7 604
Panama 5 Yes 2 390233 10.6 16
Papua New Guinea 2 Yes 1 641237 9.3 26
Paraguay 2 Yes 2 574310 8.9 23
Peru 1 Yes 1 3027282 10.3 122
Philippines 5 Yes 2 8777637 9.4 352
Puerto Rico 1 Yes 5 398398 10.7 16
Republic of Moldova 5 Yes 3 350110 9.8 15
Romania 5 Yes 3 2589179 11.8 104
Rwanda 1 Yes 1 833354 7.7 34
Samoa 2 Yes 2 15603 8.4 1
Senegal 1 Yes 1 1073711 8.3 43
Serbia >5 No 4 1016057 10.5 41
Sierra Leone 2 Yes 1 497352 8.6 20
Solomon Islands 2 Yes 2 48812 9.3 2
Somalia 2 Yes 2 689426 7.2 28
South Africa 3 Yes 2 4941032 9.6 198
South Sudan 2 Yes 2 793411 8.0 32
Sri Lanka 3 Yes 2 2292566 11.0 92
Sudan >5 No 2 3016829 8.5 121
Suriname 2 Yes 2 54427 10.4 3
Swaziland 1 Yes 1 86581 7.3 4
Tajikistan >5 No 4 678375 8.9 28
Thailand 5 Yes 2 8527206 12.8 342
Timor-Leste 4 Yes 3 56062 5.2 3
Togo 3 Yes 2 536978 8.5 22
Trinidad and Tobago 4 Yes 2 142658 10.7 6
Tunisia >5 No 3 1213157 11.4 49
Turkmenistan >5 No 3 520468 10.3 21
Uganda 1 Yes 1 2304069 6.8 93
Ukraine >5 No 4 4910385 10.7 197
United Republic
of Tanzania
1 Yes 1 3344391 7.4 134
Uruguay >5 No 3 340627 10.1 14
Uzbekistan 3 Yes 2 2776500 10.0 112
Venezuela
(Bolivarian Republic of)
2 Yes 2 2987788 10.3 120
Viet Nam >5 No 4 10100613 11.3 405
Zambia 1 Yes 1 1005147 7.6 41
Zimbabwe 2 Yes 1 834637 6.4 34