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New See-and-Treat Study for Cervical Cancer Prevention begins in Cajamarca, Peru

Click here to hear Dr. Patricia Garcia (University Cayetano Heredia) share about this implementation study and training in Peru for cervical cancer prevention.


GWHT and HOPE Peru have initiated our first implementation studies on a see-and-treat program for cervical cancer prevention in Cajamarca (in the Andean mountains) of Peru. This region has one of the highest incidence rates of cervical cancer in Peru. The traditional 3-visit model of Pap smears (screening), standard colposcopy (diagnosis) and LEEP or Cryotherapy (treatment) is reduced to one visit through the implementation model we are evaluating.

In this model, screening for HPV, the virus that causes cervical cancer is completed as a self-test. Midwives at local primary care clinics image the cervix of women who are HPV-positive with the Pocket colposcope. Abnormalities, as identified through remote physician guided diagnosis, are treated using thermal ablation during the same visit (see and treat model). Women with advanced disease are referred to a local hospital, for treatment.

More about this study:

  • Funded by USAID-DIV

  • Partnering with Dr. Patricia Garcia, University Cayetano Heredia in Lima, Peru

  • Expected enrollment: 4,000 women screened for HPV; 400 diagnosed and treated with Pocket Colposcopy and Thermal Ablation

  • Enrollment is ongoing through April 2023.

Health providers testing out the Pocket colposcope on a Lucia model of the cervix created by Rice University and the University of Malawi

Midwives getting training on cervical imaging and interpreting the images of the cervix

Physicians using pictures of the cervix remotely to provide diagnosis



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