External Source:
Cervical Cancer Prevention Learning Package | JHPIEGO

“Cervical cancer is an important health problem for women throughout the world. It is the third most common cancer in women — affecting more than 1.4 million women worldwide […] The integration of cervical cancer prevention with existing reproductive health services clearly answers to the call to make cervical cancer prevention ‘accessible through the primary healthcare system, to all individuals of appropriate ages as soon as possible.'”

Originally published by JHPIEGO in 2005 and updated in 2007, the Cervical Cancer Prevention Learning Resource Package provides clinical guidelines and reference manuals for implementing cervical cancer prevention programs in low-resource settings, training guides for participants and trainers, and educational materials for cervical cancer prevention methods. The Learning Package is designed for use by trainers and healthcare providers, focusing on visual inspection with acetic acid (VIA) and cryotherapy as primary programmatic elements.

Materials in the resource package include:

  • Reference Manual
  • Training guides for participants and trainers
  • Presentation graphics
  • Flash Card Set for VIA methods
  • Atlas of VIA methods

The complete Learning Package materials are available in English, Spanish, and French, and the reference manual and VIA atlas are also available in Portugese.

The resource manual includes the following sections:

  • Introduction – Magnitude of the problem, HPV and cervical cancer, preventing cervical cancer, treatment, managing precancerous cervical disease, treating women with unconfirmed disease, links to other reproductive health servcices
  • Human Papillomavirus & Cervical Cancer – Background and virology, how HPV induces cancer, risk factors, primary and secondary prevention
  • Pathophysiology of Cervical Cancer – Key considerations for low-resource settings, anatomy and physiology of the normal cervix, appearance of the cervix in normal and abnormal states
  • Talking with Women about Cervical Cancer – Client rights, confidentiality and privacy, being a good counselor, counseling prior to and following VIA testing and cryotherapy, questions frequently asked by women
  • Preventing Infection in Healthcare Workers – Disease transmission cycle, healthcare work risks, making infection prevention programs work, healthcare safety, what to do if exposure occurs
  • Client Assessment and VIA Testing – Who should be tested, when to perform VIA, client assessment, instruments and supplies, VIA methods
  • Treatment and Followup – Outpatient treatment procedures, cryotherapy treatment and referral, instruments and equipment, cryotherapy procedure, routine followup
  • Appendices – Tests for cervical cancer screening, screening test qualities and their interpretation, infection prevention processes, technical overview and troubleshooting of the cryotherapy system, processing surgical gloves, performing breast and pelvic examinations, perceived barriers to providing cervical cancer prevention services, additional reading

Training manuals include course design, evaluation materials, learning guides and checklists for VIA and cryotherapy methods, and a performance support / quality assurance handbook for cervical cancer prevention services.

The Cervical Cancer Prevention Learning Resource Package is currently being updated. A revised version of the materials will be available in 2015. 

Funding to develop the Cervical Cancer Prevention Learning Resource Package was provided by the Bill and Melinda Gates Foundation, through the Alliance for Cervical Cancer Prevention.