Cervical Cancer Screening And Prevention Project In Nepal

Project Period: Three years from January 2018 to December 2020 AD
Project Area:All 10 (Rural) Municipalities of Ilam District and two Municipalities (Duhabi and Baraha) of Sunsari District, Nepal

Target Group: Women aged 30 to 60 years
Target Group: 67,397
Training of ANM on Visual Inspection with Acetic Acid(VIA) conducted in BPKIHS, Dharan in 2017
Training of ANM on Visual Inspection with Acetic Acid(VIA) conducted in BPKIHS, Dharan in 2017
Group photo with participants(ANM), facilitator from BPKIHS, represenataive from Family Health Division, funding partner from Female Cancer Foundation and KFN staff in the closing ceremony of training on Visual Inspection with Acetic Acid(VIA) conducted in BPKIHS, Dharan in 2017

Cervical cancer is the leading cause of cancer deaths for women worldwide. The worldwide incidence of cervical cancer is approximately 510,000 new cases annually, with approximately 288,000 deaths. It is estimated that around 83 per cent of all the new cases of cervical cancer and 85 per cent of all the deaths occur in the developing countries.

Cervical cancer is the commonest malignancy among women in Nepal. Every year 2,332 women are diagnosed with cervical cancer and 1,367 women die from the disease. Cervical cancer ranks as the first most frequent cancer among women in Nepal and the first most frequent cancer among women between 15 and 44 years of age.

Cervical cancer is one of the easiest cancer to prevent, with regular screening tests and follow-up. Cervical screening helps to find cancer at an early stage. Due to poor access to preventive screening and treatment services, a vast number of cervical cancer deaths occur unnecessarily.

Government of Nepal (GoN) has developed “National Guideline for Cervical Cancer Screening and Prevention in Nepal-2010”, which aims at laying foundation for achieving the implementation of cervical cancer control program in Nepal to reach the target population using most feasible and effective way choosing appropriate techniques and utilizing existing resources.

While the government made a commitment to reduce cervical cancer by introduction of a commendable screening program, there are still challenges to the implementation of cervical screening policy. Therefore, Karuna Foundation Nepal is working closely with, and in order to strengthen the Government of Nepal and contribute to improvement of women’s health through preventive screening and treatment of pre-stages of cervical cancer.


General Objective

To contribute to the improvement of women’s reproductive health by strengthening government healthcare system in order to fight cervical cancer in Nepal

Specific Objectives

  1. To raise awareness on prevention of cervical cancer and regular screening
  2. To build capacity of health workers on prevention and screening of cervical cancer and treatment of precancerous lesion of cervical cancer
  3. To promote utilization of, and provide cervical cancer prevention and screening services
  4. To facilitate timely management of cervical cancer

Intervention Strategies

  1. Policy, Awareness, Advocacy and Networking
  2. Awareness raising
  3. Capacity building of health workers
  4. Provision of screening services
  5. Strengthening referral mechanism


1 Awareness Raising through Health Education

  • Development of Information, Educational and Communication/Behavior Change Communication (IEC/BCC)
  • Orientation of Female Community Health Volunteers (FCHVs) on cervical cancer screening and prevention.
  • Distribution of materials by FCHVs in women’s groups for raising the awareness on cervical cancer
  • Support a lady to summit the Mt. Everest for a noble cause to raise awareness on cervical cancer
  • Prepare documentary
  • School health education

2 Capacity Building of Health Workers

  • Capacity building of 45 health worker (ANM) on screening of cervical cancer screening by Visual Inspection with Acetic Acid
  • Capacity building of 15 health worker (doctors, staff nurse, senior ANM) on Cervical Cancer Screening and treatment of precancerous lesion

3 Equipment Support

  • Distribute 49 sets of VIA equipment and seven sets of cryotherapy equipment

4 Cervical Cancer Screening and Treatment

  • Establish cervical cancer screening service in 56 health facilitates
  • Establish cryotherapy service in seven health facilities (PHCC and district hospital)
  • Organize 12 mobile camps for screening of cervical cancer and treatment of precancerous lesion

5 Strengthening Referral Mechanism

  • Communication and coordination with referral centers

6 Policy, Advocacy, Awareness and Networking (PAAN)

  • Coordination with government and non-government like-minded organization
  • Mark World Cancer Day
  • Advocate to include CCSP in curriculum of health workers

7 Research

  • Research on cervical cancer and dissemination of findings

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