Abstract

Cervical cancer the preventive cancer which is the most common cancers among women in developing countries, it lies as the fourth most common killer of women worldwide. As in developed country systemic screening programs have reduced the morbidity and mortality but it still stays challenging in developing countries especially in rural areas where the resources are not adequate to screen maximum women who are at high risk. This study is to understand the prevalence of cervical cancer and human papillomavirus (HPV) in china, India and Nepal and policies for the screening focused for the women of rural settings where resources are difficult to provide. Invasive cervical cancer (ICC) remains an important health problem in all those countries. However, the major burden is observed in rural settings. National screening policy had been made in all those countries but the implementation of nationwide programs for cervical cancer screening still doesn’t exist and majority of women have never been screened. However, governmental and non-governmental organizations have been collaborating to establish demonstration centers in both high and low – resource settings to provide screening and obtain geographic specific data. Till now no any HPV vaccines programs for the prevention of HPV have been licensed as it infections accounts for more than 80% in cancers in China, India and Nepal. In this review we also focus on the assessment of simpler screening methods and it is believed that creativity, flexibility and well-focused use of resources can reduce the inequitable burden of cervical cancer in poor settings.