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In Uganda, the incidence rate of cervical cancer is one of the highest in the world with a yearly rate of 54.8 cases per 100,000 women; in comparison, North America has a cervical cancer incidence rate of 6.6 cases for every 100,000 women (Black et al., 2019, p. 1). Majority of women do not receive a diagnosis or biomedical treatment due to Uganda's poor health infrastructure, distance to health facilities, cost of care, and patients’ sociocultural beliefs, resulting in approximately 4,301 deaths per year (Anderson, 2017; Mwaka et al., 2014; Nakasige et al., 2017; UNICEF, 2015; WHO, 2014). Due to the ubiquity and severity of cervical cancer in Uganda, there has been a strong push by doctors and advocates to make radiotherapy (RT), the main treatment of advanced-stage cervical cancer, more accessible to the public (Downing et al., 2019; WHO, 2014; Uganda Cancer Institute). While the efforts to improve Uganda’s health infrastructure is laudable, more focus must be placed on the feasibility of these advanced cervical cancer treatments in a low-income country. I argue that traditional RT for cervical cancer treatment is not viable in Uganda due to the country’s sociocultural values and lack of fertility preservation options. I will present potential fertility sparing cervical cancer treatments, including cervical colonization, cryosurgery, and radical trachelectomy (LMICs) and assess their feasibility in Uganda.

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Cervical Cancer in Uganda: A call for culturally competent prevention

Shayna Orensztein

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