Prevention and control of cervical cancer

Cervical cancer is the leading cause of cancer death in women in Peru. Research in this field seeks to identify the burden of this disease in different population groups and save lives. Through several studies, I have contributed to a better understanding of this problem and proposed accessible and effective solutions.

One of my main efforts has been to analyze inequities in cervical cancer care among Indigenous Peruvian women. This study revealed that rural women, especially those who speak Indigenous languages, face significant barriers to accessing early detection testing and specialized treatment, underscoring the need for inclusive policies and equitable access to health services.

We also explored the psychosocial barriers faced by cancer survivors in the Andes, identifying individual, interpersonal, and institutional challenges that limit access to quality care, highlighting the importance of patient-centered policies.

Additionally, we have assessed the burden of human papillomavirus (HPV) infection in Indigenous women in Ucayali through the AINBO study, and in Lima, we have analyzed this burden in sex workers through the Girasol study. This study showed that 7 out of 10 sex workers had HPV, and almost half had high-risk types, reinforcing the urgency of vaccination campaigns and early screening. In this particularly vulnerable group, we evaluated an alternative HPV vaccination schedule and found that it works just as well as the traditional one and can be administered during routine medical visits, protecting more women. These efforts, along with our participation in a Lancet review where we described the incidence, mortality, survival, and consequences of breast and cervical cancer at the global and regional levels, reflect our commitment to addressing disparities and promoting cervical cancer prevention, saving lives and empowering the most vulnerable communities.

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From where we stand, each of us can contribute to achieving greater equity. Health is a right, not a privilege.

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