title: Sexual and reproductive health and HIV services: integrating HIV/AIDS and cervical cancer prevention and control.
abstract: People living with HIV are at an increased risk of acquiring HPV and of developing evolutive cervical cancers (women) and penile and anal cancers (men). Low-cost screening-visual inspection with acetic acid, HPV DNA diagnostics and primary care level treatment, cryotherapy for cervical intraepithelial neoplasia (CIN 2), and primary prevention through HPV vaccination of girls aged 9-13 years-makes the goal of eliminating cervical cancer possible in the long term. Integration of cervical cancer screening and treatment into a sexual and reproductive health service package raises programmatic questions and calls for a continuum of care. The latter is only possible when adequate cytopathology skills and treatment for advanced cancer conditions are available. The present paper highlights the role of member societies of the International Federation of Gynecology and Obstetrics (FIGO) in developing the base for an integrated package that responds to women's sexual and reproductive health needs.
authors.affiliation: UNAIDS, Geneva, Switzerland. BelhadjH@unaids.org
authors.forename: Hedia
authors.initials: H
authors.lastname: Belhadj
authors.forename: Jennifer J K
authors.initials: JJ
authors.lastname: Rasanathan
authors.forename: Lynette
authors.initials: L
authors.lastname: Denny
authors.forename: Nathalie
authors.initials: N
authors.lastname: Broutet
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008403:Mass Screening; D030361:Papillomavirus Infections / Q000175:diagnosis; D053918:Papillomavirus Vaccines; D034121:Reproductive Health Services; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000517:prevention & control*
chemical_list: D053918:Papillomavirus Vaccines