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Title: Harnessing primary healthcare to reduce the burden of cervical cancer in the Eastern Mediterranean Region
Authors: Troisi, G
Gafer, N
Alsawahli, H
Elmusharaf, K
Byström, M
Azar, J
Afifi, M
Hammerich, A
Abu-Odah, H 
Mahmoud, L
Issue Date: Jun-2025
Source: BMJ global health, June 2025, v. 10, no. 6, e017622
Abstract: Cervical cancer remains a significant public health challenge in the WHO Eastern Mediterranean Region (EMR), with significant implications for women’s health and sustainable development. Despite being largely preventable, the EMR reported high prevalence of new cases and deaths in 2022. The burden is expected to increase by 2050. Primary healthcare (PHC) offers a cost-effective platform for delivering essential health services, such as human papilloma virus vaccination and early detection and referral programmes, which are crucial for reducing cervical cancer incidence and mortality. The paper discusses the role of PHC in cervical cancer interventions, showcasing successful examples from EMR countries and examining barriers like resource constraints, sociocultural factors and systemic inefficiencies. It also proposes solutions, such as enhancing infrastructure and human resources, fostering public–private partnerships and adopting innovative screening methods. By addressing these gaps and leveraging PHC’s potential, EMR countries can improve cervical cancer outcomes and promote health equity for girls and women across the region.
Publisher: BMJ Group
Journal: BMJ global health 
EISSN: 2059-7908
DOI: 10.1136/bmjgh-2024-017622
Rights: © World Health Organization 2025. Licensee BMJ.
Open access This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY NC 3.0 IGO), which permits use, distribution,and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL.
The following publication Troisi G, Gafer N, Alsawahli H, Elmusharaf K, Byström M, Azar J, et al. Harnessing primary healthcare to reduce the burden of cervical cancer in the Eastern Mediterranean Region. BMJ Global Health. 2025;10:e017622 is available at https://doi.org/10.1136/bmjgh-2024-017622.
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