False-Positive Screening, Over-Referral, and Length of time between Cervical Cancer Early Detection and Confirmed Diagnosis Over Nine Years in Lusaka, Zambia
The high rate of false-positives and long wait times call for expanded service infrastructure, particularly in rural settings, and continuing provider education/training to optimize screening sensitivity and shorten wait times in the Lusaka Province. Such measures may reduce the overload on the existing histopathology infrastructure and may provide lessons for other limited-resource countries facing similar cancer control and prevention challenges.
Authors
- Amr S. Soliman (ORCID: https://orcid.org/0000-0003-2284-360X)
- Ronald Fisa (ORCID: https://orcid.org/0000-0002-1953-5190)
- Alick Chuba
- Catherine Mwaba (ORCID: https://orcid.org/0009-0002-3206-7755)
- Susan Msadabwe (ORCID: https://orcid.org/0000-0003-3887-3790)
- Mario Jesus Trejo (ORCID: https://orcid.org/0000-0002-6805-0261)
- Rabea Hinkel (ORCID: https://orcid.org/0000-0002-2936-0400)
- Kennedy Lishimpi (ORCID: https://orcid.org/0000-0001-7751-4200)
- Bushimbwa Tambatamba
- Mulele Kalima (ORCID: https://orcid.org/0000-0003-0468-4983)
- Fred C. Ng’uni
Institutions
- City College of New York (US)
- Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa (ZA)
- Ministry of Health (ZM)
- University of Arizona (US)
- University Teaching Hospital (ZM)
- University of Zambia (ZM)
- Fred Hutch Cancer Center (US)
- National HIV/AIDS/STI/TB Council (ZM)
Publication Details
- Journal
- Journal of Epidemiology and Global Health
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1007/s44197-025-00478-8
- Primary Topic
- Cervical Cancer and HPV Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00