Breast and Cervical Cancer Screening in a Semi-Urban African Setting: Evidence from Franceville, Gabon (2015–2021)
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By
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MOUSSAVOU-BOUNDZANGA, Pamela
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Togola, Moussa
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Bivigou-Mboumba, Berthold
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Ambounda, Nathalie Ledaga
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MOUINGA ONDEME, Augustin
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Mfouo-Tynga, Ivan
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Mavoungou-Niongo, Anne-Danielle
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Nzingou, Aime Roger
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Mombo, Landry Erik
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Bisseye, Cyrille
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Pineau, Pascal
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April 28, 2026
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Clinical Scorecard: Screening for Breast and Cervical Cancers in a Semi-Urban Area of Gabon: Insights from Franceville (2015–2021)
At a Glance
| Category | Detail |
|---|
| Condition | Breast and Cervical Cancers |
| Key Mechanisms | Clinical breast examination (CBE) and visual inspection with acetic acid (VIA) |
| Target Population | Women attending routine screening at CHUAB, Franceville |
| Care Setting | Semi-urban healthcare facility |
Key Highlights
- 1,328 women screened between 2015-2021
- Mean age of participants was 35.4 years
- Lower odds of cervical screening positivity in women aged 45-73 years
- Non-Gabonese nationality and public sector employment linked to cervical screening positivity
- Age at first pregnancy between 30-39 years associated with higher odds of breast screening positivity
Guideline-Based Recommendations
Diagnosis
- Routine screening using CBE and VIA for early detection
Management
- Strengthening follow-up systems and improving data management
Monitoring & Follow-up
- Expand screening coverage to enhance cancer control
Risks
- Limited effectiveness of current screening programs outside the capital
Patient & Prescribing Data
Women in semi-urban Gabon
Simple and accessible screening approaches are valuable in resource-limited settings
Clinical Best Practices
- Utilize CBE and VIA for routine cancer screening
- Focus on improving access to screening for older women
- Enhance data management for better tracking of screening outcomes
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