Breast and Cervical Cancer Screening in a Semi-Urban African Setting: Evidence from Franceville, Gabon (2015–2021) - Summary - MDSpire

Breast and Cervical Cancer Screening in a Semi-Urban African Setting: Evidence from Franceville, Gabon (2015–2021)

  • By

  • MOUSSAVOU-BOUNDZANGA, Pamela

  • Togola, Moussa

  • Bivigou-Mboumba, Berthold

  • Ambounda, Nathalie Ledaga

  • MOUINGA ONDEME, Augustin

  • Mfouo-Tynga, Ivan

  • Mavoungou-Niongo, Anne-Danielle

  • Nzingou, Aime Roger

  • Mombo, Landry Erik

  • Bisseye, Cyrille

  • Pineau, Pascal

  • April 28, 2026

  • 0 min

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Objective:

To describe the screening outcomes and associated factors for breast abnormalities and suspected cervical lesions at CHUAB in Franceville, Gabon.

Key Findings:
  • 1,328 women participated, with a mean age of 35.4 ± 10.8 years.
  • Women aged 45–73 years had lower odds of cervical screening positivity (OR = 0.52).
  • Non-Gabonese nationality and public sector employment were associated with cervical screening positivity.
  • An age at first pregnancy between 30 and 39 years was linked to higher odds of breast screening positivity (OR = 3.90).
Interpretation:

The study highlights the effectiveness of VIA and CBE in detecting cervical lesions and breast abnormalities in a semi-urban Gabonese setting, indicating the need for improved screening strategies.

Limitations:
  • The study is retrospective and may be subject to biases in data collection.
  • Limited generalizability due to the focus on a single hospital in a semi-urban area.
Conclusion:

Routine screening for breast and cervical cancers in Gabon shows promise, and enhancing follow-up systems and data management could improve cancer control efforts.

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