Benefits | Potential challenges | ||||||
---|---|---|---|---|---|---|---|
Screening approach | Description and pathway to treatment | Screening coverage for a fixed cost | Minimum clinic visits for screening | Option for self-sampling | Option for same-day treatment | Cases misseda | Overtreatment |
VIA alone | A woman is screened with VIA (regular or enhanced). If positive, she is referred directly to treatment | Lowest | 1b | No | Yes | High (will vary by provider) | High (will vary by provider) |
HPV alonee | A woman is screened with an HPV test. If positive, she is referred to treatment without triage | Moderate | 0c–1 | Yes | Only with point of care HPV testingd | Lowest | Highest |
HPV and VIA triage | A woman is screened with an HPV test. If positive, she is referred to a VIA triage test. If the triage test is positive, she is referred to treatment | Moderate | 1c–2 | Yes | Only with point of care HPV testingd | Highest | Low |
HPV and enhanced triagef | Same as HPV & VIA triage, but the triage test is an enhanced/higher-quality test.f | Highestf | 1c–2 | Yes | Moderate | Lowest |