Cervical Cancer (Cx Ca) counselling, Screening & Treatment Flow Chart

(ART/PMTCT Clinics, OPDs)

Client Seen
in SDP

Provide Counseling on CxCa

Counsel on Cx Ca prevention
Referring SDP ( ART/PMTCT Clinic, OPDs)


Has sexual  Provide routine care
No
experience?  No need to screen
 Document on Cx Ca tracking tool
Yes
Yes
Pregnant
or < 3 months post-
partum? End
No

Previously
screened for
 Remind next re-screening date
CxCa?
 Provide routine care
Yes  Document on Cx Ca tracking tool

No Need CxCa
No
re-screening?
 Document reason for refusal
Yes
 Provide routine care
Offer CxCa Screening  Provide follow up counselling /
reminder with in 2 weeks
 Document on Cx Ca tracking tool
Client Accepted? No

Yes

 Complete Pre Cx Ca counseling & linkage form End

document on Cx Ca tracking tool
 Provide routine care
 Conduct escorted linkage to Cx Ca screening unit

Referring SDP( ART/PMTCT, OPDs)

 Referring Clinician from the SDP reviews completed
Cx Ca intake form
 Updates ART follow up form ( ART/PMTCT clinicians)
 Updates CxCa tracking tool
 Submit client chart to ART data room to update EMR
Cx Ca screening Unit

 Provide service as per National Cx Ca screening & management Guideline &

Algorithm
 Complete Cx Ca intake form attached to client charts, and complete Cx Ca
register to document service provided
 Provide the same day treatment ( single visit approach) for VIA positive clients
eligible for cryotherapy / Thermal ablation
 Return clients chart back to referring SDP ( ART clinic/PMTCT, OPDs)
through ACMs / site SOP