1. S S S - Figure 2: Guidelines for primary HPV screening in South Africa
Cervico-vaginal
hrHPV§
Negative for hrHPV types
Non-discriminatory test: Positive hrHPV types
Discriminatory test: Positive for other hrHPV types
Discriminatory test:
Positive for highest risk HPV types
<35 years & HIV neg
>35 years or HIV pos
Low risk
Medium risk
High risk S
Screen
Triage* +
Treat† - S
Follow S
Follow
§ Tests for high risk HPV types; DNA or RNA
* High resource setting: cytology, partial genotyping, cyto-staining or colposcopy
* Low resource setting: VILI / VIA or cytology
† Treatment in high resource settings is usually done after colposcopy ± biopsy confirmation
† In low resource settings treat all patients at first recall visit