Cervical cancer is a major public health problem of women in low income countries like Nigeria. Globally 1.4 million women live with the disease and 7 million people may have precancerous changes. Eighty percent of the 493,000 annual new cases and 80-85% of annual deaths from cervical cancer occur in Low Income Countries (LIC) having less than 5% of the global cancer resources. In Nigeria 9,922 cases are diagnosed annually and 8,030 die. These figures will increase by about 25% in 10 years. The incidence rate ranging from 25 to 30 per 100,000 women is 5-6 times higher than the incidence in High Income Countries. Affected women come with advanced disease posing great challenge to the struggling health system. The disease is considered a ‘Sexually Transmitted disease’ with Human Papillomavirus (HPV) as the necessary cause. Nigerian women of all ages have a high HPV prevalence of 26.3% due to many determinants and co-factors like early sexual debut, multiple sex partners, low condom use,...

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