Prevalence of cervical cancer among village women: a study in an Upazilla Health Complex in Bangladesh


  • M. Taslima Abid Sariakandi Upazilla Health Complex, Bogura, Bangladesh
  • Nofisa Khatun Dhupchanchia Upazilla Health Complex, Bogura, Bangladesh
  • Umme Kulsum Ullapara Upazilla Health Complex, Sirajganj, Bangladesh
  • Sultana Razia Department of Obstetrics and Gynaecology, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh
  • Akhtari Hossain Chowdhury Department of Obstetrics and Gynaecology, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh



Cervical cancer, Village women, Visual inspection with acetic acid, HPV, Tumor


Background: Cervical cancer arises when cells in the cervix undergo abnormal changes, leading to tumor formation. Although preventable, it remains the fourth most commonly diagnosed cancer and the leading cause of cancer-related deaths among women. This study aimed to assess the prevalence of cervical cancer among village women.

Methods: This prospective observational study was conducted at Upazilla Health Complex (UHC), Sariakandi, Bogura, Bangladesh from January 2023 to December 2023. As the study subjects, a total of 1186 village women who participated in the cervical cancer screening program of the mentioned UHC were enrolled purposively. For data analysis, MS Office tools were applied.

Results: In this study, the majority of participants belonged to the >40 years’ age group (53.2%), were housewives (73%), married at the age of 20 or younger (59%), and reported negative vaginal discharge (53%). Among the total participants, the prevalence of cervical cancer, as determined by visual inspection with acetic acid (VIA) tests, was found to be 1.18%.

Conclusions: In comparison to other South Asian or African countries, the prevalence of cervical cancer among village women in Bangladesh is relatively low. However, housewives aged over 40 years, experiencing negative vaginal discharge, and marrying at age 20 or younger are particularly susceptible to such diseases here.


Shastri S, Mittra I, Mishra G, Gupta S, Dikshit R, Singh S, et al. Effect of VIA screening by Primary Health Workers: Randomized Controlled Study in Mumbai, India. J Natl Cancer Inst. 2014;106(3):1-7.

Zeba D. Visual Inspection with Acetic Acid for Cervical Cancer Screening: Bangladesh Perspective. Faridpur Med Coll J. 2018;13(2):56-7.

Rahman F, Bhattacharjee A. Awareness level of cervical cancer among rural women attending Manikgonj 250 bedded district hospital, Manikgonj. J Enam Med Col. 2019;9(1):34-40.

Sankaranarayanan R, Budukh A, Rajkumar R. Effective screening programs for Cervical Cancer in low- and middle-income developing countries. Bulletin of the World Health Organization. 2001;79(10):954-62.

Haque M, Haque E, Karim M. Cervical Cancer in low-income countries: A Bangladesh perspective. Int J Gynecol Obstet. 2021;152:19-25.

Ahmed T, Ashrafunnessa, Rahman J. Development of a visual inspection program for cervical cancer prevention in Bangladesh. Reproductive Health Matters. 2008;16(32):78-85.

Parmer T, Kawr J, Sultana F, Vu T, Truong. Cervical cancer prevention in Bangladesh: awareness and accessibility to preventive methods: a systematic review. Proceeding of the 5th international conference on natural sciences and technology (ICNST’18). Asian University for Women, Chittagong, Bangladesh; 2018.

Papri FS, Khanam Z, Islam F, Hakim M. Knowledge and awareness about risk factors of cervical cancer, its screening and vaccination among the women attending Chittagong Medical College Hospital. Chattagram Maa-O-Shishu Hospital Medical College Journal. 2015;14(2):57-60.

Kashyap N, Krishnan N, Kaur S, Ghai S. Risk factors of cervical cancer: a case-control study. Asia Pac J Oncol Nurs. 2019;6:308-14.

Hasnain M, Akter M, Sharafat M, Mahmuda A. Morbidity patterns, nutritional status and healthcare seeking behavior of female garment workers in Bangladesh. Electronic Physician. 2014;6(2):801-7.

Akhter S, Salahuddin A, Iqbal M. Health and occupational safety for the female workforce of garment Industries in Bangladesh. J Mech Eng. 2010;41(1):65- 70.

Lillypet S, Jain T, Joseph B. Health problems among garment factory workers; a narrative literature review. JOHE. 2017;6(2):114-21.

Naznin M, Hossain MZ, Saha S, Neela FA. Prevalence of cervical intraepithelial neoplasia and cervical carcinoma in a tertiary care hospital at Rajshahi. Int J Res Med Sci. 2024;12:26-31.

Benard VB, Johnson CJ, Thompson TD, Roland KB, Lai SM, Cokkinides V, et al. Examining the association between socioeconomic status and potential human papillomavirus‐associated cancers. Cancer. 2008;113(S10):2910-8.

Parikh S, Brennan P, Boffetta P. Meta‐analysis of social inequality and the risk of cervical cancer. In J Cancer. 2003;105(5):687-91.

Mekuria M, Edosa K, Endashaw M, Bala ET, Chaka EE, Deriba BS, et al. Prevalence of cervical cancer and associated factors among women attended cervical cancer screening center at Gahandi Memorial Hospital, Ethiopia. Cancer Inform. 2021;20:11769351211068431.

Hossain MG, Islam S, Aik S, Zaman TK, Lestrel PE. Age at menarche of university students in Bangladesh: secular trends and association with adult anthropometric measures and socio-demographic factors. Journal of Biosoc Sci. 2010;42(5):677-87.

Shirin F, Chowdhury FI, Sultana M, Chowdhury SJ, Sultana N, Karim T, et al. Screening for cervical cancer (By VIA Test) among selected garment workers in Chattogram, Bangladesh. Int J Reprod Contracept Obstet Gynecol. 2023;12:1206-11.






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