Eliminating Cervical Cancer

HPV primary screening & HPV follow-up

Provinces and territories across Canada are moving towards HPV testing for cervical screening, to detect cervical cancer earlier and prevent more cancers than the Pap test.

Plans for HPV screening in some areas across Canada include self-sampling, where individuals can collect their own sample in a comfortable setting and at a time they choose. Self-sampling can support more equitable cervical screening by providing care closer to home and support culturally safer cervical screening.

Self-sampling can support more equitable cervical screening by providing care closer to home and support culturally safer cervical screening. People across Canada continue to experience barriers to getting screened.

Switching to HPV screening creates an opportunity to address these barriers to screening, including lack of access to healthcare providers and history of trauma. Jurisdictions are collaborating closely with communities that experience barriers to screening, including people who live in rural and remote settings, members of some cultural communities, LGBTQ2S+ individuals and First Nations, Inuit and Metis to ensure plans for HPV screening support the needs of those most effected by barriers to screening.

Steps must be taken to ensure coordinated, timely and appropriate follow-up for people with a positive cervical screening test. Bringing follow-up care closer to home, for First Nations, Inuit and Metis and all people in Canada who must travel significant distances from their home and family to receive care will be essential to ensure people who test positive for HPV receive the care they need in a timely way. The Action Plan for the Elimination of Cervical Cancer calls for the implementation of HPV primary screening (Priority 2) and improving follow-up of screening results (Priority 3) by:

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Impact on First Nations, Inuit and Metis

The Action plan includes Rrst Nations, Inuit and Metis-developed priorities. These priorities include culturally appropriate care close tb home and other initiatives related to the switch co HPV primary screening as well as timely and appropriate follow-up. Cancer agencies and programs should work In collaboration with First Nations, Inuit and Metis partners to embed these actions within activities related to HPV primary screening and follow up.

Call to action