Background:
Cervical cancer is the most common cancer among women in low-income countries and a leading cause of death in sub-Saharan Africa. In South Sudan, where healthcare infrastructure is fragile, cervical cancer services remain severely underdeveloped. WHO estimates suggest 19.3% of female cancer deaths in the country are due to cervical cancer. Despite commitments under the Maputo Plan of Action and the national SRHR policy, there is no national screening programme, no cancer registry, and minimal awareness of cervical cancer among the general public and even healthcare providers.

About the project:
This change project aimed to raise awareness and increase demand for cervical cancer screening at six PHCCs in Juba. The intervention included health education sessions for clients and briefings for staff at each centre. Additionally, a radio talk show was broadcast in conjunction with World Cancer Day to reach a wider audience. A referral pathway was established through collaboration with the Reproductive Health Association of South Sudan (RHASS), which conducted screenings and follow-up care. Advocacy efforts included a presentation to the national Reproductive Health Technical Working Group to push for inclusion of cervical cancer in national data systems.

Results:
Health talks reached hundreds of women at the community level, and referrals led to increased screening uptake at RHASS clinics. Feedback showed growing awareness and interest in screening, especially when outreach services were integrated at the PHCCs. The team’s advocacy contributed to policy discussions about integrating cervical cancer into national health priorities. The project demonstrated that even in fragile contexts, community-based education and strategic partnerships can catalyse SRHR service uptake.