Figure 1: Guidelines for primary cytology# screening in South Africa Cervical cytology Negative for intra-epithelial lesions or malignancy ASCUS or LSIL HGSIL+ Low risk Medium risk High risk S Screen Triage* + Treat† - S Follow S Follow # To be phased out over time * High resource setting: cyto-staining; HPV test, repeat cytology * Low resource setting: VILI / VIA, repeat cytology † Treatment in high resource settings is usually done after colposcopy ± biopsy confirmation † In low resource settings treat all patients at first recall visit