1. 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