1. Who and when to screen - All women aged 25–69 who have ever had sexual intercourse are advised to undergo regular cervical cancer screening. Ages 25–29: Recommended Pap smear every 3 years. Ages 30–69: Recommended HPV DNA test every 5 years, as it’s more sensitive for detecting precancerous changes.
2. Screening goals and latest guidelines - Screening aligns with WHO’s global targets (90% girls vaccinated, 70% women screened by ages 35 and 45, 90% treated) to eliminate cervical cancer by the end of the century.
3. HPV self‑sampling trial - In May 2025, the Singapore Cancer Society launched a pilot community HPV self‑sampling programme at Tampines West Community Club (in collaboration with A4HPV) to improve accessibility and participation. Women collected samples themselves in private, and the efficacy matched clinician‑collected HPV testing, with strong acceptability reported.
4. Cost & subsidy options - Screening is highly subsidised or free under the Screen for Life programme, CHAS GP clinics, polyclinics, and the Singapore Cancer Society Clinic. HPV tests for women aged 30+ range from free to SGD 5 (GP) or up to \~SGD 22 at polyclinics for Singapore citizens under CHAS or MediSave schemes.
5. Awareness & uptake challenges - Despite high awareness (nearly 90% know about Pap tests, 55% aware of HPV tests), actual screening uptake is low (\~43% of women aged 25–74 have been screened).
Early detection through regular screening—Pap smear or HPV test—can identify and treat precancerous changes before they progress, potentially preventing cervical cancer. When combined with HPV vaccination, the risk decreases significantly.
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