Cervical Cancer Elimination Framework: National Strategy to 2030

Published May 2026 and actively being implemented across provinces from July 2026 onward, South Africa's National Strategic and Implementation Framework for Cervical Cancer Elimination 2026–2030 sets out the country's comprehensive plan to eliminate cervical cancer by the end of the decade.

The framework commits to

• Vaccination: 90 percent of girls fully vaccinated against HPV by age 15
• Screening: Transition to HPV DNA testing as the primary screening method. 70 percent of women screened by age 35 and again by age 45
• Treatment: Decentralise precancer treatment so every district can provide care. Ensure 90 percent of women receive appropriate cancer care
• Survivor support: Improve follow-up care and quality of life for women treated
• The document explicitly recognises that the burden falls disproportionately on women living with HIV, women in rural areas, and women dependent on the public healthcare system, and that elimination will only be achieved if services are designed to reach these women first.
• "Eliminating cervical cancer is not just a health priority, it is a matter of equity and social justice," states the framework. "No woman should be denied care because of where she lives or how much she earns."

What this means for you

• Better screening: More accurate HPV DNA tests replacing Pap smears over time
• Closer to home: Treatment for precancer becoming available at local clinics, not just major hospitals
• Integrated care: Women living with HIV should be screened at the same time and place they collect their medication
• Urgency: Every woman aged 30 to 60 should ensure she is screened. Screening saves lives.

What you can do

• Check your screening status. If you have never been screened, or your last test was more than five years ago, make an appointment at your clinic today. Screening is free in the public sector. Bring your ID. Say: "I am here for cervical screening as part of the national elimination programme."
• Disclaimer: These articles are for informational purposes only and do not constitute medical advice. Always consult a qualified healthcare professional regarding your specific health needs. If you are experiencing symptoms or have concerns about your health, seek professional care promptly.