Beginning in November 2016, cervical cancer screening and management was integrated into routine clinical services offered at Botswana-Baylor clinic, targeting sexually active girls and young women older than 15. The Botswana national cervical cancer screening guidelines recommend screening for women aged 30-49. However, increasing numbers of cervical cancer cases were being identified among younger women and girls served at Botswana-Baylor.
Between November 2016 and June 2017, we screened 53 patients aged 18-26 years. Of these, six were positive for human papillomavirus, a cause of cervical cancer. In addition, 16 patients were diagnosed and referred for treatment for sexuallytransmitted infections, including genital warts, genital herpes, and Candida.