Cervical cancer remains a significant threat to women’s health in Suriname, with an estimated 45 to 50 deaths annually. Experts emphasize that a substantial portion of these fatalities are preventable through timely screening, HPV vaccination, and improved public awareness, particularly during January, International Cervical Cancer Awareness Month.
A Persistent Public Health Challenge
Data from 2020 to 2023 indicates that cervical cancer continues to be a leading cause of death among women in the country. “A large number of these deaths could be avoided with timely screening and better education,” says Dr. Marvin Dipokromo, a gynecologist-obstetrician at Diakonessenhuis.
The Role of HPV
Cervical cancer develops in the cervix and is caused in over 99 percent of cases by the human papillomavirus (HPV), specifically high-risk types 16 and 18. The disease typically progresses slowly, often with years of precancerous cell changes preceding the development of invasive cancer. These early changes can be readily detected through Pap tests and/or HPV testing.
Detecting Cancer in its Early Stages
“In the early stages, cervical cancer usually presents no symptoms,” explains Dr. Dipokromo, who has nearly fourteen years of experience. “When symptoms do appear – such as bleeding after intercourse, abnormal vaginal bleeding, pain during sexual activity, or persistent vaginal discharge – the disease is often already advanced.”
Rising Cases Among Younger Women
Recent years have seen an increase in precancerous cervical changes and even cervical cancer diagnoses among younger women. This trend is believed to be linked to earlier sexual activity combined with a lack of comprehensive sexual health education and access to preventative care. While the body can often clear HPV infections on its own, this is not always the case.
Effective Prevention Strategies
Regular screening is both accessible and effective. A Pap test is painless, typically takes only five minutes, and can save lives. Women who have been sexually active for at least two years are advised to undergo regular screening. HPV vaccination is also strongly recommended for both girls and boys.
Access to Screening at Diakonessenhuis
The gynecological clinic at Diakonessenhuis offers both Pap tests and HPV testing. However, a lack of awareness, misinformation, and the absence of health insurance remain barriers to screening for many women.
The Need for a National Awareness Program
“Suriname currently lacks a comprehensive and structured awareness program, as existed in the past,” Dr. Dipokromo emphasizes. “Increased public education is urgently needed to inform women about the importance of prevention.”
The message is clear: cervical cancer is often preventable, and when detected early, is highly treatable. Timely screening, HPV vaccination, and accessible education are crucial to reducing the number of deaths in Suriname.
