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In Viet Nam's national WHO STEPS surveys, the share of women who had ever been screened for cervical cancer fell from 24.86% in 2015 to 16.36% in 2021, with wider gaps by ethnicity, wealth and region.
A secondary analysis of the nationally representative 2015 and 2021 Vietnam WHO STEPS surveys, defining screening as a self-reported history of ever having a Pap smear, visual inspection with acetic acid or Lugol's iodine, or an HPV test, with survey-weighted estimates and logistic regression.
Among 4,168 women, 20.47% had ever been screened: 24.86% in 2015 and 16.36% in 2021. Kinh women (adjusted odds ratio 2.56), urban residents (1.27) and women who were or had been married were more likely to have been screened.
Cervical screening reached far fewer women than the 2016 to 2025 national plan aimed for, and the 2026 to 2035 plan moves to HPV testing, including self-sampling, and asks for insurance to pay for screening.
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