Comparison of Self-Sampling and Gynecologist Sampling for Cytology and HPV DNA Detection in Malaysia

Cervical cancer screening (CCS) participation remain low in Malaysia and is expected to be much lower in rural area or low resource setting due to the poor knowledge about the disease (Min-Son et al., 2009; Wong, 2010). Cervical cancer (CC) ranked the third cancer among women in Malaysia with 45% women diagnosed in late stages (Ariffin et al., 2011). Study showed patients who first diagnosed with cervical cancer have a low survivability rate and even lower survivability among those women who were diagnosed at the late stages compared to early stages (Razak et al., 2013). Cervical cancer incidence among women in Malaysia increases after the age of 30 years and peaks at ages of 65-69 years with age standardized incidence rate (ASR) in this age group 30 per 100,000 (Zainal et al., 2011). Early screening can prevent the disease, however due to economic status and unavailability of effective