Suriname faces a persistent healthcare crisis as cervical cancer continues to claim between 45 to 50 women’s lives each year, despite being largely preventable through timely screening and vaccination. January, recognized internationally as Cervical Cancer Awareness Month, highlights the urgent need for enhanced preventive measures in the South American nation.
Medical statistics from 2020-2023 reveal cervical cancer remains among the leading causes of female mortality in Suriname. According to Marvin Dipokromo, gynecologist-obstetrician at Diakonessen Hospital, early detection proves crucial in combating this disease. “A significant portion of these fatalities could be prevented through timely screening and improved public education,” he emphasizes.
The malignancy develops in the cervix and is predominantly caused (over 99% of cases) by high-risk strains of human papillomavirus (HPV), particularly types 16 and 18. The disease progression typically occurs slowly, often taking years of precancerous cellular changes before developing into invasive cancer. These preliminary abnormalities can be readily detected through Pap smears and HPV testing during early stages.
“Cervical cancer generally presents no symptoms during initial development,” explains Dipokromo, drawing on his fourteen years of medical experience. “When warning signs eventually emerge—including contact bleeding, abnormal vaginal discharge, or pain during intercourse—the disease has frequently advanced to more serious stages.”
Concerningly, medical professionals have observed increasing cases of cervical abnormalities and cancer among younger women in recent years. This trend is potentially linked to earlier sexual activity initiation combined with insufficient structured education and preventive healthcare. While the immune system typically clears HPV infections naturally, this does not occur universally.
Regular screening provides a low-barrier, highly effective prevention method. Pap smears are non-painful procedures requiring approximately five minutes that can ultimately save lives. Medical authorities recommend regular examinations for women who have been sexually active for at least two years. HPV vaccination is strongly recommended for both girls and boys as additional protection.
Despite Diakonessen Hospital’s gynecology department offering Pap smear and HPV testing services, significant barriers persist. Widespread ignorance, misinformation, and lack of health insurance coverage prevent many women from seeking essential screenings.
“Suriname currently lacks a comprehensive, structured awareness program such as those previously implemented,” Dipokromo stresses. “Enhanced public education is urgently needed to emphasize prevention’s critical importance.”
The medical community’s message remains clear: cervical cancer is largely preventable through timely screening, HPV vaccination, and accessible education. These measures form the cornerstone of reducing preventable deaths across Suriname.