Cervical Cancer Screening Change Package

For all women aged 21 to 65 years who have a cervix, without previously diagnosed high-grade precancerous lesions or cervical cancer, no exposure to diethylstilbestrol in utero, and not immunocompromised (see the U.S. Preventive Services Task Force recommendation).

Select a Focus Area

To help you make your selection, read the descriptions below or view the organizing framework in the Cancer Screening Change Packages: Overview. [PDF-787KB]

Social Determinants of Health

The social determinants of health focus area includes tools and resources to inform and educate about “the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies, racism, climate change, and political systems.”1

Individual and Community Awareness

The individual and community awareness focus area includes tools and resources to inform and educate the public about cancer, risk factors, and screening practices to increase awareness about and demand for cancer screening services.

Community-Clinical Linkages

The community-clinical linkages focus area includes tools and resources to—

  • Engage community members and organizations to support screening efforts.
  • Reduce structural barriers to screening in the community.
  • Implement bi-directional outreach and referral between community and clinical organizations.

Capacity Building for Providers and Staff

The capacity building for providers and staff focus area includes tools and resources for health care staff to increase knowledge and skills, improve cancer screening practices, and monitor and report on screening performance.

Screening Policies, Procedures, and Practices within Health Facilities

The screening policies, procedures, and practices within health facilities focus area includes tools and resources to assess the status of cancer screening, make cancer screening a priority, reduce structural barriers, and use data to identify patients due for screening and opportunities to improve cancer screening rates within a clinical setting or system.

Follow-up and Referral

The follow-up and referral focus area includes tools and resources to—

  • Promote and support regular screening per USPSTF recommendations.
  • Ensure timely referral for diagnostic testing, treatment, and other appropriate next steps, such as genetic testing, when screening tests are abnormal.


1Centers for Disease Control and Prevention. Social Determinants of Health at CDC. Accessed December 9, 2022.