Health

Montserrat’s efforts to use local health data to combat cervical cancer have been highlighted in an international case study. Published by the Data to Policy Navigator, a global platform supported by the United Nations Development Programme (UNDP), the case study showcases how the Ministry of Health and Social Services, in partnership with the United Kingdom Health Security Agency (UKHSA), used local research and data analysis to guide the development of a national cervical cancer elimination strategy. According to the report, titled Using Data to Support Cervical Cancer Elimination in Montserrat, the island has faced challenges in cervical cancer prevention due to low screening rates, limited uptake of the Human Papillomavirus (HPV) vaccine, and reliance on costly overseas testing for Pap smear samples. To address these challenges, the Ministry conducted an HPV prevalence study among women aged 25 to 64 between 2024 and 2025. Using geographic information system technology and data from the 2023 Population and Housing Census, researchers identified households across the island and invited eligible women to participate in the study. Samples were tested locally at Glendon Hospital using GeneXpert technology, reducing result turnaround times from several weeks to just a few hours.The study found that 14.6 per cent of women tested positive for high-risk HPV, meaning approximately one in seven women of screening age on the island were at an elevated risk of cervical disease. Researchers also recorded a 92 per cent participation rate among eligible women who were invited to take part.The findings are now being used to guide decisions on HPV vaccination, screening programme design, diagnostic equipment investment, and the development of a national cervical cancer elimination strategy. The study also established on-island HPV DNA testing capability, significantly reducing both costs and waiting times for patients. The report notes that Montserrat’s experience may serve as a model for other Small Island Developing States facing similar healthcare and data challenges.It highlights the island’s innovative use of census and geographic data, rapid local testing, and evidence-based policymaking as examples of how data can be used to improve public health outcomes. The entire report can be found on www.datatopolicy.org.