为了消除宫颈癌 (CC)，必须监测预防和护理服务的获取和质量，特别是对于感染艾滋病毒 (WLHIV) 的女性。我们评估了撒哈拉以南非洲 (SSA) 艾滋病毒诊所的实施实践，以确定护理级联中的差距，并使用汇总的患者数据来填充 WLHIV 就诊的艾滋病毒诊所的级联。我们基于设施的调查于 2020 年 11 月至 2021 年 7 月期间进行SSA 的 30 个艾滋病毒诊所参与了国际艾滋病评估流行病学数据库 (IeDEA) 联盟。我们对 CC 预防和护理服务进行了定性站点级评估，并分析了 SSA 中 WLHIV 常规护理的数据。33% 的站点提供了人乳头瘤病毒 (HPV) 疫苗接种。转诊 CC 诊断 (42%) 和治疗 (70%) 很常见，但约 50% 的机构不是免费的。大多数站点都有电子卫生信息系统（90%），但这些站点并未定期收集用于监测 WLHIV CC 消除全球目标的指标数据。仅在 36% 提供 HPV 疫苗接种的场所、33% 提供宫颈筛查的场所以及 20% 提供癌前治疗和 CC 治疗的场所定期收集数据。尽管在一些 HIV 地区早已提供 CC 预防和护理服务SSA 的诊所、患者和项目监控需要改进。各国应考虑利用其现有的卫生信息系统并使用世界卫生组织提供的监测工具来改进 CC 预防计划和获取，并跟踪其在实现消除 CC 目标方面的进展。© 2024 作者。约翰·威利出版的《国际艾滋病协会杂志》

To eliminate cervical cancer (CC), access to and quality of prevention and care services must be monitored, particularly for women living with HIV (WLHIV). We assessed implementation practices in HIV clinics across sub-Saharan Africa (SSA) to identify gaps in the care cascade and used aggregated patient data to populate cascades for WLHIV attending HIV clinics.Our facility-based survey was administered between November 2020 and July 2021 in 30 HIV clinics across SSA that participate in the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. We performed a qualitative site-level assessment of CC prevention and care services and analysed data from routine care of WLHIV in SSA.Human papillomavirus (HPV) vaccination was offered in 33% of sites. Referral for CC diagnosis (42%) and treatment (70%) was common, but not free at about 50% of sites. Most sites had electronic health information systems (90%), but data to inform indicators to monitor global targets for CC elimination in WLHIV were not routinely collected in these sites. Data were collected routinely in only 36% of sites that offered HPV vaccination, 33% of sites that offered cervical screening and 20% of sites that offered pre-cancer and CC treatment.Though CC prevention and care services have long been available in some HIV clinics across SSA, patient and programme monitoring need to be improved. Countries should consider leveraging their existing health information systems and use monitoring tools provided by the World Health Organization to improve CC prevention programmes and access, and to track their progress towards the goal of eliminating CC.© 2024 The Author(s). Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.