Introduction: Cervical cancer has long been known as a preventable disease. Yet it still is a prime women’s
health issue globally. In Malaysia, the current cervical cancer screening program, introduced in the 1960s, has
been found to be unsuccessful in terms of Pap smear coverage. The aim of this study is to determine providers
perceptives on the program and the feasibility of practicing an organized cervical screening program in Malaysia.
Methods: 11 key informant interviews were conducted with policy makers and health care providers from the
Ministry of Health in Malaysia from October 2009 to May 2010. Interviewees’ perceptions were explored on
current and organized cervical screening program based on their expertise and experience. Results: The results
highlighted that the existing cervical screening program in Malaysia faced flaws at all levels that failed to reduce
cervical cancer morbidity and mortality. The identified weaknesses were poor acceptance by women, lack of
commitment by health care providers, nature of the program, an improper follow-up system, limited resources
and other competing needs. Complementarily, all interviewees perceived an organized cervical screening program
as an alternative approach both feasible and acceptable by women and government to practice in Malaysia.
Conclusion: Better screening coverage depends on an effective screening program that incorporates a behaviourbased
strategy. A new program should be focused in the policy-making context to improve screening coverage
and to effectively combat cervical cancer.