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This is one of the first English\u2010language reports of a real\u2010world cervical cancer prevention effort associated with a decisive impact on health outcomes in a contemporary developing country. Lessons learned: if our ideological commitment is to improve health outcomes as rapidly as possible among as many people as possible, then Papanicolaou screening (with or without HPV or visual screening) must be implemented without further delay in any setting where cervical screening is appropriate but unavailable; consideration must be given to HPV vaccination after, rather than before, full coverage of target demographic groups by screening services has been achieved and\/or the possibility has been excluded that HPV vaccination may be ineffective for cancer prevention. Competing ideological commitments engender imprudent yet commercially useful alternative strategies prone to decelerate global reductions in mortality by suppressing the more\u2010rapid uptake of less\u2010expensive open\u2010source technology in favor of the less\u2010rapid uptake of more\u2010expensive proprietary technologies with uncertain real\u2010world advantages and unfavorable real\u2010world operational limitations. Global cervical cancer prevention efforts will become more effective if global health leaders, including the Bill &amp; Melinda Gates Foundation, embrace an ideological commitment to improving health outcomes as rapidly as possible among as many people as possible and assimilate the policy implications of that commitment. Diagn. 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