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In 2017, 2020, and 2023, cross\u2010sectional surveys were conducted at HIV care sites across 5 continents within the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. We described cancer screening availability in 2023 and over time for cervical and anal cancer screening using generalized estimating equations with a logit link function to account for site clustering, rurality, and country income. Of the 220 sites in the 2023 survey, 61% (134\/220) reported cervical cancer screening by cytology or human papillomavirus (HPV) testing on\u2010site, and 88% (194\/220) reported cervical cancer screening by any method, including visual inspection. At sites serving predominantly rural populations, 62% (29\/47) exclusively performed screening by visual inspection. Overall, 23% (50\/220) of sites performed cytology\u2010based anal cancer screening on\u2010site, and 16% (35\/220) had availability of high\u2010resolution anoscopy, either on\u2010site or by referral. Screening for cancer of the liver, colon, lung, prostate, or breast (by imaging) were each available at less than 43% of sites. The odds of cervical cancer screening availability increased by 16% annually from 2017 through 2023 (aOR\u2009=\u20091.16, 95% CI: 1.07\u20131.27,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001), while the relative odds of anal cancer screening availability decreased by 9% annually (aOR\u2009=\u20090.91, 95% CI: 0.84\u20130.99,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.023). Lack of trained staff was the most frequently reported barrier, followed by lack of equipment. Understanding current practices and capacity is essential for the continued integration of cancer prevention in HIV care.\n                  <\/jats:p>","DOI":"10.1002\/ijc.70503","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T04:31:19Z","timestamp":1776400279000},"page":"1477-1489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Availability of Cancer Screening Across\n                    <scp>HIV<\/scp>\n                    Treatment Sites in the\n                    <scp>IeDEA<\/scp>\n                    Consortium"],"prefix":"10.1002","volume":"159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7111-3040","authenticated-orcid":false,"given":"Rachael A.","family":"Pellegrino","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan E.","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Pujari","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Fink","sequence":"additional","affiliation":[{"name":"Research Department Fundacion Huesped  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gad","family":"Murenzi","sequence":"additional","affiliation":[{"name":"Goodlife Access  Kigali Rwanda"},{"name":"University of Rwanda  Kigali Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7569-8173","authenticated-orcid":false,"given":"Miriam","family":"Nakalembe","sequence":"additional","affiliation":[{"name":"Department Obstetrics and Gynecology Makerere University  Kampala Uganda"},{"name":"Infectious Diseases Institute, College of Health Sciences Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally B.","family":"Coburn","sequence":"additional","affiliation":[{"name":"Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0554-2875","authenticated-orcid":false,"given":"Eliane","family":"Rohner","sequence":"additional","affiliation":[{"name":"Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3426-9492","authenticated-orcid":false,"given":"Antoine","family":"Jaquet","sequence":"additional","affiliation":[{"name":"University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Centre  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Lade","sequence":"additional","affiliation":[{"name":"Gold Coast Sexual Health Service, Gold Coast Hospital and Health Service  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Crabtree Ramirez","sequence":"additional","affiliation":[{"name":"Departamento de Infectolog\u00eda Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Anastos","sequence":"additional","affiliation":[{"name":"Department of Medicine Albert Einstein College of Medicine  Bronx New York USA"},{"name":"Department of Epidemiology &amp; 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