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7 % in Benin to 45.9 % in Namibia. Independent determinants of cervical cancer screening were older age (40-49 years) adjusted prevalence ratio (aPR) = 1.77 (95 % CI 1.64, 1.9 compared with younger age (21-29 years), secondary/higher education (aPR = 1.51, 95 CI 1.28-1.79) compared with no education, health insurance (aPR = 1.53, 95 % CI 1.44-1.61) compared with no insurance, and highest socioeconomic status (aPR = 1.39, 95 % CI 1.26-1.52) compared with lowest. The prevalence of cervical cancer screening is substantially low in sub-S