Cancer screening tests every Kenyan adult should know about

Cancer is now Kenya’s third leading cause of death, and health officials keep repeating the same message: most of it is catchable early, if people actually get screened.
The trouble is most people don’t know which test applies to them, at what age, or where to get it without breaking the bank. Here’s the breakdown.
Which tests you need, and when to start
For women, cervical cancer screening via VIA (visual inspection with acetic acid) is the most widely available option, and it’s the one Kenya leans on hardest.

A Frontiers in Oncology study assessing screening capacity across 25 counties in 2024 found the primary method used was “VIA in 96.0% of the hospitals” offering the service, well ahead of Pap smears or HPV DNA testing, which remain limited by cost and lab capacity. Women aged 25 to 65 are advised to get screened, ideally every three years if the result is clear.
Breast cancer screening follows a slightly different clock. Kenya’s guidelines recommend an annual mammogram for women aged 40 to 55, then every two years from 56 onwards.

A clinical breast exam is worth doing yearly regardless of age, since it’s free at most public facilities and catches lumps a mammogram might miss in younger, denser breast tissue.
For men, a PSA blood test remains the standard first step for prostate cancer, generally recommended from age 50, or 40 if there’s a family history. It’s a simple draw, results usually ready within a day or two.
Where to get screened, and what it actually costs
Public facilities are your cheapest entry point. VIA screening is available at many government health centres for under Ksh 500, and some county hospitals run it free during awareness months.

Kenyatta National Hospital and Kenyatta University Teaching, Referral and Research Hospital both offer mammography, Pap smears and PSA testing, though private hospitals have recently cut prices too, bringing prices down during promotional periods.
The honest catch: screening exists on paper more consistently than it exists in practice, especially outside major towns. If cost or distance is the barrier, ask your nearest level 4 or 5 public hospital about free screening days, they run more often than most people realise, particularly in October and during Kenya’s Cancer Awareness Month in January.