iarjimphIARJIMPHIARJIMPH2709-331Xhttps://doi.org/10.47310/iarjimph.2021.v02i01.013A comparative analysis of cervical cancer screening differentials between women in Chegutu Rural and Chegutu Urban of ZimbabweElimonNyamambiNational AIDS Council, Chegutu ZimbabweCervical cancer is the most common cancer and a major cause of morbidity and mortality among women in Zimbabwe owing to late presentation. Studies have shown that women in rural areas have poor knowledge compared to women in urban areas about cervical cancer and screening. Cervical cancer is preventable, detectable and highly curable if treatment is sought early. A cross sectional study was carried out in ward 9 of Chegutu rural and ward 11 of Chegutu urban. This study is a comparative analysis of cervical cancer differentials between women in Chegutu rural and Chegutu urban and it used quantitative data collection methods. Data were collected using a structured questionnaire on cervical cancer and screening among women aged between 15-50 years and 312 respondents participated in the study. A total of 5.8% of women in Chegutu rural compared to 21.7% in Chegutu urban had undergone cervical cancer screening. About 41% of women in Chegutu rural compared to 17% in Chegutu urban had poor knowledge of cervical cancer and screening. The major barriers affecting access to cervical screening services by women in rural areas are, traveling long distances to the health facility, unavailability of cervical screening services at a nearby health centre and cultural or religious prohibitions and the study also found out that the same barriers do not affect women in urban areas. The study recommended that government should come up with strategies and interventions which will improve both access to screening services and knowledge base of women in all walks of life. Interventions should be tailored to increase women’s knowledge on cervical cancer and the availability of screening services to those women who are in need and this will increase the uptake of screening services. Cervical cancer is a public health concern among sexually active women in Zimbabwe and a clarion call is made to government to intervene and make screening services readily available particularly for women in rural areas since more women stay there.