Barely Significant

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Although there was an overall trend of risk decrease, prevalence in several districts presented an increased trend, such as Rasuwa (11.1%, 12.1% and 18.9% in 2006, 2011 and 2016 respectively) in Central Region and Achham (6.9%, 18.2% and 20.5% in 2006, 2011 and 2016 respectively) in the Far-western Region of Nepal.
Although a decreasing trend in cervical cancer mortality associated with the implementation of various preventive measures and clinical methods has been observed in a number of developed countries over the last several decades, it remains an important cause of morbidity and mortality that threatens the health and lives of women worldwide [ 4 , 5 ].