The article by Nakisige et al., 2017 is a good piece but yet another litany of failed programmes, missing technologies and lack of access to barely existing services. We are discussing Uganda taking advantage of the picture and data provided by this paper, but this scenario repeats itself in many low-income countries, especially in sub-SaharanAfrica.We could go through a desk exercise, comparing indicators of cervical cancer control in Uganda, to those of other countries, say in northern/western Europe, North America, Australia, even South Africa to take a state in the same region, and the numbers would show a much better situation. Now in 2018, experts are talking about the potential elimination of cervical cancer as a global public health problem based on the widespread use of the vaccines 2016. So, to put the disease into perspective, this is a form of cancer which is preventable, diagnosable, with a low incidence in developed countries, highly curable in the early and mid-stages, and potentially controllable with a vaccine. And yet, in Uganda, a country with a very high incidence, the picture is the one presented by Nakisige etal. So the big question here is why? Not difficult. The answer to the” why?” can be found summarily in the article by K. Murori 2018 published online in The African Exponent. I recommend reading Murori's article right after reading Nakisige's. The latter presents a grim picture that leaves the reader sad and outraged. The former gives you the answers as to why this happens: civil wars and terrorism, unending corruption, education and knowledge gap, health and poverty vicious-circle, geographical disadvantages, international aid and unfair trade policies. These factors are seldom mentioned in the oncology literature as if public health constraints would exist in a different realm. They do not. There you have it!. The diagnosis is made. Now the “treatment” is a bit of a challenge… The motivation for this writer to put these thoughts down to paper was the frustrating realization that all well-intentioned efforts by NGOs, international organizations and donors to address the problems described in Nakisige's paper, have little chances of success without solving the issues presented in Murori's one. Judging by Nakisige's article, these efforts have not worked thus far.WHO Director-General Dr. T. Ghebreyesus recently said: “Several countries and UN agencies have already joined forces under the UN Global Joint Programme on Cervical Cancer Prevention and Control. But to succeed, we need everyone on board. We must expand our partnership to include anyone and everyone who can help us reach our goal.” Interpreting DG Ghebreyesus words, “everyone” here should include those responsible for addressing the factors that keep some African countries poor.(The views expressed in this letter are solely the author's and do not represent any institution or organization.)