Analysis of 25,471 women across 11 African countries reveals cervical cancer screening reaches only 10% of eligible women, with stark disparities by location and education. Urban women consistently showed higher screening rates than rural counterparts, while tertiary education tripled screening odds compared to no education. Screening peaked at ages 50-54, and dramatic country variations emerged—Botswana showed 6.6-fold higher odds while Benin had drastically lower uptake. These findings illuminate the massive infrastructure and access gaps undermining cervical cancer prevention across Africa, where over 90% of global cervical cancer deaths occur. The low screening rates are particularly concerning given cervical cancer's preventable nature through early detection. Educational and urban-rural disparities suggest screening programs fail to reach the most vulnerable populations who bear the highest disease burden. The WHO aims to eliminate cervical cancer as a public health problem, requiring 70% screening coverage—making Africa's 10% rate a critical policy priority. However, this preprint awaits peer review, and results may change upon expert evaluation. The cross-sectional design also limits causal interpretations about factors driving these screening inequalities.