Cervical screening by visual inspection with acetic acid.
نویسنده
چکیده
OBJECTIVE Among the low cost alternative screening tests Visual Inspection after Acetic Acid Application (VIA) has been found to be most promising. The objective of the present study was to evaluate the safety and acceptability of VIA done by health workers among rural Indian women. We also evaluated the level of women's satisfaction with the screening program. METHODS Women residing in a defined geographic area were offered cervical screening using VIA by trained health workers. Women testing positive were colposcoped by a medical officer at the same sitting. Based on the feedback from a few focus group discussions a structured questionnaire was designed to interview the women after screening. A total of 498 women were selected randomly from the screened women for interview by a social worker. Besides enquiring about any discomfort they faced during or within seven days after screening, the women were also asked to indicate their level of satisfaction with the service. Their opinions to improve the quality of service were also sought. RESULTS Most women reported no pain or only slight discomfort during screening (94.2%). The most common complaint after screening was vaginal discharge (12%). A burning sensation in the vagina was experienced by some of the women (5.8%). These complaints were mild and short-lasting in majority of cases. Most of the women were satisfied with the screening service (94.6% selected the top three of a six-point response scale) and 97% said they would recommend the test to others. The most common reasons for dissatisfaction with screening were discomfort during or after screening, long waiting time and failure to get treatment for other medical problems. CONCLUSION VIA by trained health workers followed by colposcopy at the same sitting is an acceptable screening algorithm for Indian women. A VIA based screening program has to be integrated to the existing primary health care facility in developing countries.
منابع مشابه
Sensitivity and Specificity of Visual Inspection with Acetic Acid (VIA) and with Lugol Iodine (VILI) in the Diagnosis of Cervical Cancer in the Northern Region of Cameroon
Cervical cancer is one of the major causes of women death worldwide. The aim of this study was to test the sensitivity and specificity of visual inspection with acetic acid (VIA) and visual inspection with lugol iodine (VILI) as a diagnostic test for cervical cancer in comparison with Pap smear in the North Cameroon region. 309 women aged between 20 to 62 years were recruited in this study. 307...
متن کاملComparing some screening values of Pap test and visual inspection with acetic acid in the diagnosis of precancerous cervical lesions (2016-2017)
Background: Visual inspection with acetic acid (VIA) is one of the several methods that can serve as an alternative to the Pap test for diagnosis of precancerous lesions in the cervix. This study aimed to compare the screening value of VIA and Pap test in such diagnosis. Materials and Methods: The population of this descriptive study was 304 women who attended Afzalipour Hospital in Kerman, Ir...
متن کاملA critical assessment of screening methods for cervical neoplasia.
The objective of cervical cancer screening is to reduce cervical cancer incidence and mortality by detecting and treating precancerous lesions. Conventional cytology is the most widely used cervical cancer screening test. Although cytology has been effective in reducing the incidence of and mortality from cervical cancer in developed countries in both opportunistic and--more dramatically--organ...
متن کاملAccuracy of cytology, visual inspection with acetic acid or lugol’s iodine in cervical cancer screening
متن کامل
Comparative study of visual inspection with acetic acid (VIA), Pap smear and biopsy for cervical cytology
Introduction: Cervical lesions are generally screened with Pap smear test. However, the procedure is quite intensive and takes time. An effective alternate method is proposed by WHO with visual inspection of acetowhite areas in acetic acid test, which can be used in developing countries as it is cheap and results can be given immediately. Biopsy is considered confirmative test for same cervical...
متن کامل[Screening and follow-up for cervical cancer prevention in rural Mexico using visual inspection].
OBJECTIVE To compare the standard cervical cancer screening procedure--the Papanicolaou test or Pap smear--with detection through visual inspection using acetic acid (VIA), and visual inspection with acetic acid assisted by Aviscope (VIAM). MATERIAL AND METHODS The study was conducted between October 1998 and December 2000, in two Mixteca regions in Oaxaca, Mexico. A field trial design was us...
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عنوان ژورنال:
- Asian Pacific journal of cancer prevention : APJCP
دوره 7 4 شماره
صفحات -
تاریخ انتشار 2006