Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India
Cervical cancer continues to be a major public health problem in India in the absence of wide spread organised cervical screening programs. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedures for ear...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Indian Journal of Community Medicine |
| Subjects: | |
| Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2015;volume=40;issue=3;spage=203;epage=207;aulast=Poli |
| _version_ | 1818847635977535488 |
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| author | Usha Rani Poli P D Bidinger Swarnalata Gowrishankar |
| author_facet | Usha Rani Poli P D Bidinger Swarnalata Gowrishankar |
| author_sort | Usha Rani Poli |
| collection | DOAJ |
| description | Cervical cancer continues to be a major public health problem in India in the absence of wide spread organised cervical screening programs. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedures for early cervical lesions, provided by trained health workers. We report 7 years experience in early detection of cervical cancer and pre-cancers using the VIA test in a community-based program in rural Andhra Pradesh, India where there are no existing organised cervical screening programs. Materials and Methods: Eligible women aged between 26 and 60 were opportunistically screened by trained health wor kers using the VIA test. Women who tested positive were further evaluated and those with cervical lesions were treated either by cryotherapy in the screening clinic or referred to a higher center. Results: A total of 18,869 women were screened by a single round of VIA testing with a positive rate of 10.75%. Biopsy proven high-grade squamous intraepithelials (HSILs) were 90 (0.48%) and low-grade squamous intraepithelials (LSILs) were 43 (0.28%). The overall prevalence of cervical intraepithelial neoplasia (CIN) 2+ lesion rate is 1.05%. A total of 312 (1.65%) cryotherapies were done and 49 women underwent hysterectomy. Conclusions: VIA by trained female health workers is a safe, acceptable, and effective test that can save lives from cervical cancer even in remote areas with few resources. These results have important implications for efficient service delivery in cervical screening programs in low-resourced settings. |
| first_indexed | 2024-12-19T06:04:35Z |
| format | Article |
| id | doaj.art-04236cd3f91c4f549666e7659c895e3e |
| institution | Directory Open Access Journal |
| issn | 0970-0218 1998-3581 |
| language | English |
| last_indexed | 2024-12-19T06:04:35Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community Medicine |
| spelling | doaj.art-04236cd3f91c4f549666e7659c895e3e2022-12-21T20:33:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812015-01-0140320320710.4103/0970-0218.158873Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South IndiaUsha Rani PoliP D BidingerSwarnalata GowrishankarCervical cancer continues to be a major public health problem in India in the absence of wide spread organised cervical screening programs. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedures for early cervical lesions, provided by trained health workers. We report 7 years experience in early detection of cervical cancer and pre-cancers using the VIA test in a community-based program in rural Andhra Pradesh, India where there are no existing organised cervical screening programs. Materials and Methods: Eligible women aged between 26 and 60 were opportunistically screened by trained health wor kers using the VIA test. Women who tested positive were further evaluated and those with cervical lesions were treated either by cryotherapy in the screening clinic or referred to a higher center. Results: A total of 18,869 women were screened by a single round of VIA testing with a positive rate of 10.75%. Biopsy proven high-grade squamous intraepithelials (HSILs) were 90 (0.48%) and low-grade squamous intraepithelials (LSILs) were 43 (0.28%). The overall prevalence of cervical intraepithelial neoplasia (CIN) 2+ lesion rate is 1.05%. A total of 312 (1.65%) cryotherapies were done and 49 women underwent hysterectomy. Conclusions: VIA by trained female health workers is a safe, acceptable, and effective test that can save lives from cervical cancer even in remote areas with few resources. These results have important implications for efficient service delivery in cervical screening programs in low-resourced settings.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2015;volume=40;issue=3;spage=203;epage=207;aulast=PoliCervical cancer screeningcervical screening in low resource settingsearly detection of cervical cancerscreen and treatvisual inspection with acetic acid (VIA) |
| spellingShingle | Usha Rani Poli P D Bidinger Swarnalata Gowrishankar Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India Indian Journal of Community Medicine Cervical cancer screening cervical screening in low resource settings early detection of cervical cancer screen and treat visual inspection with acetic acid (VIA) |
| title | Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India |
| title_full | Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India |
| title_fullStr | Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India |
| title_full_unstemmed | Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India |
| title_short | Visual inspection with acetic acid (via) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India |
| title_sort | visual inspection with acetic acid via screening program 7 years experience in early detection of cervical cancer and pre cancers in rural south india |
| topic | Cervical cancer screening cervical screening in low resource settings early detection of cervical cancer screen and treat visual inspection with acetic acid (VIA) |
| url | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2015;volume=40;issue=3;spage=203;epage=207;aulast=Poli |
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