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. 2013;18(12):1278-84.
doi: 10.1634/theoncologist.2013-0253. Epub 2013 Nov 11.

Screen-and-treat approach to cervical cancer prevention using visual inspection with acetic acid and cryotherapy: experiences, perceptions, and beliefs from demonstration projects in Peru, Uganda, and Vietnam

Proma Paul  1 , Jennifer L Winkler, Rosario M Bartolini, Mary E Penny, Trinh Thu Huong, Le Thi Nga, Edward Kumakech, Emmanuel Mugisha, Jose Jeronimo
Affiliations

Screen-and-treat approach to cervical cancer prevention using visual inspection with acetic acid and cryotherapy: experiences, perceptions, and beliefs from demonstration projects in Peru, Uganda, and Vietnam

Proma Paul et al. Oncologist. 2013.

Abstract

Cervical cancer is preventable but continues to cause the deaths of more than 270,000 women worldwide each year, most of them in developing countries where programs to detect and treat precancerous lesions are not affordable or available. Studies have demonstrated that screening by visual inspection of the cervix using acetic acid (VIA) is a simple, affordable, and sensitive test that can identify precancerous changes of the cervix so that treatment such as cryotherapy can be provided. Government partners implemented screening and treatment using VIA and cryotherapy at demonstration sites in Peru, Uganda, and Vietnam. Evaluations were conducted in the three countries to explore the barriers and facilitating factors for the use of services and for incorporation of screen-and-treat programs using VIA and cryotherapy into routine services. Results showed that use of VIA and cryotherapy in these settings is a feasible approach to providing cervical cancer prevention services. Activities that can help ensure successful programs include mobilizing and educating communities, organizing services to meet women's schedules and needs, and strengthening systems to track clients for follow-up. Sustainability also depends on having an adequate number of trained providers and reducing staff turnover. Although some challenges were found across all sites, others varied from country to country, suggesting that careful assessments before beginning new secondary prevention programs will optimize the probability of success.

Keywords: Cancer screening; Cervical cancer; Community outreach; Perceptions; Program evaluation; Visual inspection with acetic acid.

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Conflict of interest statement

Disclosures of potential conflicts of interest may be found at the end of this article.

References

    1. Ferlay J, Shin HR, Bray F, et al. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893–2917. - PubMed
    1. Parkin DM, Bray F. Chapter 2: The burden of HPV-related cancers. Vaccine. 2006;24(suppl S):3/11–3/25. - PubMed
    1. Sauvaget C, Fayette JM, Muwonge R, et al. Accuracy of visual inspection with acetic acid for cervical cancer screening. Int J Gynaecol Obstet. 2011;113:14–24. - PubMed
    1. Sankaranaryan R, Nessa A, Esmy PO, et al. Visual inspection methods for cervical cancer prevention. Best Pract Res Clin Obstet Gynaecol. 2012;26:221–232. - PubMed
    1. Sankaranarayanan R, Gaffikin L, Jacobs M, et al. A critical assessment of screening methods for cervical neoplasia. Int J Gynecol Obstet. 2005;89(suppl 2):4–12. - PubMed

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