Background: Visual Inspection with Acetic Acid and Cervicography (VIAC) is a screening method used to see and treat pre-cancerous cervical lesions. United Bulawayo Hospitals (UBH) is a tertiary government hospital that has an established VIAC Clinic that offers free services to the southern region of Zimbabwe. The utilization and outcomes of VIAC screening method become important in mapping the policies going into the future. We performed a retrospective descriptive study analysing data from 2018 to 2020 to assess outcomes and utilization of Cervical Cancer Screening Services. Method: We conducted a retrospective descriptive cross-sectional study using data collected from the United Bulawayo Hospitals VIAC Clinic. We analysed all records of clients who utilized VIAC services at the referral facility from 2018 to 2020.Results: From the records, a total of 15,491 women accessed services at the VIAC Clinic. The VIAC positivity rate was 6.7%, those with suspicion of cancer result were 1.15 % and punch biopsies constituted 2.3 % of patients seen. Of the treatment modalities offered to VIAC positive patients, Loop Electrosurgical Excision Procedure (LEEP) constituted 53%, cryotherapy 15.3%, hysterectomies 12.7%, punch biopsies 18.2%, and thermal ablation 0.8%. Conclusion: The "See, Screen and Treat" objective in cervical cancer management is being realized at the tertiary hospital. Clients are coming for management from the entire southern region of Zimbabwe. The Ministry of Health should upscale VIAC clinics which are able to offer different treatment modalities in rural areas and also fund community awareness and engagement to increase the number of women coming for cervical cancer screening services.
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