Cervical cancer prevention program in Jakarta, Indonesia: See and Treat model in developing country

Abstract

ObjectiveThe purpose of this study was to describe the implementation of single visit approach or See-visual inspection of the cervix with acetic acid (VIA)-and Treat-immediate cryotherapy in the VIA positive cases-model for the cervical cancer prevention in Jakarta, Indonesia.MethodsAn observational study in community setting for See and Treat program was conducted in Jakarta from 2007 until 2010. The program used a proactive and coordinative with VIA and cryotherapy (Proactive-VO) model with comprehensive approach that consists of five pillars 1) area preparation, 2) training, 3) awareness, 4) VIA and cryotherapy, and 5) referral.ResultsThere were 2,216 people trained, consist of 641 general practitioners, 678 midwives, 610 public health cadres and 287 key people from the society. They were trained for five days followed by refreshing and evaluation program to ensure the quality of the test providers. In total, 22,989 women had been screened. The VIA test-positive rate was 4.21% (970/22,989). In this positive group, immediate cryotherapy was performed in 654 women (67.4%).ConclusionSee and Treat program was successfully implemented in Jakarta area. The Proactive-VO model is a promising way to screen and treat precancerous lesions in low resource setting.

Motivations and preferences of rural Nigerian women undergoing cervical cancer screening via visual inspection with acetic acid

“…The problem of loss to follow‐up in cervical cancer screening has been previously reported in Nigeria and other low‐resource countries [14,15]. This implies a need to incorporate immediate treatment for VIA‐positive cases.…”

Impact of human papilloma virus vaccination on adolescent knowledge, perception of sexual risk and need for safer sexual behaviors in Bali, Indonesia

“…The VIA‐based screening program, however, is facing some difficulties such as low national coverage, questions about the technical skill of the providers in detecting and reporting lesions, delay in treatment delivery due to lack of equipment and trained providers, and poor data collection for effective planning and management of the programs . Given that HPV has a strong association with cervical cancer, ideally HPV vaccines are the choice in cervical cancer prevention programs . Two prophylactic vaccines against HPV (Cervarix and Gardasil) have been available in Indonesia, but a nationwide vaccination program is not yet available.…”

“…4 Given that HPV has a strong association with cervical cancer, ideally HPV vaccines are the choice in cervical cancer prevention programs. 3 Two prophylactic vaccines against HPV (Cervarix and Gardasil) have been available in Indonesia, but a nationwide vaccination program is not yet available.…”

Comparison of the AV Magnivisualizer device with colposcopy to detect cervical intraepithelial neoplasia using the Swede scoring system

“…The single visit see‐and‐treat approach is acceptable, safe, and effective for cervical cancer prevention in low‐resource settings . According to Sankaranarayanan, finding good overall agreement between the Magnivisualizer and colposcopy demonstrates the role of Magnivisualizer‐based assessment for a single visit see‐and‐treat approach and for triaging women found positive on HPV testing or other screening tests in low‐ and middle‐income countries.…”