Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies

Abstract

Objective. To assess willingness to participate and diagnostic accuracy of visual inspection for early detection of cervical neoplasia among women in a health insurance company. Patients and Method. Cervical cancer screening was systematically proposed to 800 women after consecutive information and awareness sessions. The screening method was visual inspection with acetic acid (VIA) or Lugol's iodine (VILI). Results. Among the 800 identified women, 640 (82%) have accepted the screening, their mean age was 39 years, and 12.0% of them were involved in a polygamist couple. 28.2% of women had prior cervical screening. VIA has been detected positive in 5.9% of women versus 8.6% for VILI. The sensitivity was 72.9% and specificity was 95.2% for VIA versus 71.2% and 97.3% for VILI respectively. The histological examination highlighted a nonspecific chronic cervicitis in 4.6%, CIN1 lesions in 5.91%, and CIN2/3 in 1.2% of the cases. Conclusion. Cervical cancer screening by visual inspection showed appropriate diagnostic accuracy when used to detect early cervical lesions. It is a simple and easy to perform method that could be introduced progressively in the health insurance policy while waiting for a national screening program.

A Smartphone-Based Approach for Triage of Human Papillomavirus-Positive Sub-Saharan African Women: A Prospective Study

“…The cost and availability of Lugol’s iodine, however, may potentially be an obstacle to the use of VILI in LMICs [7], resorting to the use of VIA alone in some regions.…”

“…Although VIA is currently recommended as a single screening tool, VILI is used to aid health workers in making the diagnosis because of its higher specificity and facility to interpret, especially for less-experienced health care providers. The cost and availability of Lugol’s iodine, however, may potentially be an obstacle to the use of VILI in LMICs [ 7 ], resorting to the use of VIA alone in some regions.…”

Uptake and determinants of cervical cancer prevention services among female college students in Kenya: A cross-sectional survey

“…About two-thirds (338, 63%) were sexually active. The media (IQR) age of sexual debut was 19 (18,20). Figure 2 represents a box plot of the age at sexual debut.…”

“…Effective screening approaches including cytology-based screening like Pap Smear may not be sustainable for most of the African countries because of the cost and time it takes to have the results (17). This makes affordable techniques that provide instant results like Visual Inspection with Acetic Acid (VIA) and Visual Inspection with Lugol's Iodine (VILI) sustainable alternatives (18,19). However, such interventions are only effective if delivered to the target population.…”

Ultrasonic Cavitation Useage for Treatment HPV Cervical Intraepitelial Neoplasia Associated With Trichomoniasis

“…Класичні методи лікування HPV-асоційованих уражень шийки матки зазвичай є деструктивними і включають аргоно-плазмову, радіохвильову, лазерну та кріохірургію. Недостатньо вивчено вплив запального процесу, викликаного трихомонадною інфекцією, на персистенцію HPV та стан місцевого імунітету і, як наслідок, прогресування інтраепітеліальних уражень шийки матки [5,7,9]. Аналіз перебігу, методів діагностики і терапії запальних процесів геніталій, викликаних Tr.…”