Cervical cancer screening with naked-eye visual inspection in Colombia

Abstract

The use of VIA-VILI simulating colposcopic procedures and provided by nurses represents a good alternative for implementing see-and-treat programs in Latin America. Program constraints should be taken into account.

Accuracy of Visual Inspection with Acetic acid in Detecting High-Grade Cervical Intraepithelial Neoplasia in Pre- and Post-Menopausal Thai Women with Minor Cervical Cytological Abnormalities

“…The present study reported positive VIA testing in 29.5% of the entire studied population which was higher than that reported in the previous studies (7-12%) (Murillo et al, 2010;Phongsavan et al, 2011;Nessa et al, 2013;Castle et al, 2014). The discrepancy between the rate of positive VIA testing found in our study and the others could be explained by VIA testing performance in different groups of patients.…”

Safety, feasibility, and acceptability of visual inspection with acetic acid and immediate treatment with cryotherapy in rural Laos

“…The 7% rate of positive VIA tests in the present study is similar to the rates reported for Peru (6.8%) [20] and Colombia (7.4%) [21], but lower than the rates found in Mongolia (12.6%) [22], Kenya (13.2%) [19], Ghana (13.2%) [13], and Thailand (13.3%) [12]. Whether this represents a difference in the prevalence of CIN or is related to the performance of the test cannot be determined without histology.…”

Epidemiology of cervical cancer in Colombia

“…Cost-effectiveness evaluation of conventional cervical cytology and HPV testing for cervical screening in Colombia have shown that HPV testing every 5 years in women over 30 years of age is a cost-effective strategy, provided that the cost of the HPV test is less than 31 US dollars 29 . In addition, a demonstration project in very low income populations near Bogota has shown that screening using visual inspection with acetic acid (VIA) and Lugol's iodine (VILI) is more sentive but less specific than cytology or VIA alone and provides bases to implement see and treat strategies in very deprived populations 30 . The above results led to the ministry of health of Colombia to approve screening strategies based on scientific evidence and to include the use of the HPV test as primary screening test in the social security system, and to expand the VIA-VILI screening program to 5 other very low-resources areas in Colombia.…”