Effect of single‐visit VIA and cryotherapy cervical cancer prevention program in Roi Et, Thailand: A preliminary report

Chumworathayi, Bandit; Blumenthal, Paul D.; Limpaphayom, K; Kamsa‐ard, Supot; Wongsena, Metee; Supaatakorn, Pongsatorn

doi:10.1111/j.1447-0756.2009.01089.x

Cited by 18 publications

(10 citation statements)

References 6 publications

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“…Another limitation of our report is lack of availability of data regarding the number of women who were diagnosed/treated for cervical cancer at the referral centers. A single visit approach to cervical cancer screening has shown to increase the case finding which can be reflected as an increase in cervical cancer incidence …”

Section: Discussionmentioning

confidence: 99%

Experience of a ‘Screen and treat’ program for secondary prevention of cervical cancer in Uttar Pradesh, India

Shikha

Joshi

Chaudhury

et al. 2019

J of Obstet and Gynaecol

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Aim: Considering the burden of cervical cancer in India, innovative approaches are needed to improve coverage of cervical cancer screening. Methods: From May 2014 to January 2017, we implemented a project in 10 cities in Uttar Pradesh, India using World Health Organization-recommended 'screen and treat' approach for cervical cancer prevention. We involved private practitioners (obstetricians and gynecologists and general practitioners) in these cities to provide affordable cervical cancer screening to women mobilized by our community health workers. A pilot phase was implemented in three cities during Results: A total of 100 836 women aged between 30 and 60 years were screened with visual inspection with acetic acid (VIA) of which 5477 (5.4%, 95% confidence interval (CI) 5.29, 5.57) were VIA positive. Treatment with cryotherapy was given to 3735 (68.2%, 95% CI 66.96, 69.43) women. In the three cities that piloted the program, VIA positivity rates significantly declined from 6.6% (95% CI 6.31, 6.84) to 4.0% (95% CI 3.82, 4.24) during the scale-up phase (P < 0.0001) and the rates of cryotherapy significantly increased from 66.8% (95% CI 64.78, 68.77) to 76.7% (95% CI 74.42, 78.96) (P < 0.0001). Conclusion: We observed a significant decline in the VIA positivity rates during the scale-up phase in the three cities that participated in the pilot phase. We have reported successful engagement of private practitioners to provide affordable cervical cancer screening and it is possible to replicate it in other states in India as well.

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Section: Discussionmentioning

confidence: 99%

Experience of a ‘Screen and treat’ program for secondary prevention of cervical cancer in Uttar Pradesh, India

Shikha

Joshi

Chaudhury

et al. 2019

J of Obstet and Gynaecol

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“…Programs that link screening and treatment are referred to as “see‐and‐treat” programs, or the “single‐visit” approach. The single‐visit approach is appealing because it eliminates patient loss to follow‐up associated with cytology programs and can be conducted with mobile units outside of clinic settings to reach populations in remote areas 16–19…”

Section: Screening By Visual Inspection With Acetic Acidmentioning

confidence: 99%

Cervical Cancer Screening in Low‐ and Middle‐Income Countries

David-West¹,

Maza²,

Hartmann³

et al. 2011

Mount Sinai J Medicine

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Cervical cancer is a leading cause of death among women in the developing world. Conventional cytology-based cervical cancer screening programs have been largely ineffectual at reducing the cervical cancer burden in low-resource settings. In response, alternative strategies have been tested, such as visual inspection with acetic acid (VIA) screening and human papillomavirus (HPV) DNA-based testing. This manuscript reviews literature addressing the programmatic approaches to implementing cervical cancer screening programs in low-resource settings, highlighting the challenges, barriers, and successes related to the use of cytology, VIA, and HPV-DNA based screening programs.

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“…In Thailand, a single-visit approach of screening with VIA and treating with cryotherapy achieved higher coverage and revealed an increase in cervical cancer incidence rate. In Thailand, more than a million women in 20 provinces have been screened using a 'screen-and-treat' program with VIA and cryotherapy [45] . A demonstration project involving screening of women aged between 30 and 50 years with VIA and treatment with cryotherapy began in six African countries supported by the WHO, IARC, APHRC and project coordinators from the six African countries in September 2005.…”

Section: Recommendations For Cervical Cancer Screeningmentioning

confidence: 99%

“…There are more than 150 types of HPV. Amongst these, the International Agency for Research on Cancer (IARC) has defined 12 high-risk HPV types that are associated with cancers in humans (types 16,18,31,33,35,39,45, 51, 52, 56, 58, 59) [4] . Worldwide, the most frequent HPV types are 16 and 18, with HPV 16 being the most common subtype [3] .…”

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confidence: 99%

Prevention of Cervix Cancer in India

Mishra

Pimple

Shastri³

2016

Oncology

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Cervical cancer is the fourth most common cancer among women globally and the second most common cancer among Indian women. India alone bears 23% of the global cervical cancer burden. In India, population-based cervical cancer screening is largely nonexistent in most regions due to competing healthcare priorities, insufficient financial resources and a limited number of trained providers. Hence, most of the cases present in advanced stages of the disease, thus leading to increased mortality and reduced survival. Various screening options like cytology, visual-based screening and testing for high-risk HPV are available. Several cross-sectional studies have looked at the comparative efficacy of different screening tests. Three important randomized controlled trials from India have shown the efficacy of screening once in a life time with HPV DNA, one-time screening with VIA by trained nurses and four-time screening with VIA by trained primary health workers, reducing mortality due to cervical cancers. Prevention of cervical cancers with two-dose HPV vaccination and early detection of precancerous cervical lesions of the eligible population through screening and their appropriate treatment with a single-visit ‘screen-and-treat' approach appear to be promising for low-middle-income countries including India.

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Effect of single‐visit VIA and cryotherapy cervical cancer prevention program in Roi Et, Thailand: A preliminary report

Abstract: A single-visit approach to cervical cancer prevention in Roi Et province using visual inspection with acetic acid and cryotherapy appeared to have an effect in revealing an increased cervical cancer incidence rate by achieving higher coverage, resulting in increased case finding.

Cited by 18 publications

References 6 publications

Experience of a ‘Screen and treat’ program for secondary prevention of cervical cancer in Uttar Pradesh, India

Experience of a ‘Screen and treat’ program for secondary prevention of cervical cancer in Uttar Pradesh, India

Cervical Cancer Screening in Low‐ and Middle‐Income Countries

Prevention of Cervix Cancer in India

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