A single‐visit approach to cervical cancer prevention in rural Thailand

Tergas, Ana I.; Gaffikin, Lynne; Limpaphayom, K; Charurat, Elaine; Eamratsameekool, Wachara; Lu, Enriquito

doi:10.1016/j.ijgo.2014.02.008

Cited by 1 publication

(2 citation statements)

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“…Our findings build on prior evidence on the feasibility and utility of VIA as a low-cost screening method. 24 – 26 A training-of-trainers and task-sharing approach has helped the region develop the capacity to implement this service. The prevalence data will be used as a baseline gauge for the advancement and impact of health services in coming years.…”

Section: Discussionmentioning

confidence: 99%

“…23 The VIA screening test has a sensitivity of 80% (79%–82%) and a specificity of 92% (range: 91%–92%), 24 , 25 and it has been proven to be safe and cost-effective. 24 – 26 The aims of this study were to estimate the prevalence of cervical dysplasia using VIA and to determine the risk factors for cervical cancer in a rural region of Senegal.…”

Section: Introductionmentioning

confidence: 99%

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Implementing visual cervical cancer screening in Senegal: a cross-sectional study of risk factors and prevalence highlighting service utilization barriers

Dykens

Linn

Irwin³

et al. 2017

IJWH

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BackgroundSenegal ranks 15th in the world in incidence of cervical cancer, the number one cause of cancer mortality among women in this country. The estimated participation rate for cervical cancer screening throughout Senegal is very low (6.9% of women 18–69 years old), especially in rural areas and among older age groups (only 1.9% of women above the age of 40 years). There are no reliable estimates of the prevalence of cervical dysplasia or risk factors for cervical dysplasia specific to rural Senegal. The goals of this study were to estimate the prevalence of cervical dysplasia in a rural region using visual inspection of the cervix with acetic acid (VIA) and to assess risk factors for cervical cancer control.Patients and methodsWe conducted a cross-sectional study in which we randomly selected 38 villages across the Kédougou region using a three-stage clustering process. Between October 2013 and March 2014, we collected VIA screening results for women aged 30–50 years and cervical cancer risk factors linked to the screening result.ResultsWe screened 509 women; 5.6% of the estimated target population (9,041) in the region. The point prevalence of cervical dysplasia (positive VIA test) was 2.10% (95% confidence interval [CI]: 0.99–3.21). Moreover, 287 women completed the cervical cancer risk factor survey (56.4% response rate) and only 38% stated awareness of cervical cancer; 75.9% of the screened women were less than 40 years of age.ConclusionThe overall prevalence of dysplasia in this sample was lower than anticipated. Despite both overall awareness and screening uptake being less than expected, our study highlights the need to address challenges in future prevalence estimates. Principally, we identified that the highest-risk women are the ones least likely to seek screening services, thus illustrating a need to fully understand demand-side barriers to accessing health services in this population. Targeted efforts to educate and motivate older women to seek screenings are needed to sustain an effective cervical cancer screening program.

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Section: Discussionmentioning

confidence: 99%