Efficacy and Safety of Cryotherapy in "See and Treat" Program in Jakarta Primary Health Centre

Lestari, Linda; Purwoto, Gatot; Nuranna, Laila

doi:10.32771/inajog.v4i4.453

Cited by 4 publications

(5 citation statements)

References 11 publications

(20 reference statements)

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“…This finding was similar to the study done by Campbell et al and Lee et al who reported between 30-39 years (40% and 47%) and Lestari, et al showed 31-40 years (39.9%). [9][10][11] Regarding parity most of the women were parity of two or more (89.1%) in this study which was same as Rijal et al (87.3%). 12 Thapa reported more than 90% in parity two or more whereas Deksisha showed 69.2% of parity more than one.…”

Section: Resultssupporting

confidence: 83%

“…17 Few studies repeated VIA after one year in which 2.1% were VIA positive in Ghana whereas 11% was reported to be VIA positive in study by Phongsavan et al 18,19 The failure of VIA conversion can be caused by several factors such as equipment, healthcare provider, VIA false-positive, referral system factor and presence of other risk factors . 11 Another important finding was that most of the women had done cervical screening for the first time and we can improve on that.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of cryotherapy in VIA positive women

Pradhan

Malla

2021

jgpeman

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Introduction: In this study we studied the effectiveness of Cryotherapy in cases with abnormal squamous intraepithelial lesions detected only by VIA. Method: In our study, 64 patients in reproductive age group attending gynecology OPD, with complaints of discharge per vaginum, lower abdominal pain, and post coital bleeding were screened with VIA and positive women had cryotherapy and they were followed up by same after six months. Result: A total of 64 VIA positive women had cryotherapy. Most of the women were of age group 31-40 years (40.6%). Majority of the women were of parity 2 or more (89.1%). The most common complaint was discharge (46.9%) followed by pelvic pain (32.8%). VIA was negative among most of the women (87.5%) after cryotherapy. The outcome of cryotherapy was not associated with age and parity rather presence of symptoms was statistically associated (p=0.034). Conclusion: We concluded that in low resource settings, simple and safe diagnostic test VIA and therapeutic procedure cryotherapy are safe and effective method to combat the killer disease of cervical cancer. Keywords: Cryotherapy, Visual inspection with acetic acid (VIA), cervix

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Section: Resultssupporting

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Effectiveness of cryotherapy in VIA positive women

Pradhan

Malla

2021

jgpeman

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“…Data dari berbagai penelitian memperlihatkan bahwa upaya untuk meningkatkan luas cakupan skrining dan tindak lanjut krioterapi dalam program see and treat ini masih memberikan hasil yang kurang maksimal. Di negara berkembang, upaya skrining belum tersebar secara merata dan angka cakupannya masih rendah dengan hanya sekitar 5% populasi yang memiliki akses terhadap program skrining 3 .…”

Section: Pendahuluanunclassified

Faktor-Faktor yang Mempengaruhi Cakupan Skrining Kanker Serviks dan Loss to Follow Up pada Wanita dengan IVA Positif yang Menjalani Krioterapi di Negara Berkembang: Scoping Review

Adistyatama,

Ganap,

Trirahmanto

2024

Jurnal Kespro

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Background: Cervical cancer is one of the main health problems in developing country and the second most common cancer in Indonesian women. For a better outcome, it is necessary to pay attention for discovery of the disease at an early stage. Single visit approach with visual inspection of acetic acid (VIA) followed by cryotherapy considered efficient and cost effective. However, low uptake of screening and loss to follow up after cryotherapy remain the biggest challenge.Objective: We aimed to identify factors affecting low uptake of cervical cancer screening and loss to follow up women with VIA positive undergone cryotherapy in developing countries.Method: This study is a literature review with scoping review design. Systematic search were conducted from databases PubMed, ScienceDirect, SAGE journals, Scopus and Google Scholar. Total 42 articles were selected for analysis, 35 articles discussed factors affecting cervical cancer screening uptake in developing countries and 7 articles discussed loss to follow-up women with VIA positive undergone cryotherapy.Results and Discussion: Factors identified affecting cervical cancer screening uptake and loss to follow up from demand side included lack of knowledge, perception and awareness, access constrain, fear or shame feeling and cost related problem. From supply side or healthcare system, these factors included lack of trained providers, lack of infrastructure, lack of information, coordination and communication, as well as ineffective administrative processes.Conclusion: Problems of cervical cancer screening uptake and loss to follow up after cryotherapy were identified from demand side and health service provider side. Recommendation of service improvement must consider influencing factors and limitations encountered on the field. Keywords: cervical cancer, screening, visual inspection of acetic acid, loss to follow-up, cryotherapy

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“…7 A study in Jakarta reports that the results of evaluations with VIA six months after cryotherapy show a success rate of 90.7%. 8 Cryotherapy can also inhibit progression of low squamous grade (LSIL) in high grade squamous lesion (HSIL) and in cervical cancer. 9 Other studies have also shown that cryotherapy is effective to prevent cervical intraepithelial neoplasia (CIN) with cure rates of 81.4% for women with CIN 1; 71.4% for CIN 2 and 68.0% for CIN 3.…”

Section: Introductionmentioning

confidence: 99%

Association between husband support and compliance with post-cryotherapy requirements among mothers in Tabanan District, Bali

Upadana¹,

Karmaya²,

Sawitri³

2019

phpma

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Background and purpose: Cervical cancer is a major global health problem for women, with most of cases occurring in developing countries. Visual inspection with acetic acid (VIA) is one method for screening precancerous cervical lesions which can then be followed up with cryotherapy. The success of cryotherapy is influenced by many factors including maternal compliance to meet the clinical requirements after cryotherapy. This study aims to determine the association between husband's support and mother's compliance with post-cryotherapy requirements.Â Methods: A cross-sectional study was conducted on 142 mothers with positive VIA test results and had received cryotherapy in six Tabanan public health centers (PHCs) consisting of four PHCs in urban areas and two PHCs in rural areas. All mothers who underwent cryotherapy during 2017 were selected as samples. Data were collected through face-to-face interviews in each respondent's home using a questionnaire. The information collected was four post-cryotherapy requirements consisting of sexual abstinence, on schedule follow-up examinations, finishing the entire antibiotic regimen, not using topical vaginal medication and husband's support. Husband's support was measured by 11 questions including social, psychological and environmental supports. Bivariate and multivariate analysis were performed with chi-square test and logistic regression respectively.Â Results: This study shows that only 39.4% of respondents were compliant to meet the four post cryotherapy requirements. As many as 32.4% of mothers had sex within 4 weeks after cryotherapy and 40.1% did not have the follow up examinations on schedule. Husband's support was significantly associated with maternal compliance in the form of asking about respondentâ€™s health condition with AOR=6.658 (95%CI: 1.794-24.702) and not asking for coitus with AOR=4.151 (95%CI: 1.491-11.556).Â Conclusion: Mother's compliance in carrying out the four requirements after cryotherapy remains low and the husband's support has a role in increasing maternal compliance. Education about post cryotherapy requirements needs to be improved including involving the role of the husband.

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Efficacy and Safety of Cryotherapy in "See and Treat" Program in Jakarta Primary Health Centre

Cited by 4 publications

References 11 publications

Effectiveness of cryotherapy in VIA positive women

Effectiveness of cryotherapy in VIA positive women

Faktor-Faktor yang Mempengaruhi Cakupan Skrining Kanker Serviks dan Loss to Follow Up pada Wanita dengan IVA Positif yang Menjalani Krioterapi di Negara Berkembang: Scoping Review

Association between husband support and compliance with post-cryotherapy requirements among mothers in Tabanan District, Bali

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