scholarly journals Knowledge, Attitude and Practice of Cervical Cancer Screening through Visual Inspection with Acetic Acid

2017 ◽  
Vol 6 (3) ◽  
pp. 221
Author(s):  
Susmita Kar ◽  
Md. Kapil Ahmed

Detection of the cervical cancer requires practice of screening that will increase survival rates from the disease. Visual Inspection with Acetic Acid (VIA) is an alternative to screening for cervical cancer.This study aims to assess the knowledge, attitude, and practice towards VIA screening among adult women. We used a cross-sectional study in urban areas of Bangladesh with a sample of 285 respondents those were interviewed through semi-structured questionnaire. Analyses have done by targeting the objectives and considering the indicators with appropriate test statsitsics.About 56.1% respondents aged between 18 and 35 years with majority had at least secondary education including 29.5% were from affluent group. Though the highest majority of women had the knowledge of cervical cancer but only quarter was aware of VIA. A few of the respondents adopted any screening test for detecting cervical cancer and this lower coverage could be due to, among other reasons, lack of knowledge, accessibility, and service availability. The results also indicated that higher educational level of respondents is the predictor of improving knowledge on the disease and early adoption of available test procedure.An awareness building program should be designed for women of early detection of cervical cancer using VIA procedure.

2014 ◽  
pp. 133-139
Author(s):  
Duc Tam Lam ◽  
Vu Quoc Huy Nguyen

Backgroud: Cervical cancer is a common disease after breast cancer. That is caused by Human papillomavirus (HPV) and now, we have HPV vaccin to prevent the disease with objectives: to determine rate of correct knowledge, attitudes and practice towards HPV vaccination against cervical cancer of mothers who have daughters aged 1 to 26 years old in An Binh ward, Ninh Kieu district, Can Tho city and to determine the relationship between correct knowledge and correct attitudes and correct behaviors towards vaccination against cervical cancer of these mothers. Materials and method: Cross-sectional, community survey on 410 mothers who are interviewed face to face by using a questionnaire. Results: The rate of correct knowledge, attitude and practice towards HPV vaccination against cervical cancer is 4.4%; 89.5%; 12.2%; respectively. There’s a correlation between correct knowledge and correct behaviors towards vaccination against cervical cancer among mothers (p<0.05), but no correlation between correct knowledge and correct attitudes. Conclusion: the rate of mothers who have correct knowledge and behaviors is relatively low but whose correct attitude is high. Therefore, may be they want to know more information about vaccination against cervical cancer so that it should have appropriate information-education-counseling and health care campaign to community. Keywords: Knowledge, Attitude, practice, vaccine, Human papillomavirus, cervical


Author(s):  
Ankita Kumari ◽  
Neha Singh ◽  
Shaila Mitra ◽  
Reena Srivastav

Background: Cervical cancer rank second in female cancer and India alone account for one fourth of the global cervical cancer burden. The study was aimed to evaluate the diagnostic efficacy of acetic acid (3%), lugol’s iodine and toluidine blue (1%) in detection of abnormal cervical lesions.Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur over a period of one year from July 2016 to June 2017. The study included 200 women in age group 20-60 years with signs and symptoms suspicious of abnormal cervical lesion. The cases were subjected to detailed history, clinical examination, Pap smear, Visual inspection test, colposcopy followed by cervical biopsy.Results: Out of total 200 patients, 114 patients had acetowhite area on VIA (visual inspection with acetic acid) test, 113 were VILI (visual inspection with lugol’s iodine) positive and 107 women stained positive with Toluidine blue but only 88 showed biopsy proven pre-invasive and invasive lesions. So, sensitivity of acetic acid, lugol’s iodine and Toluidine blue was 81.8%, 84.09% and 90.9% respectively. Similarly, the specificity of the three stains were 62.5%, 65.17% and 75.8% respectively.Conclusions: Toluidine blue (1%) has proved to be significantly more sensitive and specific stain as compared to acetic acid (3%) and lugol’s iodine (50% dilution) in diagnosing pre-invasive and invasive cervical cancer. Hence, it may aid as an important tool in screening and treating precancerous and cancerous lesions.


2021 ◽  
Vol 4 (1) ◽  
pp. 44-50
Author(s):  
Nisha Mehta ◽  
Saroj Singh

Introduction: Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women. About 23% of the global cervical cancer burden is beard by India alone. The screening of cervical cancer is commonly done by a pap smear, visual inspection of acetic acid, human papillomavirus DNA testing etc. These identify precancerous changes which when treated can prevent the development of cancer. The objectives of the study were to screen the patient at Gynecology OPD by visual Inspection with acetic acid (VIA) and Pap smear for early detection of cervical cancer and to evaluate the efficacy of visual inspection with acetic acid and Pap smear in the early detection of cervical cancer. Methods: A descriptive cross-sectional study was conducted among 60 women attending Gynecology O.P.D of a Tertiary Level Hospital, Gwalior (India) by non-probability purposive sampling technique between 1st August to 30th August 2017. Pap smear was taken from each woman followed by VIA. Women with positive VIA and/or positive Pap smear were referred for colposcopy-directed cervical biopsy. Results: After the application of 3% VIA among 60 women, 16 (26.67%) developed acetowhite while 44 (73.33%) didn’t. While the result of Pap smear shows, 22 (36.66%) had an inflammatory smear, 6(10%) shows benign smear, 9(15%) bacterial vaginosis, 1(1.66%) squamous metaplastic cells, 12 (20%) shows adenocarcinoma and 10(16.66%) normal pap smear.  Conclusion: The study concludes that VIA and pap smear were effective methods for the early detection of cervical cancer. Visual inspection of the cervix after acetic acid application (VIA) is widely recommended as the method of choice in cervical cancer screening programs in resource-limited settings and developing countries because of its simplicity, cost-effectiveness and ability to link with immediate treatment.


Author(s):  
Yahya F. S. M. ◽  
Islam M. Shamsal

Background: Water, sanitation and hygiene (WASH) is to consider the first step to improving the public health of urban people. Primary health-related risk factors are largely induced by urban people's daily WASH practice and this is the leading cause of mortality and disability-adjusted life-years (DALYs) globally. About 28% of Bangladeshi people are living in urban areas and the megacity Dhaka accounts for around 40% of the urban population. In this explanatory research, we explored the knowledge, attitude and practice on WASH and associated factors of drivers’ communities in Dhaka, Bangladesh.Methods: The study was an observational descriptive cross-sectional study and both quantitative and qualitative data were collected. The study was conducted between 03 September 2020, and 28 February 2021. A total of 109 drivers, 8 focus group discussions (FGDs) and 8 key informant interviews (KIIs) were also conducted.Results: The vast majority of drivers were middle age and a few were younger. The vast majority of drivers were experienced and the current job duration was about 7.94±8.33 years. The majority of drivers usually passed leisure time by playing ludo, chess, carrom, cards, chatting online on Facebook (FB), watching the drama on YouTube, watching television (TV), hearing radio programs and gossiping with colleagues. Two-third of the drivers disposing of food waste in the dustbin, and one-third kept inside the vehicle aiming to dispose of it dustbin although some of them throw it into the street.Conclusions: Study findings suggested that there is a need to create WASH facilities and intensive campaigns on hygiene and sanitation to create awareness among aged drivers to practice health and hygiene during duty hours. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Petmore Zibako ◽  
Nomsa Tsikai ◽  
Sarah Manyame ◽  
Themba G. Ginindza

Abstract Background Cervical cancer (CC) morbidity and mortality is still high in developing countries like Zimbabwe. Treatment for CC is out of reach for many women, hence the need to maximise on prevention which mainly includes screening and administering human papillomavirus (HPV) vaccine. Knowledge about CC prevention is a prerequisite for utilisation of all the available options for CC prevention, yet little is known about its levels and the corresponding attitudes and practices on cancer prevention methods within the society. Methods A cross sectional survey was done to assess knowledge, attitude and practice (KAP) on CC prevention among mothers of girls aged between 9 and 14 years in Zimbabwe as well as factors explaining the KAP. Four hundred and six mothers participate. Descriptive and inferential statistics (binary logistic regression and Chi-Square test of association) were applied to determine participant characteristics with KAP using STATA version 16 software. Findings Overall KAP of cervical cancer prevention is in a poor state. The knowledge was poor with 24% being able to say CC is caused by HPV; the attitude is negative with 58% being of the opinion that CC is caused by witchcraft and it is a death sentence, while the bad practices of relying only on traditional means were being practiced. Factors associated with knowledge are: not having medical aid (odds: 0.17, 95%CI: 0.05–0.59, p = 0.005) and high levels of education (secondary level odds: 4.20; 95%CI: 2.25–7.84 p < 0.001 and tertiary odds: 7.75; 95%CI: 2.04–29.45, p-value: 0.003 compared to primary education). Attitude towards CC management was driven by levels of education (secondary level odds: 0.39, 95%CI: 0.20–0.78, p = 0.007 and tertiary odds: 0.12, 95%CI: 0.04–0.33, p < 0.001), the same factor increases odds of good practice (secondary odds: 3.78, 95%CI: 1.99–7.18, p < 0.001 and tertiary odds: 3.78, 95%CI: 1.99–7.18, p < 0.001). On the other hand, HPV vaccine knowledge was also very moderate (with majority of mothers not knowing the right age of vaccination; vaccine acceptability was high (90%), but uptake was very low (8% had their daughter vaccinated). Conclusion KAP about CC prevention was poor with factors necessary for improvement of KAP identified as education, medical insurance coverage. Making health education easily accessible in schools, primary health facilities and various media platforms will help to address the myths on causes of CC and how it can be treated. Health education and availability of free screening services and free vaccine will improve CC prevention out outcomes.


2019 ◽  
Vol 6 (2) ◽  
pp. 129-141
Author(s):  
Sri Wahyuni ◽  
Ratna Puspita Adiyasa

Latar Belakang: Indonesia merupakan salah satu negara berkembang di Asia Tenggara yang  menghadapi tantangan bahaya kejadian kanker serviks. kanker serviks memiliki prevalensi tertinggi, yaitu sebesar 0,8%. Salah satu cara deteksi dini kanker seviks adalah dengan pemeriksaan Visual Inspeksi Asam Asetat (VIA). Suami merupakan orang terdekat bagi seorang isteri. Dukungan suami memiliki pengaruh yang signifikan dalam pengambilan keputusan istri, terutama yang berkaitan dengan pencegahan penyakit maupun upaya peningkatan derajat kesehatan. Tujuan: Mengetahui hubungan dukungan suami dengan partisipasi mengikuti pemeriksaan VIA pada wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Metode: Desain penelitian menggunakan Analitik Deskriptif Correlation dengan pendekatan cross sectional dengan populasi semua wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta berjumlah 72 orang. Teknik pengambilan sampel menggunakan terknik sampel proporsi sejumlah 61 orang. Pengumpulan data menggunakan kuesioner dan analisis hubungan dengan uji Chi Square dilanjutkan Coefisien Contigensi. Hasil: Analisa bivariate menunjukkan nilai p-value: 0,000 < α: 0,004, dengan keeratan 0,393 (rendah). Kesimpulan: Ada hubungan antara dukungan suami dengan partisipasi mengikuti pemeriksaan IVA di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Saran: Diharapkan bagi pemerintah untuk melibatkan suami saat melakukan pendidikan kesehatan tentang pemeriksaan IVA. Kata Kunci: Dukungan suami – Pemeriksaan IVA – Kanker Seviks   ABSTRACT Background: Indonesia is facing the challenges of the danger of cervical cancer. This disease has the highest prevalence which equals to 0,8%. Cervical cancer can be early detected by IVA test. Husband’s support has a significant influence in childbearing age woman’s decision, especially with regard to disease prevention and efforts to improve health status. Objective: To know the relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Method: The study design was Descriptive Correlation Analysis with cross sectional approach. The population was 72 people, and the sample was 61 respondents. Data collecting used questionnaires and Chi Square tes for analysis. Results: Bivariate analysis shows p-value: 0.000 <α: 0.004, with the closeness degree of 0,393 (low correlation). Conclusion: There is a relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Suggestion: It is expected that the government will involve husbands when conducting health education regarding VIA test. Key words : husbands support – VIA test – cervical cancer


Author(s):  
Radha Ramaiah ◽  
Srividya Jayarama

Background: Cervical cancer is the third most common cancer among women and the fourth leading cause of cancer deaths in females worldwide. The objectives of the study were to assess the level of knowledge, attitude and practice related to cervical cancer and its screening among women of reproductive age group in a rural area of Karnataka and to find the association between socio-demographic characters and knowledge, attitude and practice related to cervical cancer.Methods: A community based cross sectional study was conducted among 200 married women of reproductive age group residing in Javarnahalli, a rural field practice area of AIMS, Karnataka. Data was collected using predesigned, pretested structured questionnaire. The questionnaire consisted of four parts to gather information regarding socio-demographic characteristics of participants, knowledge, attitude and practice regarding cervical cancer and its screening. Institutional ethical committee approval and informed consent from study participants were taken.Results: 64% study participants were not aware of the early symptoms of cervical cancer. Around 34.5% had heard of cervical cancer screening. 76.2% women were willing to screened if offered free of cost. But only 9.5% women had ever been screened for cervical cancer.Conclusions: Strategic communication targeting eligible women, universal availability of screening facilities in public health facilities may increase the uptake of cervical screening. 


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