scholarly journals Early detection of cervical cancer with visual inspection methods: a summary of completed and on-going studies in India

2003 ◽  
Vol 45 ◽  
pp. 399-407 ◽  
Author(s):  
R Sankaranarayanan ◽  
BM Nene ◽  
K Dinshaw ◽  
R Rajkumar ◽  
S Shastri ◽  
...  
Author(s):  
R. Sankaranarayanan ◽  
B. Shyamalakumary ◽  
R. Wesley ◽  
N. Sreedevi Amma ◽  
D.M. Parkin ◽  
...  

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.


2020 ◽  
Vol 6 (2) ◽  
pp. 85-94
Author(s):  
Asni Jaya

Currently the scope for early detection of cervical cancer in Kendari through examination of infection visually acid asesat (IVA) is still very low (around 5%), whereas coverage early detection are effective in reducing morbidity and angk deaths due to cervical cancer is 85%. The purpose of this study was to determine the factors associated with infection visual inspection coverage acetic acid (VIA) in Kendari. This type of research is quantitative with case control design. The population in this study, divided into two populations is the case of reproductive age women who had had early detection of cervical cancer in Kendari as many as 606 people, while the population control as much as 94 403 people. The sample size of each group were 83 respondents, who were taken by simple random sampling. Data were collected by questionnaire, and then analyzed by descriptive and inferential using Chi Square tes. The results showed that there is a relationship of knowledge with low coverage infection visual inspection of acetate acid (IVA) in Kendari, which gained value X2 count> X2 table (48.824> 3.841) .Terdapat relationship with a lower attitude coverage infection visual inspection of acetate acid (VIA) in Kendari, which gained value X2 count> X2 table (36.763> 3.841) .Terdapat husband support relationships with low coverage infection visual inspection of acetate acid (IVA) in Kendari, which gained value X2 count> X2 table (75.841> 3.841) .Terdapat relationships support healthcare workers with low coverage infection visual inspection of acetate acid (IVA) in Kendari.


2018 ◽  
Vol 13 (1) ◽  
pp. 24-27
Author(s):  
Zebunnessa Parvin ◽  
Lutfun Naher ◽  
Sanjoy Kumar Das ◽  
Shafeya Khanam ◽  
Nasrin Rosy

Cervical cancer continues to be a major public health problem in Bangladesh in the absence of satisfactory and organized cervical screening programs. World Health Organization (WHO) considered cervical cancer as a preventable disease, as it can be identified in the pre-invasive stage. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedure for early cervical lesions, provided by trained health workers. To evaluate the value of visual inspection with acetic acid (VIA) for early detection of cervical pre-cancer and cancer in low resource country like Bangladesh, diluted acetic acid 5% was applied to the cervix and visual inspection was done. VIA tests were done for at least 3 years interval, in case of married woman, for cervical cancer screening. Women with positive results were sent for colposcopy. From January to December 2014, in Gynae OPD of the Faridpur Medical College Hospital, Faridpur, a total of 2000 women were screened by VIA test. Fourty-one VIA positive cases were identified and referred for colposcopy. Out of 41 cases, 27 patients underwent colposcopic examination, among them CIN-1 was found in 21 cases, CIN-2 in 2 cases and CIN-3 in 2 cases. However, two cases were colposcopically negative. So even during gynecological practice, if we arrange a setup for cervical screening by VIA test, many women can be saved from future development of carcinoma cervix later in their lives.Faridpur Med. Coll. J. Jan 2018;13(1): 24-27


2019 ◽  
Vol 10 (1) ◽  
pp. 32-40
Author(s):  
Selvi Fitriah

Background:World Health Organization (WHO) showed two of 10.000 women in Indonesia suffer from cervical cancer and an estimated 26 women die each day because cervical cancer. The low early detection performed by productive women lead to cervical cancer incidence is increasing each years. One of prevention cervical cancer is early detection through examination of visual inspection with Acetic Acid (VIA). This study aimed to determinant analyze on productive women towards participation in the VIA in  Palembang. Methods: The research method used cross-sectional design, the sampling technique using proportional accidental sampling consisted of  165 respondents which on the inclusion and exclusion criteria . The data collection was done by using a questionnaire home visit CPC-28 Questionare. The data analysis using chi-square and multiple logistic regression. Results: Results showed the proportion of productive women who participated inspection IVA is only 7.9%. Based on the results obtained by multiple logistic regression analysis found significant relationship between education (p value = 0.037; OR = 0.27) and perceived barriers (p value = 0.015; OR = 13) against participation in the IVA examination in productive women in Palembang. Multivariate analysis showed that the perception of barriers is the dominant factor affecting participation in VIA examination in productive age women in Palembang. It is therefore necessary strategies to overcome perceived barriers by women as socialization. Conclusions: Multiple logistic regression analysis found a significant relationship between education and perceived barriers against participation in the IVA examination in productive age women in Palembang. Keywords: Health beliefs, Cervical cancer, VIA


Author(s):  
D. M. Christe ◽  
Anjalakshi Chandrasekar ◽  
K. Jayashree ◽  
P. Meenalochani ◽  
Shaanthy T. K. Gunasingh

Background: The objective of the present study was to find out the efficacy of low-cost methods, available for screening for cervical cancer and early detection of precancerous lesions, of cervix.Methods: The study with power above 80%, was conducted over a period of almost three years. Women aged below fifty years were included in the study. A total of 100 women were diagnosed with cervical intraepithelial neoplasia (CIN) and 244 women with chronic cervicitis by histopathological examination reports. Ten women were HIV positive.   Results: Low cost screening tests of visual inspection of cervix after application of 5% acetic acid (VIA) and visual inspection of cervix after application of Lugol’s iodine (VILI) were positive in 75% of women with CIN and in combination with colposcopy, positive in 93%. The diagnostic accuracy of colposcopy was highest at 86%. (Odds ratio-.48.79).Conclusions: Initial screening for younger women with fewer years of exposure, the low cost tests, VIA / VILI  could be used under low magnification. Colposcopy should be done for all women with positive tests. The costlier human papilloma virus (HPV) tests should be done at cost effective purpose for high risk groups and when indicated, for early detection of precancerous lesions of cervix and prevention of cervical cancer.


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