TY - JOUR
T1 - A population-based study of visual inspection with acetic acid (VIA) for cervical screening in rural nigeria
AU - Ajenifuja, Kayode Olusegun
AU - Gage, Julia C.
AU - Adepiti, Akinfolarin C.
AU - Wentzensen, Nicolas
AU - Eklund, Claire
AU - Reilly, Mary
AU - Hutchinson, Martha
AU - Burk, Robert D.
AU - Schiffman, Mark
PY - 2013/3
Y1 - 2013/3
N2 - Objective: Cervical cancer is the most common gynecological cancer in developing countries. Visual inspection with acetic acid (VIA) was introduced to screen for cervical premalignant lesions in developing countries owing to the inability of many countries to implement high-quality cytologic services. We sought to compare VIA performance among different health workers in Nigeria. Methods: In a population-based project, 7 health workers who had been screening women with VIA for approximately 2 years at local government health centers in rural Nigeria were retrained in a 2-week program using the International Agency for Research on Cancer training manual. Women from a rural village who had never had cervical cancer screening were recruited into the study. Each woman had cervical cancer screening by VIA, liquidbased cytologic test, and oncogenic human papillomavirus (HPV) DNA test. Results: Despite similar participant characteristics, across all age groups, providers had wide ranges of VIA results; 0% to 21% suspect cancer and 0% to 25% were VIA positive. Visual inspection with acetic acid was insensitive compared to a combination of cytologic and HPV tests. Conclusion: In our study, VIA was not reproducible, nor was it sensitive compared to cytologic and HPV tests.
AB - Objective: Cervical cancer is the most common gynecological cancer in developing countries. Visual inspection with acetic acid (VIA) was introduced to screen for cervical premalignant lesions in developing countries owing to the inability of many countries to implement high-quality cytologic services. We sought to compare VIA performance among different health workers in Nigeria. Methods: In a population-based project, 7 health workers who had been screening women with VIA for approximately 2 years at local government health centers in rural Nigeria were retrained in a 2-week program using the International Agency for Research on Cancer training manual. Women from a rural village who had never had cervical cancer screening were recruited into the study. Each woman had cervical cancer screening by VIA, liquidbased cytologic test, and oncogenic human papillomavirus (HPV) DNA test. Results: Despite similar participant characteristics, across all age groups, providers had wide ranges of VIA results; 0% to 21% suspect cancer and 0% to 25% were VIA positive. Visual inspection with acetic acid was insensitive compared to a combination of cytologic and HPV tests. Conclusion: In our study, VIA was not reproducible, nor was it sensitive compared to cytologic and HPV tests.
KW - Cervical Cancer
KW - Health Workers
KW - Hpv Dna
KW - Liquid-Based Cytology
KW - Via
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U2 - 10.1097/IGC.0b013e318280f395
DO - 10.1097/IGC.0b013e318280f395
M3 - Article
C2 - 23354369
AN - SCOPUS:84876268609
SN - 1048-891X
VL - 23
SP - 507
EP - 512
JO - International Journal of Gynecological Cancer
JF - International Journal of Gynecological Cancer
IS - 3
ER -