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EP316 Cervical pre-cancer screen and treat program using visual inspection by acetic acid and thermo-coagulation in Malawi
  1. L Lee1,
  2. A Guardia1,
  3. S Sereshki1,
  4. G Chithyoka2,
  5. D Mpando3,
  6. T Phiri4,
  7. J Kachingwe5,
  8. J Beijnsberger1,
  9. C Fotheringham1,
  10. D Maman1 and
  11. M Iwamoto1
  1. 1Médecins Sans Frontières
  2. 2Blantyre District Health Office, Ministry of Health, Blantyre
  3. 3Chiradzulu District Health Office, Ministry of Health, Chiradzulu
  4. 4Reproductive Health Department
  5. 5Department of HIV and AIDS, Ministry of Health, Lilongwe, Malawi

Abstract

Introduction/Background The scale-up of cervical pre-cancer screen and treat program is feasible in resource-limited contexts in sub-Saharan Africa. HIV-positive women regardless of area (urban or rural) and age were more likely to have pre-cancerous or cancer-suspected lesions, highlighting the importance of integrating cervical cancer screening with routine HIV care.

Methodology We retrospectively analyzed routinely collected data of women 25–49 years old who were screened for cervical cancer for the first time between March 2018 and February 2019. We used logistic regressions to analyze the association between the presence of a pre-cancer or cancer-suspected lesion and HIV status, adjusting for age and area type (urban or rural).

Results We retrospectively analyzed routinely collected data of women 25-49 years old who were screened for cervical cancer for the first time between March 2018 and February 2019. We used logistic regressions to analyze the association between the presence of a pre-cancer or cancer-suspected lesion and HIV status, adjusting for age and area type (urban or rural).

Conclusion The scale-up of cervical pre-cancer screen and treat program is feasible in resource-limited contexts in sub-Saharan Africa. HIV-positive women regardless of area (urban or rural) and age were more likely to have pre-cancerous or cancer-suspected lesions, highlighting the importance of integrating cervical cancer screening with routine HIV care.

Disclosure Nothing to disclose.

View this table:
Abstract EP316 Table 1

Association between presence of pre-cancerous lesions and age, HIV status, and area type

View this table:
Abstract EP316 Table 2

Association between presence of cancer-suspected lesions and age, HIV status, and area type

http://dx.doi.org/10.1136/ijgc-2019-ESGO.377

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