RT Journal Article
SR Electronic
T1 A Population-Based Study of Visual Inspection With Acetic Acid (VIA) for Cervical Screening in Rural Nigeria
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 507
OP 512
DO 10.1097/IGC.0b013e318280f395
VO 23
IS 3
A1 Kayode Olusegun Ajenifuja
A1 Julia C. Gage
A1 Akinfolarin C. Adepiti
A1 Nicolas Wentzensen
A1 Claire Eklund
A1 Mary Reilly
A1 Martha Hutchinson
A1 Robert D. Burk
A1 Mark Schiffman
YR 2013
UL http://ijgc.bmj.com/content/23/3/507.abstract
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, liquid-based 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.