Visual Inspection with Acetic Acid (VIA) in cervical cancer screening in low resource settings

Authors

  • Shaheen Shaheen JN Medical college, Aligarh Muslim University
  • Rajyashri Sharma JN Medical Collage, Aligarh Muslim University
  • Rashi Rashi JN Medical Collage, Aligarh Muslim University

DOI:

https://doi.org/10.3329/bjms.v13i4.15019

Keywords:

cervical cancer screening, Papanicolaou (PAP) smear, visual inspection of the cervix with acetic acid (VIA)

Abstract

Objective: To evaluate the feasibility and validity of visual inspection of the cervix with acetic acid (VIA) for screening cervical intraepithelial neoplasia.

Materials and Methods: In this study, 942 women recruited from gynecology outpatient clinic, were screened using the Papanicolaou (PAP) smear, and VIA. The sensitivity and specificity of both the screening methods were analyzed.

Results: VIA was positive in 29.3%. The sensitivity of VIA (74.16%) was much higher than that of the Pap smear (47.83%). The specificity of VIA (50.00%) was lower than that of the Pap smear (74.16%), resulting in high false-positive rates for VIA.

Conclusion: Visual inspection of the cervix with acetic acid is sensitive for ecto-cervical lesions. The advantage of the VIA method lies in its easy technique, low cost and high sensitivity which are important factors for determining the efficacy of any screening program in developing countries.

DOI: http://dx.doi.org/10.3329/bjms.v13i4.15019

Bangladesh Journal of Medical Science Vol.13(4) 2014 p.454-459

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Author Biographies

Shaheen Shaheen, JN Medical college, Aligarh Muslim University

Associate Professor, Department of obstetrics & Gynaecology

Rajyashri Sharma, JN Medical Collage, Aligarh Muslim University

Professor, Department of Obstetrics & Gynecology

Rashi Rashi, JN Medical Collage, Aligarh Muslim University

Postgraduate, Department of Obstetrics & Gynecology

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Published

2014-09-11

How to Cite

Shaheen, S., Sharma, R., & Rashi, R. (2014). Visual Inspection with Acetic Acid (VIA) in cervical cancer screening in low resource settings. Bangladesh Journal of Medical Science, 13(4), 454–459. https://doi.org/10.3329/bjms.v13i4.15019

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Original Articles