Reproductive Health Matters
Volume 16, Issue 32 , Pages 67-77 , November 2008

Cervical cancer screening using visual inspection with acetic acid: operational experiences from Ghana and Thailand

  • Harshad Sanghvi

      Affiliations

    • Vice President & Medical Director, Jhpiego, Baltimore MD, USA
  • ,
  • Khunying Kobchitt Limpaphayom

      Affiliations

    • Professor Emeritus, Department of Obstetrics & Gynaecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • ,
  • Marya Plotkin

      Affiliations

    • Monitoring and Evaluation Advisor, Jhpiego, Baltimore MD, USA
  • ,
  • Elaine Charurat

      Affiliations

    • Monitoring and Evaluation Advisor, Jhpiego, Baltimore MD, USA
  • ,
  • Amy Kleine

      Affiliations

    • Program Manager, Jhpiego, Baltimore MD, USA
  • ,
  • Enriquito Lu

      Affiliations

    • Director, Family Planning & Reproductive Health, Jhpiego, Baltimore MD, USA
  • ,
  • Wachara Eamratsameekool

      Affiliations

    • Director, Division of Research and Development, Roi Et Provincial Health Office, Roi Et, Thailand
  • ,
  • Buncha Palanuwong

      Affiliations

    • Director, Bungkan Hospital, Nongkai, Thailand

References 

  1. Parkin MD, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer Journal for Clinicians. 2005;55(2):74–108
  2. Sankaranarayanan R, Gaffikin L, Jacob M, et al. A critical assessment of screening methods for cervical neoplasia. International Journal of Gynecology and Obstetrics. 2005;89(Suppl 2):S4–S12
  3. Shastri SS, Dinshaw K, Amin G, et al. Concurrent evaluation of visual, cytological and HPV testing as screening methods for the early detection of cervical neoplasia in Mumbai, India. Bulletin of World Health Organization. 2005;83(3):186–194
  4. Royal Thai College of Obstetricians and Gynaecologists/JHPIEGO Corporation Cervical Cancer Prevention Group. Safety, acceptability, and feasibility of a single-visit approach to cervical cancer prevention in rural Thailand: a demonstration project. Lancet. 2003;361(9360):814–820
  5. Denny L, Kuhn L, Pollack A, et al. Evaluation of alternative methods of cervical cancer screening for resource-poor settings. Cancer. 2000;89(4):826–833
  6. Belinson JL, Pretorius RG, Zhang WH, et al. Cervical cancer screening by simple visual inspection after acetic acid. American Journal of Obstetrics and Gynecology. 2001;98(3):441–444
  7. Arbyn M, Gaffikin L, Sankaranarayanan R, et al. Assessment of innovative approaches to cervical cancer screening, follow-up and treatment of screen-detected cervical lesions in developing countries: a pooled analysis of ACCP trial results. Seattle: PATH/IPH; 2005;
  8. Gaffikin L, Lauterback M, Blumenthal P. Performance of visual inspection with acetic acid for cervical cancer screening: a qualitative summary of evidence to date. Obstetrical and Gynecological Survey. 2003;58(8):543–550
  9. Blumenthal PD, Gaffikin L, Deganus S, et al. Cervical cancer prevention: safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana. American Journal of Obstetrics and Gynecology. 2007;196:407.e1–407.e9
  10. Goldie SJ, Gaffikin L, Goldhaber-Fiebert JD, et al. Cost-effectiveness of cervical cancer screening in five developing countries. New England Journal of Medicine. 2005;353(20):2158–2168
  11. Alliance for Cervical Cancer Prevention. Planning and implementing cervical cancer prevention and control programs: a manual for managers. Seattle: ACCP; 2004;
  12. World Health Organization. Cervical cancer screening in developing countries: report of a WHO consultation. Geneva: WHO; 2002;
  13. Sankaranarayanan R, Esmy PO, Rajkumar R, et al. Effect of visual screening on cervical cancer incidence and mortality in Tamil Nadu, India: a cluster-randomised trial. Lancet. 2007;370(9585):398–406
  14. Alliance for Cervical Cancer Prevention. Conclusions from ACCP clinical research in developing countries. Cervical Cancer Prevention Fact Sheet. At: < www.path.org/files/RH_conclusions.pdf>. Accessed 8 February 2008
  15. WHO, Institut Catala d'Oncologia. Human papillomavirus and cervical cancer summary report: Ghana 2007. At: < http://www.who.int/hpvcentre/statistics/dynamic/ico/country_pdf/GHA.pdf>. Accessed 3 August 2008
  16. World Health Organization, Institut Catala d'Oncologia. Human papillomavirus and cervical cancer summary report: Thailand 2007. At: < /www.who.int/hpvcentre/statistics/dynamic/ico/country_pdf/THA.pdf>. Accessed 3 August 2008
  17. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174

PII: S0968-8080(08)32401-X

doi: 10.1016/S0968-8080(08)32401-X

Reproductive Health Matters
Volume 16, Issue 32 , Pages 67-77 , November 2008