Updated in 2/25/2015 4:50:41 PM      Viewed: 125 times      (Journal Article)
International Journal of Gynecology and Obstetrics 119: S163 (2012)

Single-visit approach: An ethiopian case study

Adnew S.
Cervical cancer is one of the most frequent form of cancer and leading cause of cancer mortality among Ethiopian women. Each year, 4,648 women are diagnosed with and 3,325 die from cervical cancer. Ethiopia lacks an organized national cervical cancer prevention program, and has limited cancer treatment capacity and no national cancer registry. Screening services using the cytology method are almost nonexistent and pre-cancer treatment methods were not available. Above all, there was no alternative screening method appropriate to the setting until recently. As a result, the many women with cervical cancer - if diagnosed at all - are diagnosed too late, at the time when treatment is least effective. In light of this, we introduced an efficient, costeffective, and sustainable strategy to cervical cancer prevention using visual inspection of the cervix with acetic acid (VIA) and cryotherapy in a single-visit approach (SVA). Through this, a solid foundation was laid for: integrating the approach into the national reproductive health strategy, creating a multidisciplinary cohort of doctor-nurse provider teams, developing materials, and informing the community about services. However, given the 22 million women 15 years and older at risk of developing the disease, it is impossible to meet the demand unless services are scaled up. The women-centered prevention-focused national policy, decentralized health service structure, and the applicability and acceptability of the approach represent additional opportunities. This presentation discusses the rational behind introducing SVA, achievements to date, opportunities and challenges, and approaches and activities needed for program scale-up.
ISSN: 0020-7292     
M1: (Adnew S.)