Cervical cancer prevention: safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana

Paul D. Blumenthal, Lynne Gaffikin, Sylvia Deganus, Robbyn Lewis, Mark Ross Emerson, Sydney Adadevoh

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to assess the safety and acceptability of a single-visit approach to cervical cancer prevention combining visual inspection of the cervix with acetic acid wash (VIA) and cryotherapy. Study Design: The study was observational. Nine clinicians were trained in VIA and cryotherapy. Over 18 months 3665 women were VIA-tested. If positive and eligible, cryotherapy was offered immediately. Treated women were followed-up at 3 months and 1 year. Results: The test-positive rate was 13.2%. Of those eligible, 70.2% and 21% received immediate or delayed treatment, respectively. No major complications were recorded, and 5.6% presented for a perceived problem post-cryotherapy. Among those treated over 90% expressed satisfaction with their experience, and 96% had an indentifiable squamo-columnar junction. Only 2.6% (6/232) were test positive, 1-year posttreatment. Conclusion: A single-visit approach using VIA and cryotherapy proved to be safe, acceptable, and feasible in an urban African setting.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume196
Issue number4
DOIs
StatePublished - Apr 2007

Fingerprint

Ghana
Cryotherapy
Uterine Cervical Neoplasms
Safety
Cervix Uteri
Acetic Acid
Observational Studies

Keywords

  • cervical cancer prevention
  • cervical cancer screening
  • cryotherapy
  • visual inspection

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Cervical cancer prevention : safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana. / Blumenthal, Paul D.; Gaffikin, Lynne; Deganus, Sylvia; Lewis, Robbyn; Emerson, Mark Ross; Adadevoh, Sydney.

In: American Journal of Obstetrics and Gynecology, Vol. 196, No. 4, 04.2007.

Research output: Contribution to journalArticle

Blumenthal, Paul D. ; Gaffikin, Lynne ; Deganus, Sylvia ; Lewis, Robbyn ; Emerson, Mark Ross ; Adadevoh, Sydney. / Cervical cancer prevention : safety, acceptability, and feasibility of a single-visit approach in Accra, Ghana. In: American Journal of Obstetrics and Gynecology. 2007 ; Vol. 196, No. 4.
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