Evaluation of a 5-year cervical cancer prevention project in Indonesia: Opportunities, issues, and challenges

Young Mi Kim, Fransisca Maria Lambe, Djoko Soetikno, Megan Wysong, Ana Isabel Tergas, Presha Rajbhandari, Abigael Ati, Enriquito Lu

Research output: Contribution to journalArticle

Abstract

Aim: The Cervical and Breast Cancer Prevention (CECAP) Project sought to develop a national model for cervical cancer prevention in Indonesia based on visual inspection with acetic acid (VIA) to detect abnormal changes in the cervix. The purpose of this study was to evaluate a pilot project introducing VIA and cryotherapy in Indonesia and to identify lessons learned that could be applied to the national scale-up of cervical cancer prevention services. Material and Methods: Fifty-four months (July 2007 to December 2011) of service records at 17 health centers were abstracted and analyzed. The data were used to calculate the proportion of all women aged 30-50 who received VIA screening, the VIA-positive rate, the treatment rate, and the interval between screening and treatment. Results: The 45 050 women screened during the project included 24.4% of the total female population in the target age group in the catchment area. Throughout the 5-year project, 83.1% of VIA-positive women sought cryotherapy. During the last 18 months of the project, after data collection tools were revised to more accurately reflect when cryotherapy was received, 13% of women were treated on the same day that they were screened. Among the 74% of women treated within 1 month of screening, the mean interval between screening and treatment was 7.2 days. Conclusion: As cervical cancer prevention services are scaled up throughout Indonesia, changes in the service delivery model and program management are needed to increase screening coverage, promote a single-visit approach, and ensure the quality of services.

Original languageEnglish (US)
Pages (from-to)1190-1199
Number of pages10
JournalJournal of Obstetrics and Gynaecology Research
Volume39
Issue number6
DOIs
StatePublished - Jun 2013

Keywords

  • Cancer prevention
  • Cancer screening
  • Cervical cancer
  • Cryotherapy
  • Indonesia

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Kim, Y. M., Lambe, F. M., Soetikno, D., Wysong, M., Tergas, A. I., Rajbhandari, P., Ati, A., & Lu, E. (2013). Evaluation of a 5-year cervical cancer prevention project in Indonesia: Opportunities, issues, and challenges. Journal of Obstetrics and Gynaecology Research, 39(6), 1190-1199. https://doi.org/10.1111/jog.12052