Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies
Objective. To assess willingness to participate and diagnostic accuracy of visual inspection for early detection of cervical neoplasia among women in a health insurance company. Patients and Method. Cervical cancer screening was systematically proposed to 800 women after consecutive information and...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2015/798453 |
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| author | Apollinaire G. Horo Judith Didi-Kouko Coulibaly Abdoul Koffi Boris Tchounga Konan Seni Kacou Edèle Aka Mamourou Kone |
| author_facet | Apollinaire G. Horo Judith Didi-Kouko Coulibaly Abdoul Koffi Boris Tchounga Konan Seni Kacou Edèle Aka Mamourou Kone |
| author_sort | Apollinaire G. Horo |
| collection | DOAJ |
| description | Objective. To assess willingness to participate and diagnostic accuracy of visual inspection for early detection of cervical neoplasia among women in a health insurance company. Patients and Method. Cervical cancer screening was systematically proposed to 800 women after consecutive information and awareness sessions. The screening method was visual inspection with acetic acid (VIA) or Lugol’s iodine (VILI). Results. Among the 800 identified women, 640 (82%) have accepted the screening, their mean age was 39 years, and 12.0% of them were involved in a polygamist couple. 28.2% of women had prior cervical screening. VIA has been detected positive in 5.9% of women versus 8.6% for VILI. The sensitivity was 72.9% and specificity was 95.2% for VIA versus 71.2% and 97.3% for VILI respectively. The histological examination highlighted a nonspecific chronic cervicitis in 4.6%, CIN1 lesions in 5.91%, and CIN2/3 in 1.2% of the cases. Conclusion. Cervical cancer screening by visual inspection showed appropriate diagnostic accuracy when used to detect early cervical lesions. It is a simple and easy to perform method that could be introduced progressively in the health insurance policy while waiting for a national screening program. |
| format | Article |
| id | doaj-art-a816b8ed7584458db28b9558cbdbfe04 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-a816b8ed7584458db28b9558cbdbfe042025-02-03T01:00:52ZengWileyObstetrics and Gynecology International1687-95891687-95972015-01-01201510.1155/2015/798453798453Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance CompaniesApollinaire G. Horo0Judith Didi-Kouko Coulibaly1Abdoul Koffi2Boris Tchounga3Konan Seni4Kacou Edèle Aka5Mamourou Kone6Department of Gynaecology and Obstetrics, Teaching Hospital of Yopougon, Félix Houphouët Boigny (FHB) University, Abidjan, Côte d’IvoireOncology Department, Félix Houphouët Boigny (FHB) University, Teaching Hospital of Treichville, Abidjan, Côte d’IvoireDepartment of Gynaecology and Obstetrics, Teaching Hospital of Yopougon, Félix Houphouët Boigny (FHB) University, Abidjan, Côte d’IvoirePACCI Program, IeDEA West Africa Collaboration, Abidjan, Côte d’IvoireDepartment of Gynaecology and Obstetrics, Teaching Hospital of Yopougon, Félix Houphouët Boigny (FHB) University, Abidjan, Côte d’IvoireDepartment of Gynaecology and Obstetrics, Teaching Hospital of Yopougon, Félix Houphouët Boigny (FHB) University, Abidjan, Côte d’IvoireDepartment of Gynaecology and Obstetrics, Teaching Hospital of Yopougon, Félix Houphouët Boigny (FHB) University, Abidjan, Côte d’IvoireObjective. To assess willingness to participate and diagnostic accuracy of visual inspection for early detection of cervical neoplasia among women in a health insurance company. Patients and Method. Cervical cancer screening was systematically proposed to 800 women after consecutive information and awareness sessions. The screening method was visual inspection with acetic acid (VIA) or Lugol’s iodine (VILI). Results. Among the 800 identified women, 640 (82%) have accepted the screening, their mean age was 39 years, and 12.0% of them were involved in a polygamist couple. 28.2% of women had prior cervical screening. VIA has been detected positive in 5.9% of women versus 8.6% for VILI. The sensitivity was 72.9% and specificity was 95.2% for VIA versus 71.2% and 97.3% for VILI respectively. The histological examination highlighted a nonspecific chronic cervicitis in 4.6%, CIN1 lesions in 5.91%, and CIN2/3 in 1.2% of the cases. Conclusion. Cervical cancer screening by visual inspection showed appropriate diagnostic accuracy when used to detect early cervical lesions. It is a simple and easy to perform method that could be introduced progressively in the health insurance policy while waiting for a national screening program.http://dx.doi.org/10.1155/2015/798453 |
| spellingShingle | Apollinaire G. Horo Judith Didi-Kouko Coulibaly Abdoul Koffi Boris Tchounga Konan Seni Kacou Edèle Aka Mamourou Kone Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies Obstetrics and Gynecology International |
| title | Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies |
| title_full | Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies |
| title_fullStr | Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies |
| title_full_unstemmed | Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies |
| title_short | Cervical Cancer Screening Program by Visual Inspection: Acceptability and Feasibility in Health Insurance Companies |
| title_sort | cervical cancer screening program by visual inspection acceptability and feasibility in health insurance companies |
| url | http://dx.doi.org/10.1155/2015/798453 |
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