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Visual inspection of the cervix as a primary means of cervical cancer screening: Results of a pilot study

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dc.contributor.author Chirenje, Z.M.
dc.contributor.author Chipato, T.
dc.contributor.author Kasule, J.
dc.contributor.author Rusakaniko, S.
dc.contributor.author Gaffikin, L.
dc.contributor.author Bluementhal, P.
dc.contributor.author Sanghvi, H.
dc.date.accessioned 2017-02-28T10:11:59Z
dc.date.available 2017-02-28T10:11:59Z
dc.date.issued 1999
dc.identifier.citation Chirenje, Z. M. , Chipato, T., Kasule, J., Rusakaniko, S.,Gaffikin, L., Bluementhal, P. & Sanghvi, H. (1999). Visual inspection of the cervix as a primary means of cervical cancer screening: Results of a pilot study. Central African Journal of Medicine, 45(2), 30-33. en_US
dc.identifier.issn 0008-9176
dc.identifier.uri http://hdl.handle.net/10646/2975
dc.description.abstract Objective:To measure the effectiveness of unaided visual inspection (UVI) of the cervix as a primary means of cervical cancer screening. Design: A cross sectional study. Setting: Five primary health care clinics in Mashonaland Province, Zimbabwe. Subjects: 1 000 women aged between 25 and 55 years. Main Outcome Measures: Sensitivity and specificity of UVI. Methods: 1 000 women attending primary health care clinics were screened for cervical cancer by six qualified nurses. An unlubricated bivalve speculum was inserted into the vagina under good light to visualize the cervix and a cervical cytology specimen was obtained followed by visual inspection of the cervix stained by 4% acetic acid. All women found to have abnormal cervices by visual inspection and/or by cervical cytology report were scheduled for colposcopy examination at Harare Central Hospital. Results: 236 (23.6%) women had an abnormal cervical appearance after application with 4% acetic acid, out of which 157 (15.7%) were reported abnormal by cytology. True disease as defined by positive colposcopy and positive cytology was confirmed in 38 (3.8%) women. The sensitivity of UVI using colposcopy and cytology as a reference standard was 68.4%, specificity was 3.4%. Conclusion: The results of this study suggest that naked eye inspection of the cervix after application of acetic acid is a practical alternative to cervical cytology in screening for cervical cancer in countries with few resources like Zimbabwe. en_US
dc.language.iso en_ZW en_US
dc.publisher University of Zimbabwe, College of Health Sciences en_US
dc.subject Cervical cancer en_US
dc.subject screening en_US
dc.subject acetic acid en_US
dc.title Visual inspection of the cervix as a primary means of cervical cancer screening: Results of a pilot study en_US
dc.type Article en_US


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