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VIA and cryotherapy: doing what's best
Bandit Chumworathayi1, Kobchitt Limpaphayom, Somkeart Srisupundit
1Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Thailand. bunchu@kku.ac.th
Cervical cancer screening in Thailand is expanding to reach 80% coverage using visual inspection with acetic acid (VIA) and Pap smears. This combined approach aims to significantly reduce cervical cancer incidence and mortality in Thai women.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Cervical cancer causes approximately 6,000 deaths annually among Thai women.
- The age-standardized incidence ratio (ASR) for cervical cancer in Thailand is 20.9 per 100,000 women-years.
- Previous opportunistic Pap smear screening coverage was limited to only 5%.
Purpose of the Study:
- To expand cervical cancer prevention programs throughout Thailand.
- To increase screening coverage to a target of 80%.
- To reduce cervical cancer incidence and mortality through a combined screening approach.
Main Methods:
- Implementing visual inspection with acetic acid (VIA) and cryotherapy, a secondary prevention strategy.
- Complementing VIA with Pap smear screening where appropriate.
- Expanding the program to rural and remote settings with limited resources.
Main Results:
- The study aims to achieve 80% coverage for cervical cancer screening.
- The combined approach of VIA and Pap smears is expected to be more practical for widespread implementation.
- Significant reduction in cervical cancer incidence and mortality is anticipated.
Conclusions:
- Visual inspection with acetic acid (VIA) and cryotherapy offers a practical approach for cervical cancer prevention in resource-limited settings.
- A comprehensive strategy combining VIA and Pap smears can substantially decrease cervical cancer burden in Thailand.
- The expanded program is poised to improve outcomes for Thai women through enhanced screening coverage.
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