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Mobile Screening Unit (MSU) for the Implementation of the 'Screen and Treat' Programme for Cervical Cancer Prevention
Smita Joshi1, Richard Muwonge2, Vinay Kulkarni1
1Prayas, Amrita Clinic, Athawale Corner, Karve Road, Deccan Gymkhana, Pune 411 004, India.
Asian Pacific Journal of Cancer Prevention : APJCP
|February 28, 2021
Summary
Mobile screening units effectively provide cervical cancer screening and treatment in India. The "screen and treat" approach using thermal ablation is safe, though follow-up compliance needs improvement.
Area of Science:
- Public Health
- Gynecology
- Oncology
Background:
- Cervical cancer remains a significant health burden, particularly in low-resource settings.
- Early detection and treatment are crucial for improving outcomes.
- Mobile screening units offer a potential solution for extending healthcare access.
Purpose of the Study:
- To evaluate an opportunistic cervical cancer screening initiative using a mobile screening unit (MSU) in Pune, India.
- To assess the effectiveness and safety of the 'screen and treat' strategy.
- To identify challenges and areas for improvement in the screening program.
Main Methods:
- Conducted 290 outreach clinics using an MSU between November 2016 and June 2019.
- Screening involved visual inspection with 5% acetic acid (VIA) by trained nurses.
- Eligible screen-positive women received same-day thermal ablation; others were referred for colposcopy.
Main Results:
- Screened 10,925 women, with an overall screen positivity of 6.6%.
- 42.4% of screen-positive women received thermal ablation with minor, transient side effects.
- Only 20.33% of women referred for colposcopy completed the procedure, with 15.1% diagnosed with CIN2+ or invasive cancer.
Conclusions:
- Mobile screening units are effective for delivering cervical cancer screening and 'screen and treat' services.
- Thermal ablation is a safe and feasible treatment option in field settings.
- Improving patient compliance for follow-up referrals for advanced lesions is essential.
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