Open AccessAbnormal Cervical Lesions and Its Associated Factors Using Visual Inspection With Acetic Acid (VIA) at a Referral Hospital in Ethiopia
Author(s) -
Daniel Mekonnen Nigus,
Yinebeb Mezgebu,
Fantahun Biadglegne,
A.D. Habteyohannes
Publication year - 2018
Publication title -
journal of global oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.002
H-Index - 17
ISSN - 2378-9506
DOI - 10.1200/jgo.18.35100
Subject(s) - medicine , referral , cervical cancer , guideline , statistical significance , cross sectional study , medical record , family medicine , pediatrics , gynecology , obstetrics , cancer , pathology
Background: Ethiopia has over 29 million women aged 15 years and older who are at risk for developing cervical cancer. Aim: To provide prevalence of precancerous cervical lesions and its associated factors among women visiting gynecology department of Felege Hiwot referral Hospital (FHRH). Methods: A cross sectional study was conducted from December 2016 to June 2017 on 428 women who were seeking medical service in FHRH. Relevant sociodemographic data were collected using structured questionnaire. Clients were screened for abnormal cervical presentation by physicians and those with indicative clinical presentations were recruited for visual inspection using 5% acetic acid (VIA) as per cervical cancer prevention guideline for low-resource settings. The screening result was documented based on the national VIA screening record format as; 'No acithowhite lesion', 'Acithowhite lesion eligible for cryo', 'Acithowhite lesion non eligible for cryo' or 'Suspicious for cancer'. Data were analyzed using SPSS v23. Statistical significance was set at P value 0.05) with VIA positive result. Conclusion: The observed VIA screening result calls stakeholders to strengthen the primary cervical cancer prevention strategies in the studied area.