J Gynecol Oncol.  2012 Jul;23(3):147-152. 10.3802/jgo.2012.23.3.147.

Cervical cancer prevention program in Jakarta, Indonesia: See and Treat model in developing country

• Nuranna L
• Aziz MF
• Cornain S
• Purwoto G
• Purbadi S
• Budiningsih S
• Siregar B
• Peters AA

• KMID: 2245172
• DOI: http://doi.org/10.3802/jgo.2012.23.3.147

Abstract

OBJECTIVE
The purpose of this study was to describe the implementation of single visit approach or See-visual inspection of the cervix with acetic acid (VIA)-and Treat-immediate cryotherapy in the VIA positive cases-model for the cervical cancer prevention in Jakarta, Indonesia.
METHODS
An observational study in community setting for See and Treat program was conducted in Jakarta from 2007 until 2010. The program used a proactive and coordinative with VIA and cryotherapy (Proactive-VO) model with comprehensive approach that consists of five pillars 1) area preparation, 2) training, 3) awareness, 4) VIA and cryotherapy, and 5) referral.
RESULTS
There were 2,216 people trained, consist of 641 general practitioners, 678 midwives, 610 public health cadres and 287 key people from the society. They were trained for five days followed by refreshing and evaluation program to ensure the quality of the test providers. In total, 22,989 women had been screened. The VIA test-positive rate was 4.21% (970/22,989). In this positive group, immediate cryotherapy was performed in 654 women (67.4%).
CONCLUSION
See and Treat program was successfully implemented in Jakarta area. The Proactive-VO model is a promising way to screen and treat precancerous lesions in low resource setting.

Keyword

Cancer prevention; Cancer screening; Cervical cancer; Cryotherapy; Visual inspection with acetic acid

MeSH Terms

Acetic Acid
Cervix Uteri
Cryotherapy
Developing Countries
Dietary Sucrose
Early Detection of Cancer
Female
General Practitioners
Humans
Midwifery
Public Health
Uterine Cervical Neoplasms
Acetic Acid
Dietary Sucrose

Figure

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  Fig. 1 The model with 5 Pillars applicate at the Jakarta field. FCP, female cancer program; HOGI, Himpunan Onkologi Ginekologi Indonesia; VIA-CRYO, visual inspection with acetic acid and cryotherapy; YKI, Yayasan Kanker Indonesia.

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  Fig. 2 Positive result (acetowhite lesion) of visual inspection after the application of acetic acid.

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