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Reproductive Health Matters
An international journal on sexual and reproductive health and rights
Volume 16, 2008 - Issue 32: Reproductive cancers
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Original Articles

Cervical cancer screening using visual inspection with acetic acid: operational experiences from Ghana and Thailand

Harshad SanghviJhpiego,BaltimoreMD, USA
(Vice President & Medical Director) ,
Khunying Kobchitt LimpaphayomDepartment of Obstetrics & Gynaecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand E-mail: [email protected]
(Professor Emeritus) ,
Marya PlotkinJhpiego, BaltimoreMD, USA
(Monitoring and Evaluation Advisor) ,
Elaine CharuratJhpiego, BaltimoreMD, USA
(Monitoring and Evaluation Advisor) ,
Amy KleineJhpiego, BaltimoreMD, USA
(Program Manager) ,
Enriquito LuFamily Planning & Reproductive Health, Jhpiego, BaltimoreMD, USA
(Director) ,
Wachara EamratsameekoolDivision of Research and Development, Roi Et Provincial Health Office, Roi Et, Thailand
(Director) &
Buncha PalanuwongBungkan Hospital, Nongkai, Thailand
(Director) show all
Pages 67-77 | Published online: 21 Nov 2008

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R. Rahman, M. D. Clark, Z. Collins, F. Traore, E. M. Dioukhane, H. Thiam, Y. Ndiaye, E. L. De Jesus, N. Danfakha, K. E. Peters, T. Komarek, A. M. Linn, P. E. Linn, K. E. Wallner, M. Charles, M. Hasnain, C. E. Peterson & J. A. Dykens. (2019) Cervical cancer screening decentralized policy adaptation: an African rural-context-specific systematic literature review. Global Health Action 12:1.
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Michelle S. Williams, Ernest Kenu, Isaac Dzubey, Jemima A. Dennis-Antwi & Kevin Fontaine. (2018) A qualitative study of cervical cancer and cervical cancer screening awareness among nurses in Ghana. Health Care for Women International 39:5, pages 584-594.
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William K Bosu. (2014) Learning lessons from operational research in infectious diseases: can the same model be used for noncommunicable diseases in developing countries?. Advances in Medical Education and Practice 5, pages 469-482.
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Articles from other publishers (36)

Ketemaw Tsegaye, Asebe Hagos, Hailemichael Kindie, Amare Minyihun & Getachew Teshale. (2023) Evaluation of cervical cancer screening program in Gondar city administration public health facilities, Northwest Ethiopia, 2021: mixed method approach. BMC Cancer 23:1.
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Helen Kelly, Iman Jaafar, Michael Chung, Pamela Michelow, Sharon Greene, Howard Strickler, Xianhong Xie, Mark Schiffman, Nathalie Broutet, Philippe Mayaud, Shona Dalal, Marc Arbyn & Silvia de Sanjosé. (2022) Diagnostic accuracy of cervical cancer screening strategies for high-grade cervical intraepithelial neoplasia (CIN2+/CIN3+) among women living with HIV: A systematic review and meta-analysis. eClinicalMedicine 53, pages 101645.
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Celestin Hategeka, Prince Adu, Allissa Desloge, Robert Marten, Ruitai Shao, Maoyi Tian, Ting Wei & Margaret E. Kruk. (2022) Implementation research on noncommunicable disease prevention and control interventions in low- and middle-income countries: A systematic review. PLOS Medicine 19:7, pages e1004055.
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Harriet Affran Bonful, Adolphina Addoley Addo-Lartey, Ransford Selasi Sefenu, Adanna Nwameme, Timothy Agandah Abagre, Adolf Kofi Awua, Nii Armah Adu-Aryee, Florence Dedey, Richard Mawuena Kofi Adanu & Kolawole Stephen Okuyemi. (2022) Developing a culturally tailored short message service (SMS) intervention for improving the uptake of cervical cancer screening among Ghanaian women in urban communities. BMC Women's Health 22:1.
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Jana Sami, Sophie Lemoupa Makajio, Emilien Jeannot, Bruno Kenfack, Roser Viñals, Pierre Vassilakos & Patrick Petignat. (2022) Smartphone-Based Visual Inspection with Acetic Acid: An Innovative Tool to Improve Cervical Cancer Screening in Low-Resource Setting. Healthcare 10:2, pages 391.
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Ramin Asgary, Elena Beideck & Rosanna Naderi. (2022) Comparative assessment of test characteristics of cervical cancer screening methods for implementation in low-resource settings. Preventive Medicine 154, pages 106883.
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Gertrude Namale, Yunia Mayanja, Onesmus Kamacooko, Daniel Bagiire, Agnes Ssali, Janet Seeley, Robert Newton & Anatoli Kamali. (2021) Visual inspection with acetic acid (VIA) positivity among female sex workers: a cross-sectional study highlighting one-year experiences in early detection of pre-cancerous and cancerous cervical lesions in Kampala, Uganda. Infectious Agents and Cancer 16:1.
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Kofi Boamah Mensah & Adwoa Bemah Boamah Mensah. (2020) Cancer control in Ghana: A narrative review in global context. Heliyon 6:8, pages e04564.
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Chibuike O. Chigbu, Elijah N. Onwudiwe & Azubuike K. Onyebuchi. (2019) Thermo‐coagulation versus cryotherapy for treatment of cervical precancers: A prospective analytical study in a low‐resource African setting. Journal of Obstetrics and Gynaecology Research 46:1, pages 147-152.
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Sharmila A. Pimple & Gauravi A. Mishra. (2019) Optimizing high risk HPV-based primary screening for cervical cancer in low- and middle-income countries: opportunities and challenges. Minerva Ginecologica 71:5.
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Ramin Asgary, Helen Cole, Philip Adongo, Ada Nwameme, Ernest Maya, Amanda Adu-Amankwah, Hannah Barnett & Richard Adanu. (2019) Acceptability and implementation challenges of smartphone-based training of community health nurses for visual inspection with acetic acid in Ghana: mHealth and cervical cancer screening. BMJ Open 9:7, pages e030528.
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Jessica Hanae Zafra-Tanaka, Marcia Esther Hurtado-Villanueva, María del Pilar Saenz-Naranjo & Alvaro Taype-Rondan. (2018) Self-perceived competence in early diagnosis of cervical cancer among recently graduated physicians from Lima, Peru. PLOS ONE 13:9, pages e0203778.
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Yacouba Ouedraogo, Gahan Furlane, Timothee Fruhauf, Ousmane Badolo, Moumouni Bonkoungou, Tsigue Pleah, Jean Lankoande, Isabelle Bicaba & Eva S. Bazant. (2018) Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso. Global Health: Science and Practice 6:2, pages 288-298.
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Zelalem T. Haile, Caroline Kingori, Bhakti Chavan, John Francescon & Asli K. Teweldeberhan. (2017) Association Between Risky Sexual Behavior and Cervical Cancer Screening Among Women in Kenya: A Population-Based Study. Journal of Community Health 43:2, pages 238-247.
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VH Victor Manuel. (2017) Screening and Prevention of Cervical Cancer in the World. Journal of Gynecological Research and Obstetrics 3:3, pages 086-092.
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Mauricio Maza & Julia C. Gage. (2017) Considerations for HPV primary screening in lower-middle income countries. Preventive Medicine 98, pages 39-41.
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Sarah Finocchario-Kessler, Catherine Wexler, May Maloba, Natabhona Mabachi, Florence Ndikum-Moffor & Elizabeth Bukusi. (2016) Cervical cancer prevention and treatment research in Africa: a systematic review from a public health perspective. BMC Women's Health 16:1.
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Elkanah Omenge Orang’o, Juddy Wachira, Fredrick Chite Asirwa, Naftali Busakhala, Violet Naanyu, Job Kisuya, Grieven Otieno, Alfred Keter, Ann Mwangi & Thomas Inui. (2016) Factors Associated with Uptake of Visual Inspection with Acetic Acid (VIA) for Cervical Cancer Screening in Western Kenya. PLOS ONE 11:6, pages e0157217.
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Woraphot Chaowawanit, Siriwan Tangjitgamol, Nuttavut Kantathavorn, Natacha Phoolcharoen, Thannaporn Kittisiam, Jakkapan Khunnarong, Busaba Supawattanabodee, Sunamchok Srijaipracharoen, Thaovalai Thavaramara & Kamol Pataradool. (2016) Knowledge, Attitudes and Behavior of Bangkok Metropolitan Women Regarding Cervical Cancer Screening. Asian Pacific Journal of Cancer Prevention 17:3, pages 945-952.
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Jean Anderson, Megan Wysong, Deb Estep, Giulia Besana, Sharon Kibwana, John Varallo, Kai Sun & Enriquito Lu. (2015) Evaluation of Cervical Cancer Screening Programs in Côte d’Ivoire, Guyana, and Tanzania: Effect of HIV Status. PLOS ONE 10:9, pages e0139242.
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Shelly Agarwal, Samta Gupta, Nimmi Chutani & SS Gulati. (2014) Visual Inspection of Cervix with Acetic Acid as a Screening Test for Premalignant and Malignant Lesions of Cervix. Journal of SAFOMS 2:2, pages 62-64.
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Rengaswamy Sankaranarayanan, Kunnambath Ramadas & You-lin Qiao. (2014) Managing the changing burden of cancer in Asia. BMC Medicine 12:1.
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Chibuike O. Chigbu & Azubuike K. Onyebuchi. (2014) Use of a portable diathermy machine for LEEP without colposcopy during see-and-treat management of VIA-positive cervical lesions in resource-poor settings. International Journal of Gynecology & Obstetrics 125:2, pages 99-102.
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Proma PaulJennifer L. WinklerRosario M. BartoliniMary E. PennyTrinh Thu HuongLe Thi NgaEdward Kumakech, Emmanuel Mugisha & Jose Jeronimo. (2013) Screen-and-Treat Approach to Cervical Cancer Prevention Using Visual Inspection With Acetic Acid and Cryotherapy: Experiences, Perceptions, and Beliefs From Demonstration Projects in Peru, Uganda, and Vietnam. The Oncologist 18:12, pages 1278-1284.
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Proma PaulJennifer L. WinklerRosario M. BartoliniMary E. PennyTrinh Thu HuongLe Thi NgaEdward Kumakech, Emmanuel Mugisha & Jose Jeronimo. (2013) Screen-and-Treat Approach to Cervical Cancer Prevention Using Visual Inspection With Acetic Acid and Cryotherapy: Experiences, Perceptions, and Beliefs From Demonstration Projects in Peru, Uganda, and Vietnam. The Oncologist 18:S2, pages 6-12.
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Young‐Mi Kim, Fransisca Maria Lambe, Djoko Soetikno, Megan Wysong, Ana Isabel Tergas, Presha Rajbhandari, Abigael Ati & Enriquito Lu. (2013) Evaluation of a 5‐year cervical cancer prevention project in I ndonesia: Opportunities, issues, and challenges . Journal of Obstetrics and Gynaecology Research 39:6, pages 1190-1199.
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Chibuike O. Chigbu, Azubuike K. Onyebuchi, Leonard O. Ajah & Elijah N. Onwudiwe. (2012) Motivations and preferences of rural Nigerian women undergoing cervical cancer screening via visual inspection with acetic acid. International Journal of Gynecology & Obstetrics 120:3, pages 262-265.
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D. THANAPPRAPASR, S. DEESAMER, S. SUJINTAWONG, U. UDOMSUBPAYAKUL & S. WILAILAK. (2012) Cervical cancer screening behaviours among Thai women: results from a cross-sectional survey of 2112 healthcare providers at Ramathibodi Hospital, Thailand. European Journal of Cancer Care 21:4, pages 542-547.
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Young-Mi Kim, Abigael Ati, Adrienne Kols, Fransisca Maria Lambe, Djoko Soetikno, Megan Wysong, Ana Isabel Tergas, Presha Rajbhandari & Enriquito Lu. (2012) Influencing Women's Actions on Cervical Cancer Screening and Treatment in Karawang District, Indonesia. Asian Pacific Journal of Cancer Prevention 13:6, pages 2913-2921.
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Rengaswamy Sankaranarayanan, Ashrafun Nessa, Pulikattil Okkuru Esmy & Jean-Marie Dangou. (2012) Visual inspection methods for cervical cancer prevention. Best Practice & Research Clinical Obstetrics & Gynaecology 26:2, pages 221-232.
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M Sharma, J Ortendahl, E van der Ham, S Sy & JJ Kim. (2011) Cost‐effectiveness of human papillomavirus vaccination and cervical cancer screening in Thailand. BJOG: An International Journal of Obstetrics & Gynaecology 119:2, pages 166-176.
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August Burns, Harshad Sanghvi, Ricky Lu, Lynne Gaffikin & Paul Blumenthal. (2011) Single-disease health campaigns: the case of cervical cancer – Authors' reply. The Lancet 378:9800, pages 1378.
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Rachel MaschLauren R. DitzianAyana K. AprilMauricio MazaEthel PeraltaMiriam L. Cremer. (2011) Cervical Cancer Screening and Treatment Training Course in El Salvador: Experience and Lessons Learned. Journal of Women's Health 20:9, pages 1357-1361.
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Lauren R. Ditzian, Gizelka David‐West, Mauricio Maza, Beatrix Hartmann, Taraneh Shirazian & Miriam Cremer. (2011) Cervical Cancer Screening in Low‐ and Middle‐Income Countries. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine 78:3, pages 319-326.
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Wilm Quentin, Yaw Adu‐Sarkodie, Fern Terris‐Prestholt, Rosa Legood, Baafuor K. Opoku & Philippe Mayaud. (2011) Costs of cervical cancer screening and treatment using visual inspection with acetic acid (VIA) and cryotherapy in Ghana: the importance of scale. Tropical Medicine & International Health 16:3, pages 379-389.
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Mark H Einstein & Rébécca Phaëton. (2010) Issues in cervical cancer incidence and treatment in HIV. Current Opinion in Oncology 22:5, pages 449-455.
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