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Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe

Thesis (MFamMed)--Stellenbosch University, 2014.

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Main Author: Fallala, Muriel Selma
Other Authors: Mash, Bob
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2015
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access_status_str Open Access
author Fallala, Muriel Selma
author2 Mash, Bob
author_browse Fallala, Muriel Selma
Mash, Bob
author_facet Mash, Bob
Fallala, Muriel Selma
author_sort Fallala, Muriel Selma
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2014.
format Thesis
id oai:scholar.sun.ac.za:10019.1/97187
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:33.016Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/97187 Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe Fallala, Muriel Selma Mash, Bob University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Family Medicine and Primary Care. Cervix uteri -- Cancer -- Diagnosis -- Zimbabwe -- Bulawayo UCTD Cervix uteri -- Cancer -- Prevention -- Zimbabwe -- Bulawayo Thesis (MFamMed)--Stellenbosch University, 2014. OBJECTIVE: The purpose of the study was to assess the safety, acceptability and feasibility of Visual Inspection with Acetic Acid and Cervicography (VIAC) followed by Cryotherapy or Loop Electrical Excision Procedure (LEEP) at a single visit for prevention of cancer of the cervix in Bulawayo, Zimbabwe. STUDY DESIGN: The study was descriptive using retrospective data extracted from electronic medical records of women attending the VIAC clinic at United Bulawayo Hospital in the period 1st February2010 to 31st December2012.Over 24 months 4641 women visited the clinic and were screened for cervical cancer using VIAC. If positive and eligible, cryotherapy or LEEP was offered immediately. Treated women were followed up at 3months and 1 year. RESULTS: The VIAC test positive rate was 10.8%.Of those eligible,17.0% received immediate cryotherapy, 44.1%received immediate LEEP, 1.9% delayed treatment and 37.0% were referred to a gynaecologist. No major complications were recorded after cryotherapy or LEEP. Among those treated99.5% expressed satisfaction with their experience. Only 3.2% of those treated at the clinic were VIAC positive one year later. The service was shown to be feasible to sustain over time with the necessary consumables. There were no service-related treatment postponements and the clinic staff and facility were able to meet the demand for the service. CONCLUSION: A single visit approach using VIAC, followed by cryotherapy or LEEP proved to be safe, acceptable and feasible in an urban African setting in Bulawayo, Zimbabwe. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. 2015-06-12T05:59:21Z 2015-06-12T05:59:21Z 2014-03 Thesis http://hdl.handle.net/10019.1/97187 en_ZA Stellenbosch University 24 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Cervix uteri -- Cancer -- Diagnosis -- Zimbabwe -- Bulawayo
UCTD
Cervix uteri -- Cancer -- Prevention -- Zimbabwe -- Bulawayo
Fallala, Muriel Selma
Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title_full Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title_fullStr Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title_full_unstemmed Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title_short Cervical cancer screening : safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe
title_sort cervical cancer screening safety acceptability and feasibility of a single visit approach in bulawayo zimbabwe
topic Cervix uteri -- Cancer -- Diagnosis -- Zimbabwe -- Bulawayo
UCTD
Cervix uteri -- Cancer -- Prevention -- Zimbabwe -- Bulawayo
url http://hdl.handle.net/10019.1/97187
work_keys_str_mv AT fallalamurielselma cervicalcancerscreeningsafetyacceptabilityandfeasibilityofasinglevisitapproachinbulawayozimbabwe