Acta Biomedica Scientia

A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF CERVICAL CANCER SCREENING METHOD BY VISUAL INSPECTION WITH ACETIC ACID VERSUS VISUAL INSPECTION WITH LUGOL’S IODINE

Dr. Mahendra Vishwakarma

mh.awgp@gmail.com

Cervical Cancer, Visual Inspection with Acetic Acid, Visual Inspection with Lugol?s Iodine, Colposcopy

Back ground of study: Cervical cancer is the second commonest cancer among Indian women (As per Globocan 2018). Cervical cancer is a preventable disease as it has a well –defined, long pre-malignant phase which can be detected by regular screening tests and follow up. Unfortunately, most women in India don?t seem to be aware about the screening.When compared to other screening method VIA/VILI shows better results and sensitivity and it is easy to use, cheap, easy available and accessible test which is done in a minimum time of 10 minutes with no pain and immediate finding which then can be followed in case of positive. Statement of the problem: A comparative study to assess the effectiveness of cervical cancer screening method by visual inspection with acetic acid versus visual inspection with Lugol?s iodine among women attending OPD at Bhagyoday Tirth charitable hospital Sagar Madhya Pradesh. Objectives of the study: (1) To assess the women for cancer cervix screening by VIA method. (2) To assess the women for cancer cervix screening by VILI method. (3) To compare the effectiveness of VIA and VILI method. (4) To associate the finding of VIA and VILI with selected demographic variables. Methodology: The present study was done to evaluate the effectiveness of cervical cancer screening method among women. In this study, the approach was qualitative approach and non –experimental research design was used. The sample consisted of 100 women, selected through non probability convenient sampling technique.Result and discussion:The data collected was analysed using descriptive and inferential statistics. The present study revealed that the mean score of VIA among women was 0.08 ±0.27 as against mean 0.13±0.34 of VILI among women who underwent screening for cancer. The calculated„t? value is t=1.092 was not found to be statistically significant. So there is no significant difference between VILI and VIA in screening cancer.The study findings revealed that there is no association with the findings of VIA and VILI method of screening cervical cancer among women and their selected demographic variables except for age at menarche (2=9.136, df=2, p = 0.028). Conclusion: The findings revealed that positive for VIA was 8(8%), negative for VIA was 92(92%), positive only for VILI was 13(13%), positive for both VIA and VILI 8(8%), negative for VILI 87(87%) and positive for only VILI 5(5%) denoting false positive which infers that VILI is the effective method of screening cervical cancer among women.