Cervical Cancer Screening and Treatment Services in
South West Shoa Zone of Oromia Region
Hezkiel Petros, MD1, Andarge Abie Ayele1, BSc, MPH
1St. Luke Catholic Hospital , Waliso, Oromia Regional State, Ethiopia
Introduction: Global cervical cancer incidence increased by 0.6% annually for the last 30 years and reached 454,000 cases per year in 2010. Cervical cancer death rates have been decreasing but the disease still killed 200,000 women in 2010, of which 46,000 were aged 15-49 years in developing countries. There are an estimated 7,000 new cases of cervical cancer in Ethiopia per year; nearly 5,000 people are estimated to die of the disease per year.
Objective: To describe outcome of cervical cancer screening services in Walliso St. Luke Catholic Hospital, to assess patient characteristics and associated factorsand to suggest recommendations based on findings
Method: Women who come for screening from September 2015-August 2016 at St. Luke Catholic Hospital in South West Shoa zone of Oromia region were included in the study. Patient sociodemographic characteristics, information on therapy and outcome were extracted from screening forms, log registration and patient files retrospectively with document review. Diagnosis of precancerous lesion is made by applying 3-5% acetic acid; positive precancerous lesions were treated with either cryotherapy or LEEP.
Result: The hospital screened a total of 1,004 clients with VIA, 73 clients had aceto-white lesion, 68 clients were eligible for cryotherapy treatment and 93% were treated with see and treat approach.
Conclusion and recommendation: The screening service is relatively good and with good treatment coverage rate, but the positivity rate is higher for some months so need to improve the quality of the screening and treatment services.
(Ethiopian Journal of Reproductive Health 2018;10:15-21)