Prevalence of VIA Positive Case Result at Primary Health Care Centre, Gazipur, Bangladesh

Résumé

Introduction: Cervical cancer is the second most 2nd most frequent and top killer cancer among women in Bangladesh. All positive VIA cases are evaluated by colposcopy. Although VIA screening is limited scientific evidence on prevalence of VIA screening service utilization and factors influencing screening practices in the community. Objective: To assess the prevalence of VIA positive case result at primary health care centre, Gazipur, Bangladesh. Methods & Materials: An observational study was done in gynaecology outpatient department in Primary health care center Sreepur, Gazipur, Bangladesh during the period of January 2020 to June 2021. Total 5056 women were selected randomly. All asymptomatic women between age group 18-60, who were married for at least 3 years, were included in this study. All VIA positive cases were evaluated by colposcopy according to colposcopy method. Results: Total of 5056 women were screened by VIA test. Eighty four VIA positive cases were identified and referred for colposcopy. Among 55 were diagnosed as CIN I, 17 cases were CIN II, 12 cases were CIN III and 4 were VAI test results positive. Early initiation of sexual intercourse was an independent predictor of VIA positive result in this study. Conclusion: Thus, any cervical cancer prevention and control effort at the study area should address the problem of early initiation of sexual intercourse. So even during gynecological practice, if we arrange a setup for cervical screening by VIA test, many women can be saved from future development of carcinoma cervix later in their lives.