Barriers To Uptake Of Pap Smear Test For Cervical Cancer Screening In Semi-Urban District Of Andhra Pradesh-One Year Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Cervical cancer is the second most common cancer affecting Indian women and it is also the second most common cause for cancer deaths. The Papanicolaou smear test is currently the most widely used approach for detecting precancerous and cancerous lesions of cervix for which sensitization and motivation of women was required. Cancer of cervix is readily preventable, and can be diagnosed at the pre-invasive stage with adequate and repetitive cytological screening with Pap smear examination. Our district has large number of rural and tribal community, reaching, counseling and screening them with Pap smear is very difficult. An intense public health campaign to be conducted by Government on a regular and recurring basis. Objective: Retrospective study of cervical smear tests, aimed to analyze limitations in collection of Pap smears and barriers faced by medical staff and patients in our institute. Materials and Methods: Retrospective study conducted in the Department of Obstetrics and Gynecology at Rajiv Gandhi institute of medical sciences, Srikakulam, Andhra Pradesh from January 2017 to December 2017.Out of 8124 gynecology outpatient attended during this period, detailed clinical data and 280 Pap smears collected by conventional method were studied. All the Pap smears were reported as per the 2001 Bethesda system. Results: A total of 280 Pap smears examined and incidence of HSIL is more and we had one case of Adenocarcinoma diagnosed on Pap smear .Conclusion: Carcinoma cervix is 100 % curable when detected in pre-invasive state. Pap test has been effective in reducing the incidence of cervical cancer by 80% and mortality by 70%. Pap smear is a simple, safe, quick and effective test and widely accepted screening method for early detection of premalignant and malignant lesions of cervix. An intense public health campaign regarding importance of screening methods should be conducted to reach interior tribal and rural population.
Authors and Affiliations
Dr. D. Parvathi, Dr. K. Papa Ratnam2
Keywords
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- EP ID EP363773
- DOI 10.9790/0853-1702123740
- Views 73
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