Abstract

Developed countries have reduced incidence and mortality of cervical cancer (CC) through cytology-based screening programs. Though a large number of the world’s population live in Low and Middle Income Countries (LMICs), cytology-based screening programs have been ineffective in them. Visual inspection with acetic acid (VIA) and the human papillomavirus (HPV) test have proven to be effective primary screening methods for CC screening in LMICs. However, the HPV test is too expensive for introduction in the screening program of many LMICs. VIA is therefore accepted as the method of screening in several LMICs, as it needs minimum infrastructure support and results are available immediately, so additional investigations/management can be carried out during the same visit.

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