Cervix Cancer Screening Cervix Cancer Screening Evolving a New Evolving a New MethodologyMethodology

A Life Saving Initiative of the Chennai Corporation

Rajesh Lakhani IASRajesh Lakhani IAS

Cancer Cervix- Are you at Cancer Cervix- Are you at risk ?risk ?

Cervical Cancer Cervical Cancer Highest Prevalence and Mortality Gradual development (10 yrs) from

Pre-Cancer Prognosis 80-90% stage 1

diagnosis; Stage 2 diagnosis 50-65%

High Mortality – Late Detection

DetectionDetectionA swab of table top VinegarA Magnifying LensTraining of Para Medical StaffVisual Inspection with Acetic Acid (vinegar)

Cost almost nothing

VIA Compared with other VIA Compared with other alternativesalternatives

TestTest SensitivitySensitivity//

ReliabilityReliability

No of No of Visits Visits

ReplicableReplicable CostCost

VaccineVaccine Screening Is still required

1Visit No Extreme 6000 /woman

BiopsyBiopsy 66-100% > 3 Visits No Require High Cost equipment

High

Pap SmearPap Smear 47-62% >2 Visits Require Lab nad Gynecologists

High

VIAVIA 67-79% Single Visit Easy and THE ONLY OPTION

Very LowRs 1/test

Program Program

Largest Trial in the world- Single visitFrom 2 Health post was increased to 30Focus from Gynecologists to MPHW (Multi

Purpose Health Worker)◦ Modules for integration with their existence anti

natal mother care◦ Motivation & Oblivion to Glory

Creating Demand Women Welfare Camps

◦ All women affair◦ Inaugurated by Mayor, Ministers

Training of private DoctorsMade part of Curriculum of Para medical

Field training modules

Program Program Strategy 5 CStrategy 5 C

Counseling about Cervical Cancer.

Cervical Screening – VIA.

Cryo therapy

Comprehensive treatment, referral & follow-up

Control of Cancer Cervix.

Innovation & EquipmentsInnovation & Equipments

Conquering ProblemsConquering Problems

Cancer Early Detection ProjectCancer Early Detection Project- Lives saved -Continuing- Lives saved -Continuing

ParticularParticularss

Apr 08 -Apr 08 -Mar 09Mar 09

Apr 09 -Apr 09 -Nov 09Nov 09 TotalTotal

Total Mothers Screened

102196 71490 173689

VIA +veVIA +ve 10831083 496496 15791579

Life is beautifulLife is beautiful

Why VIA is a Practical Why VIA is a Practical Alternative Alternative to Pap Smearto Pap SmearAffordable @ Replicable

Can be learned by all types of healthcare professionals with Cheap Locally available equipment and with Vinegar

Safe, easy to perform( 2 Minutes)

and inexpensive

Single VisitScreening & Treatment Results are available

immediately Accurate

Good sensitivity-especially for higher grade lesions

Message- A ray of hope for Message- A ray of hope for Indian womenIndian women

Every woman (Even vaccinated) needs to be screened every 5 years after the age of 25.

Chennai Corporation Model packaged in

Single visit approach is the RAY OF HOPE

Vinegar Test -2013Vinegar Test -2013

Thank you …Thank you …