The initiative targets women ages 30 to 49 for VIA cervical cancer screening. This is the first time that screening cervical cancer can conducted at the grassroots level (commune health stations). Women who test positive at the commune health stations are treated with cryotherapy, if appropriate. When cryotherapy treatment is inappropriate, women are referred to the provincial or national level for loop electrosurgical excision procedure (LEEP) or another appropriate treatment.
The project also works to identify and adapt existing information, education, and communication materials and conducts activities to provide the community, especially women, with appropriate information on secondary prevention of cervical cancer.
The project's main activities are as follows:
(1) Strategic trainings to provide cervical cancer secondary prevention services.
Update course for national key obstetricians and gynecologists
Training courses for provincial, district doctors on visual inspection with acetic acid (VIA), cryotherapy and LEEP (loop electrosurgical excision procedure)
Training courses for provincial, district and commune nurses and midwives on visual inspection with acetic acid (VIA), cryotherapy
Provide equipment for health facilities to implement “screen – and – treat” model for cervical cancer.
(2) Develop a cervical cancer screening and early treatment service delivery model at that is effective at various levels of the health care system. The “screen - and - treat” model will be integrated into currently routine services at commune, district and provincial levels.
Monitoring and supervision activities will be conducted to assure the quality of services.
Final evaluation will be conducted by the end of the project to assess the effectiveness, feasibility and acceptability of the “screen - and - treat” model.