Program reduces the mortality of cervical cancer in women infected with HIV in Zambia

The authors, ‘Using an appropriate protocol for the prevention of cervical cancer, ie, nurse-led screening of vision and also visit cryotherapy for eligible women, and links to a tertiary care center for evaluation, our program has not only saved my life, but has also established a new paradigm for the routine prevention interventions in environments with limited resources. ‘The authors stress that these positive results show that the concerted efforts and financial support for the implementation of prevention programs in the programs of integrated care for HIV / AIDS are justified. The claim that their model of prevention can provide a platform for the future of the construction of low-cost methods for HPV-based and the results of the study can serve as a basis for comparing the effectiveness of future prevention programs.

More than half a million women are diagnosed with invasive cervical cancer worldwide each year, and in the same period of over a quarter of a million die of the disease. In low-income areas Cervical cancer kills more women than any other malignancy. Women with HIV have access to prevention of cancer have a higher risk than those not infected with persistent human papillomavirus , cervical intraepithelial neoplasia and invasive cervical cancer .

The nurses have begun screening THROUGH cervicography aided by digital . Women with visible lesions cryotherapy was offered the same visit or which for histological evaluation. Those with the ICC were subjected to surgery or radiotherapy.

Regarding the effectiveness of the study, said Dr. Parham, ‘The main result of the program is that although the screening method has a moderate efficacy, because it was possible was a strong intervention by the ratio of impact :. However, an effective screening, will have no effect if is not adoptable. ‘

Dr. Romanowicz says plans are underway to further examine the association between child abuse and the disease of metal in a larger study of patients.

– Optimal treatment approaches, including the choice of drugs and treatment strategies

From this low-tech ‘screen and treat ‘program, the efficacy results are very encouraging that deserve national recognition and provide a model for expansion into other countries with limited resources.

Unfortunately, in low-income countries such as Zambia, fewer than 5 percent of women are always screened for cervical cancer. However, a method of prevention has been extensively evaluated is the visual inspection with acetic acid in combination with the same treatment with guided cryotherapy. This screening method has proven to be safe, acceptable, and clinically effective in reducing the incidence of cervical cancer and mortality.

The HIV therapy to analyze directly accessible and guidance in key areas of HIV / AIDS, providing researchers and practitioners with a forum such as the fight against HIV continues.