{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:05:42Z","timestamp":1767650742924,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T00:00:00Z","timestamp":1401667200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate a cervical cancer prevention project in <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>uyana utilizing visual inspection with acetic acid (<jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content>) and immediate cryotherapy in a single\u2010visit approach; and to identify lessons learned to inform the improvement of cervical cancer prevention programs in <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>uyana and other low\u2010resource settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Service records from <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2009 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2012 were analyzed for 18 cervical cancer prevention sites across <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>uyana. Records included women's <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status, data on visual inspection with acetic acid screening and treatment status for women's initial and 1\u2010year follow\u2010up screenings, provider training and retention. A process evaluation was conducted in 2011 to identify programmatic strengths and interventions for integration, scale\u2010up and sustainability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the 42\u2010month interval, 21\u2009597 new screenings were performed, reaching 95% of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content><jats:sup>+<\/jats:sup> women enrolled in care and 17% of women aged 25\u201349\u2009years in <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>uyana. The <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content><jats:sup>+<\/jats:sup> rate was 13% (<jats:italic>n<\/jats:italic>\u2009=\u20092806); 85% of women eligible for cryotherapy received immediate treatment. Half of <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content><jats:sup>+<\/jats:sup> women treated with cryotherapy or loop electrosurgical excision procedure returned for a 1\u2010year follow\u2010up screening (<jats:italic>n<\/jats:italic>\u2009=\u20091027); 95% were <jats:styled-content style=\"fixed-case\">VIA<\/jats:styled-content><jats:sup>\u2013<\/jats:sup> at the second screening. Non\u2010physician providers were more likely to continue offering services than physicians. Most programmatic challenges were related to systemic rather than technical\/clinical issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The single\u2010visit approach\u2010based program is feasible, effective, and when scaled up, likely to have an impact on overall incidence of cervical cancer. Services can be shifted to non\u2010physicians for scale\u2010up of high\u2010quality cervical cancer prevention services nationally. To ensure sustainability and expansion, support structures should be prioritized.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12366","type":"journal-article","created":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T03:14:07Z","timestamp":1401765247000},"page":"1707-1716","source":"Crossref","is-referenced-by-count":19,"title":["Evaluation of a single\u2010visit approach to cervical cancer screening and treatment in <scp>G<\/scp>uyana: Feasibility, effectiveness and lessons learned"],"prefix":"10.1111","volume":"40","author":[{"given":"Caitlin E.","family":"Martin","sequence":"first","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana I.","family":"Tergas","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Wysong","sequence":"additional","affiliation":[{"name":"Jhpiego\/USA an Affiliate of Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Reinsel","sequence":"additional","affiliation":[{"name":"Jhpiego\/USA an Affiliate of Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Estep","sequence":"additional","affiliation":[{"name":"Jhpiego\/USA an Affiliate of Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Varallo","sequence":"additional","affiliation":[{"name":"Jhpiego\/USA an Affiliate of Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,2]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"FerlayJ ShinH BrayF FormanD MathersC ParkinD.GLOBOCAN 2008 v2.0 Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10. 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