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Cervical Cancer Prevention and Treatment

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Publication Cover Preventing Cervical Cancer in Low-Resource Settings: From Research to Practice  
This report summarizes a regional conference on cervical cancer prevention hosted by Jhpiego in collaboration with Chulalongkorn University and with the support of the Bill & Melinda Gates Foundation. Held from 4 to 7 December 2005 in Bangkok, Thailand, the conference reviewed the evidence for approaches to preventing cervical cancer and explored strategies for scaling up interventions in the field. The overall goal of the conference was to move evidence-based interventions for preventing cervical cancer into common practice.

The report contains summaries of presentations and small group discussions, key commitments and country action plans from country representatives at the conference, and a section on how donors and programs can support cervical cancer prevention efforts. (2006) Available in English.

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Publication Cover Cervical Cancer Prevention Guidelines for Low-Resource Settings  
This reference manual is designed for trainers and health care providers who are embarking on a cervical cancer prevention program that will focus on visual inspection with acetic acid (VIA) and/or cryotherapy as the core programmatic elements. The material is arranged both according to established principles of medical education (epidemiology, pathophysiology, clinical intervention) and according to the order in which knowledge and skills are gradually acquired during training. Although this manual could be used alone in training in provision of VIA and cryotherapy services, it is an integral part of a comprehensive learning package that includes a handbook for participants, a notebook for trainers, an interactive CD-ROM of cervical images, a companion handbook on performance support and anatomic models. (2005) Available in English.

Cervical Cancer Prevention Course Handbook: Guide for Participants  
This handbook for participants describes a competency-based training course and includes the course objectives, model course schedule, learning guides and practice checklists, and instructions for using the ZOE® anatomic model, all linked to the reference manual. (2005) Available in English.

Cervical Cancer Prevention Notebook for Trainers  
This notebook for trainers contains the precourse and midcourse questionnaires and answer keys, detailed course outline and competency-based qualifications checklists, in addition to all participant material. Handbooks and notebooks are usually provided in a ratio of one trainer's notebook for every five participant's handbooks. (2005) Available in English.

Performance Support/Quality Assurance Handbook for Using VIA and Cryotherapy in Cervical Cancer Prevention Services  
The purpose of this handbook, developed for use in conjunction with the training manual Cervical Cancer Prevention Guidelines for Low-Resource Settings, is to provide guidance to anyone who is responsible for performance support and/or quality assurance for cervical prevention services based on visual inspection using acetic acid (VIA) and cryotherapy. (2005) Available in English.

Publication Cover Evaluation of Supply and Demand Factors Affecting Cervical Cancer Prevention Services in Roi Et Province, Thailand  
This report examines factors affecting supply of and demand for cervical cancer prevention services using the single visit approach with VIA (visual inspection with acetic acid) and cryotherapy in Roi Et province, Thailand, as displayed during the Access and Coverage Expansion phase following the SAFE demonstration project. As services were expanded from four to 17 districts in Roi Et province, lessons were learned about achieving desired coverage of the eligible population with cervical cancer prevention services. (2004) Available in English.

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Publication Cover Safety, Acceptability, and Feasibility of a Single Visit Approach to Cervical Cancer Prevention: Results from a Demonstration Project in Rural Thailand  
This evaluation assessed the value of a single visit approach (SVA) to cervical cancer, using a combination of visual inspection of the cervix with acetic acid (VIA) and cryotherapy in the rural area of Roi Et province, Thailand. Data were collected measuring safety, acceptability, feasibility and program effort (SAFE); project findings are described in this report. (2003) Available in English.

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Publication Cover A Qualitative Evaluation of the Acceptability and Feasibility of a Single Visit Approach to Cervical Cancer Prevention: Roi Et Province, Thailand  
This report describes the findings of a qualitative evaluation of the SAFE Demonstration Project in Roi Et province, Thailand. The Project attempted to address the large unmet need for cervical cancer prevention services in the country by testing a practical alternative to cytology-based screening: the single-visit approach with VIA (visual inspection with acetic acid) and cryotherapy. This evaluation collected information from policymakers, nurse providers, men and women about their attitudes and beliefs related to this project. (2003) Available in English.

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Publication Cover An Evaluation of Effect of Outreach on Cervical Cancer Prevention Efforts in Rural Ghana  
This report describes results of an effort to increase participation in cervical cancer prevention services at a semi-rural health center in Ghana where community health nurses were trained to deliver educational messages and schedule appointments with women for a visual inspection with acetic acid (VIA) test. Results of these activities include the effect of outreach on the number of women tested, male participation and locality-specific coverage. (2004) Available in English.

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Publication Cover Safety, Acceptability, and Feasibility of a Single Visit Approach to Cervical Cancer Prevention: Results from a Demonstration Project in Ghana  
This project assessed the value of a single visit approach (SVA) using a combination of visual inspection of the cervix with acetic acid (VIA) and cryotherapy in an urban area of Ghana (Accra). Data were collected measuring safety, acceptability, feasibility and program effort (SAFE); project findings are described in this report. (2004) Available in English.

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Publication Cover A Qualitative Evaluation of the Acceptability and Feasibility of a Single Visit Approach to Cervical Cancer Prevention in Ghana  
This report describes the findings of a qualitative evaluation of the SAFE Demonstration Project in Ghana, in both an urban (Accra) and semi-rural (Amasaman) site. The SAFE Project attempted to address the large unmet need for cervical cancer prevention services in the country by testing a practical alternative to cytology-based screening: the single-visit approach with VIA (visual inspection with acetic acid) and cryotherapy. This evaluation collected information from policymakers, nurse providers, men and women about their attitudes and beliefs related to this project. (2004) Available in English.

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Publication Cover Bringing Cervical Cancer Detection and Early Treatment Closer to Women: A Peruvian Experience (1996-2000)  
This report describes progress made as a result of a collaborative effort between the Cervical Cancer Prevention Program and Latin America and Caribbean Office of Jhpiego and the Peruvian Ministry of Health to introduce and test alternative screening and treatment options for preventing cervical cancer in selected areas of Peru. (2003) Available in English.

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