Original Research

Cervical cancer screening: Safety, acceptability, and feasibility of a single-visit approach in Bulawayo, Zimbabwe

Muriel S. Fallala, Robert Mash
African Journal of Primary Health Care & Family Medicine | Vol 7, No 1 | a742 | DOI: https://doi.org/10.4102/phcfm.v7i1.742 | © 2015 Muriel S. Fallala, Robert Mash | This work is licensed under CC Attribution 4.0
Submitted: 02 July 2014 | Published: 05 May 2015

About the author(s)

Muriel S. Fallala, Division of Family Medicine and Primary Care, Stellenbosch University, South Africa
Robert Mash, Division of Family Medicine and Primary Care, Stellenbosch University, South Africa

Share this article

Bookmark and Share


Background: Cervical cancer is the commonest cancer amongst African women, and yet preventative services are often inadequate.

Aim: The purpose of the study was to assess the safety, acceptability and feasibility of visual inspection with acetic acid and cervicography (VIAC) followed by cryotherapy or a loop electrical excision procedure (LEEP) at a single visit for prevention of cancer of the cervix.Setting:The United Bulawayo Hospital, Zimbabwe.

Methods: The study was descriptive, using retrospective data extracted from electronic medical records of women attending the VIAC clinic. Over 24 months 4641 women visited the clinic and were screened for cervical cancer using VIAC. Cryotherapy or LEEP was offered immediately to those that screened positive. Treated women were followed up at three months and one year.

Results: The rate of positive results on VIAC testing was 10.8%. Of those who were eligible, 17.0% received immediate cryotherapy, 44.1% received immediate LEEP, 1.9% delayed treatment, and 37.0% were referred to a gynaecologist. No major complications were recorded after cryotherapy or LEEP. Amongst those treated 99.5% expressed satisfaction with their experience. Only 3.2% of those treated at the clinic had a positive result on VIAC one year later. The service was shown to be feasible to sustain over time with the necessary consumables. There were no service-related treatment postponements and the clinic staff and facility were able to meet the demand for the service.

Conclusion: A single-visit approach using VIAC, followed by cryotherapy or LEEP, proved to be safe, acceptable and feasible in an urban African setting in Bulawayo, Zimbabwe. Outcomes a year later suggested that treatment had been effective.


No related keywords in the metadata.


Total abstract views: 3347
Total article views: 5670

Reader Comments

Before posting a comment, read our privacy policy.

Post a comment (login required)


Crossref Citations

1. Incisal margin condition after LEEP for cervical intraepithelial neoplasia patients and prognosis
Hong Chen, Xiufeang Liu, Lina Xu
Experimental and Therapeutic Medicine  vol: 12  issue: 2  first page: 1019  year: 2016  
doi: 10.3892/etm.2016.3338