Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
J Gynecol Oncol. 2012 Jul;23(3):147-52. doi: 10.3802/jgo.2012.23.3.147. Epub 2012 Jul 2.
The purpose of this study was to describe the implementation of single visit approach or See-visual inspection of the cervix with acetic acid (VIA)-and Treat-immediate cryotherapy in the VIA positive cases-model for the cervical cancer prevention in Jakarta, Indonesia.
An observational study in community setting for See and Treat program was conducted in Jakarta from 2007 until 2010. The program used a proactive and coordinative with VIA and cryotherapy (Proactive-VO) model with comprehensive approach that consists of five pillars 1) area preparation, 2) training, 3) awareness, 4) VIA and cryotherapy, and 5) referral.
There were 2,216 people trained, consist of 641 general practitioners, 678 midwives, 610 public health cadres and 287 key people from the society. They were trained for five days followed by refreshing and evaluation program to ensure the quality of the test providers. In total, 22,989 women had been screened. The VIA test-positive rate was 4.21% (970/22,989). In this positive group, immediate cryotherapy was performed in 654 women (67.4%).
See and Treat program was successfully implemented in Jakarta area. The Proactive-VO model is a promising way to screen and treat precancerous lesions in low resource setting.
本研究旨在描述在印度尼西亚雅加达实施单诊次方法或醋酸视觉检查（VIA）与 VIA 阳性病例的即刻冷冻治疗（Treat-即刻冷冻治疗）的宫颈癌预防模式。
2007 年至 2010 年期间，在雅加达社区环境中进行了一项观察性研究，用于 See 和 Treat 项目。该项目采用主动与 VIA 和冷冻治疗相结合（Proactive-VO）的综合模式，包括五个方面：1）区域准备；2）培训；3）意识提高；4）VIA 和冷冻治疗；5）转诊。
共有 2216 人接受了培训，其中包括 641 名全科医生、678 名助产士、610 名公共卫生人员和 287 名来自社会的关键人物。他们接受了为期五天的培训，随后进行了更新和评估计划，以确保检测提供者的质量。共有 22989 名妇女接受了筛查。VIA 检测阳性率为 4.21%（970/22989）。在这个阳性组中，654 名妇女（67.4%）接受了即刻冷冻治疗。
See 和 Treat 项目在雅加达地区成功实施。Proactive-VO 模式是在资源有限的环境中筛查和治疗癌前病变的一种很有前途的方法。
