Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda.
Int J Gynaecol Obstet. 2012 Dec;119(3):262-5. doi: 10.1016/j.ijgo.2012.06.015. Epub 2012 Sep 12.
To assess acceptability of cervical cancer screening via visual inspection with acetic acid or Lugol's iodine (VIA/VILI) at Mulago Hospital, Uganda.
Exit interviews were conducted among women who had undergone opportunistic screening by VIA/VILI at 2 family planning clinics based within the hospital. Measures of acceptability were willingness to undergo the procedure in future if required and willingness to recommend the procedure to others. Focus group discussions were conducted to determine reasons for declining VIA/VILI.
A total of 384 participants were recruited into the study. Of the 229 women who agreed to undergo screening by VIA/VILI, 209 (91.3%) were willing to recommend the service to other women, while 223 (97.4%) stated that they would undergo VIA/VILI again if the need arose. Education level showed a significant association with screening uptake (P=0.007). In all, 155 women declined screening. Reasons for refusal included fears about privacy, fear of pain or discomfort, and worry about the test results.
Cervical cancer screening by VIA/VILI was rated highly acceptable among women who underwent the procedure. Women with a positive attitude toward screening could be trained as peer educators and community champions to improve uptake.
评估乌干达穆拉戈医院醋酸或卢戈氏碘目视检查（VIA/VILI）用于宫颈癌筛查的可接受性。
在医院内的 2 个计划生育诊所，对接受机会性 VIA/VILI 筛查的女性进行了退出访谈。可接受性的衡量标准是如果需要，将来是否愿意接受该程序以及是否愿意向他人推荐该程序。进行焦点小组讨论以确定拒绝 VIA/VILI 的原因。
共有 384 名参与者被纳入研究。在 229 名同意接受 VIA/VILI 筛查的女性中，有 209 名（91.3％）表示愿意向其他女性推荐该服务，而有 223 名（97.4％）表示如果需要，她们将再次接受 VIA/VILI。教育水平与筛查率有显著关联（P=0.007）。共有 155 名女性拒绝了筛查。拒绝的原因包括对隐私的担忧、对疼痛或不适的恐惧以及对测试结果的担忧。
接受该程序的女性对 VIA/VILI 进行宫颈癌筛查的评价非常高。可以培训对筛查持积极态度的女性成为同伴教育者和社区拥护者，以提高参与度。
