Cervical cancer prevention program in Jakarta, Indonesia: See and Treat model in developing country.
OBJECTIVE
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.


METHODS
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.


RESULTS
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%).


CONCLUSIONS
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.
Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Laila
L
Nuranna
Mohamad Farid
MF
Aziz
Santoso
S
Cornain
Gatot
G
Purwoto
Sigit
S
Purbadi
Setyawati
S
Budiningsih
Budiningsih
B
Siregar
Alexander Arnold Willem
AA
Peters