Pap Smear Cytology Results in Patients Under Visual Inspection of Acetic Acid (VIA) in Primary Health Care Centre

Objective : : We compared the results of Pap Smear and VIA in Primary Healthcare Centres (PHCs). Methods : This was a descriptive study that investigated Pap smear cytology results in patients who underwent visual inspection of acetic acid in PHC for early detection of cervical cancer. This research was done in three PHCs (Tikala Baru, Tuminting and Paniki), which appointed by Manado Health Department as they have certifi ed general practitioner, midwives, and nurse for VIA examination. The Pap smear examination was performed by researchers and VIA performed by certifi ed PHC VIA Team using tools, equipment, available at the PHCs without intervention. Results : Of 55 subjects, 15 and 40 subjects were VIA positive and negative, respectively. Fifteen samples with positive VIA there were only three subjects with dysplasia (LSIL) results in Pap smear, and 40 samples with VIA negative there were two samples with dysplasia (LSIL) results in Pap smear. Conclusions : The result of VIA examination in primary health care with VIA positive was only 20% had dysplasia (LSIL) on pap smears, and negative VIA sample was 5% with dysplasia (LSIL) on Pap smear.