Screening for cervical cancer (By VIA Test) among selected garments worker in Chattogram, Bangladesh
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20231199Keywords:
Cervical cancer, Garments worker, VIA testAbstract
Background: Bangladesh is a densely populated country of South East Asia with low resource setting where cervical cancer is the 2nd leading cause of female cancer. In more than 80% cases are diagnosed at advanced and inoperable stage. Regarding socio demographic context of this country VIA has been introduced as a screening method for cervical cancer which is most simple, cost effective, and acceptable test for all women. In Bangladesh among 3 million garment workers more than 80% are women. The objective of this study was to identify prevalence of VIA positive cases among garment workers. So that it can reduce the incidence of cervical cancer in Bangladesh.
Methods: It was a cross–sectional observational study conducted in some selected garment factories in Chattogram city of Bangladesh from January 2021 to July 2021, where we enrolled 534 female workers for VIA test.
Results: Among all the respondents 56% were 30 years or younger, 38% were aged between 31 to 40 years. Among 534 participants, 44.9% completed primary education, 37.3% were smoker and 34.5% had their children at early age. Majority (86.7%) had excessive whitish discharge. Post coital bleeding and irregular bleeding was 2.6% and 2.2% respectively. Considering awareness, 61.8% had idea about cervical cancer, only 1.1% had undergone VIA test in the past. In our study we found 2.4% of participants were VIA positive cases.
Conclusions: It is important to include the garment workers, while making public health policies and implementation of cervical cancer control program.
References
Sung H, Ferlay J, Siegel R, Laversanne M, Soerymataram I, Jemal A, et al. Global Cancer Statistics 2020; GLOBOCON Estimates of Incidence and Mortality Woridwide for 36 Cancers in 185 Countries. Cancer J Clinicians. 2021;71(3):209-49.
Shastri S, Mittra I, Mishra G, Gupta S, Dikshit R, Singh S et al. Effect of VIA screening by Primary Health Workers: Randomized Controlled Study in Mumbai, India. JNCL J Natl Cancer Inst. 2014;106(3):1-7.
Zeba D. Visual Inspection with Acetic Acid for Cervical Cancer Screening: Bangladesh Perspective. Faridpur Med Coll J. 2018;13(2):56-7.
Rahman F, Bhattacharjee A. Awareness level of cervical cancer among rural women attending manikgonj 250 bedded district hospital, Manikgonj. J Enam Med Col. 2019;9(1):34-40.
Sankaranarayanan R, Budukh A, Rajkumar R. Effective screening programmes for Cervical Cancer in low and middle income developing countries. Bulletin of the World Health Organization. 2001;79(10):954-62.
Haque M, Haque E, Karim M. Cervical Cancer in low-income countries: A Bangladesh perspective. Int J Gynecol Obstet. 2021;152:19-25.
Ahmed T, Ashrafunnessa, Rahman J. Development of a visual inspection programme for cervical cancer prevention in Bangladesh. Reproductive Health Matters. 2008;16(32):78-85.
Parmer T, Kawr J, Sultana F, Vu T, Truong. Cervical cancer prevention in Bangladesh: awareness and accessibility to preventive methods: a systematic review. proceeding of the 5th international conference on natural sciences and technology(ICNST’18). Asian University for Women, Chittagong, Bangladesh.2018.
Papri FS, Khanam Z, Islam F, Hakim M. Knowledge and awareness about risk factors of cervical cancer, its screening and vaccination among the women attending Chittagong Medical College Hospital. Chattagram Maa-O-Shishu Hospital Medical College Journal. 2015;14(2):57-60.
Kashyap N, Krishnan N, Kaur S, Ghai S. Risk factors of cervical cancer: a case-control study. Asia Pac J Oncol Nurs. 2019;6:308-14.
Hasnain M, Akter M, Sharafat M, Mahmuda A. Morbidity patterns, nutritional status and healthcare seeking behavior of female garment workers in Bangladesh. Electronic Physician. 2014;6(2):801-7.
Akhter S, Salahuddin A, Iqbal M. Health and occupational safety for female workforce of garment Industries in Bangladesh. J Mech Eng. 2010;41(1):65-70.
Lillypet S, Jain T, Joseph B. Health problems among garment factory workers; a narrative literature review. JOHE. 2017;6(2):114-21.
Shirin F, Ferdous J, Karim T, Islam F, Khanam Z. Socio demographic profiles and risk factors of women presenting with Cervical Cancer in a Tertiary care Centre in Bangladesh. JCMCTA. 2017;28(1):63-6.
Islam J, Khatun F, Alam A, Sultana F, Bhuiyan A, Alam N, et al. Knowledge of cervical cancer and HPV vaccine in Bangladeshi Women: a population based cros -sectional study. BMC Women’s Health. 2018;18(15):1-13.
Biaye B, Gassama O, Dieme M, Toure Y, Cisse M, Wade M et al. Screening for cervical cancer by visual inspection with acetic acid (VIA) in Nabil Choucair Health Center-Dakar (Senegal). Open J Obst Gynecol. 2019;9:302-11.
Fentie A, Tadesse T, Gebretekle G. Factors affecting cervical cancer screening uptake, visual inspection with acetic acid positivity and its predictors among women attending cervical cancer screening service in Addis Ababa, Ethiopia. BMC Women’s Health. 2020;20:147.
Fitzpatrick M, Pathipati M, McCarty K, Rosenthal A, Katzenstein D, Chirenje Z, et al. Knowledge, attitudes, and practices of cervical Cancer screening among HIV-positive and HIV-negative women participating in human papillomavirus screening in rural Zimbabwe. BMC Women’s Health. 2020;20:153.