See and treat model: Attempt in resolving cervical cancer in developing country

Introduction: More than a half of women diagnosed with cervical cancer passed away (527,624 new cases with 265,672 death) in 2012. Approximately 80% of these death occurred in developing countries. Unfortunately, around 70% of cervical cancer are detected at the advanced stage upon diagnosis, which the mechanism already irreversible thus most probably incurable. Based on this background, this study was purposed to elaborate See-with VIA- and Treat-immediate cryotherapy-model in tackling cervical cancer. Method: Community approach was undertaken to perform this observational study in Jakarta from February 2015 until June 2016. As the guideline, five pillars concept was adopted in implementing See and Treat model, elaborated as: (1) area preparation, (2) training, (3) awareness, (4) VIA and cryotherapy, and (5) referral. Result: There were 17.387 people involved in this program. Training considered as focal point of the program. In total 497 people had been trained. From 16.890 women whom participated in awareness session, 9.427 of them had been screened. The VIA test-positive result was 2.6% (244/9427), and from the aforementioned detail, immediate cryotherapy was performed with 50% rate (112/244). Additionally, women with cervical cancer suspect are 11 people. Conclusion: See and Treat model had been demonstrated and VIA is foreseeable method to detect precancerous lesion in low-resource region.