Community Medicine (PSM) · Screening of Diseases and Health Concepts

In a community screen for cervical cancer, a VIA (Visual Inspection with Acetic Acid) test is used with a 'screen-and-treat' approach. VIA-positive women are immediately treated with cryotherapy in the same visit. This is described as:

  • A Secondary prevention at secondary level of care
  • B Colposcopy-directed biopsy protocol
  • C Single-visit approach (SVA) — screen-and-treat strategy
  • D Opportunistic cervical cytology programme
Correct answer: C. Single-visit approach (SVA) — screen-and-treat strategy

Explanation

The Single-Visit Approach (SVA) combines screening with VIA and immediate treatment with cryotherapy for VIA-positive lesions in a single clinic visit. This overcomes the major barrier of default between screening and treatment in resource-limited settings. SVA is recommended by WHO for low-resource settings as a screen-and-treat strategy, offering the advantage of high treatment coverage with minimal loss to follow-up between screening and definitive treatment.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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