Bulletin of the World Health Organization

A comparison of two visual inspection methods for cervical cancer screening among HIV-infected women in Kenya

Megan J Huchko, Jennifer Sneden, Hannah H Leslie, Naila Abdulrahim, May Maloba, Elizabeth Bukusi & Craig R Cohen

Volume 92, Number 3, March 2014, 195-203

Table 2. Comparative performance of two different cervical cancer screening strategies in HIV-infected women, Kisumu, Kenya, October 2007 to October 2010

Characteristic VIAa VIA/VILIb P
Screening positivity rate, % 26.4 21.7 0.003
Follow-up colposcopy rate, % 96.6 96.3 0.743
Prevalence of CIN 2+ detected in a single screening round, % 8.9 7.8 0.271
PPV for CIN 2+ in a single screening round, % 35.2 38.2 0.409

CIN 2+, cervical intraepithelial neoplasia grade 2 (moderate dysplasia) or worse; HIV, human immunodeficiency virus; PPV: positive predictive value.

a Cervical visual inspection with acetic acid.

b VIA, followed by visual inspection with Lugol’s iodine if VIA was positive for CIN 2+.