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IMPORTANCE OF VISUAL INSPECTION WITH ACETIC ACID OVER PAP SMEAR AS A TEST FOR CERVICAL CANCER SCREENING
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The lower fibromuscular part of the uterus, measuring 3-4 cm in length and 2.5 cm in diameter, is referred to as the cervix. 1st the cervix is made up of epithelium and stroma under it. It appears reddish in colour on visual inspection because the thin single cell layer allows the coloration of the stroma's underlying vasculature to be seen more easily. A variety of risk factors have been reported in epidemiological studies that lead to the development of cervical cancer precursors and cancer. Infection with some oncogenic forms of human papillomaviruses, early marriage, multiple sexual partners, multiparity, long-term oral contraceptive use, cigarette smoking, low socioeconomic status, infection with Chlamydia trachomatis, micronutrient deficiency, and a diet lacking in vegetables and fruits are all examples. The 150 women in the sample ranged in age from 21 to 70 years old (mean 35.8 7.8 years). Nearly 41.0 percent of women had completed primary school, 21.0 percent were illiterate, and 30.0 percent had completed secondary or higher secondary school. Nearly 91.5 percent of women were stay-at-home moms, while 4.5 percent worked for the government. Almost 21% of those surveyed had a monthly income of less than Tk. 3000, while 43% had a monthly income of Tk. 3000 to 8000. VIA was found to have higher sensitivity and precision than the Pap smear exam. The study found that VIA can be used as an effective screening test in India to identify precancerous and cancerous cervix lesions. In resource-constrained environments, the VIA for cervical cancer screening is a credible alternative to Pap smear.ddd