2. At the end of the session , learner will be able to
1-Definition of cervical cancer.
2-Risk factor of cervical cancer.
3-Signs and symptom of cervical cancer.
4-Screening
5-Role of CHO in cervical cancer.
4. >HPV infection
>Sexual activity in young age
>Multiple sexual partners
>Early marriage
>Poor sexual hygiene
>Unprotected sex
>Early age first child birth
>Higher number of pregnancy and childbirth
>Smoking
>Weakened immune system as HIV/AIDS
5. >Vaginal bleeding between period
>Menstrual period longer and heavier than usual
>Bleeding in post-menopausal women
>Bleeding in after sexual intercourse
>Pain during sexual intercourse
>Vaginal discharge tinged with blood
>Pelvic pain
>Foul smelling vaginal discharge
>Weight loss
>Pain during urination
6. SCREENING
Visual inspection with acetic
acid(VIA).
>It is conducted by trained lady physician
and staff nurse.
>Positive VIA referred to higher centre as
DH.
PAP Test
>Cells are scrapped from the cervix and
examine for pre cancerous changes known as
cervical intra epithelial neoplasia(CIN).
>This morphological changes from mild to
severe.
7. ROLE OF CHO
Clinical Role
Early detection and screening
Provide counselling
Provide teleconsultation
Provide follow of care
Refer to PHC-MO,CHC,DH
Public Health Role
Create awareness among general
population
Support and supervise the collection of
population based data by frontline worker
Plan your activities
Promote to adopt healthy lifestyle
Managerial Role
Documentation and
reporting
Supportive supervise
Review CBAC screening
process
Monitoring of
diagnosed cases
8. Vaccine for cervical cancer
“Cervarix was found to have prevented
precancerous cervical lesions in 53% of the patients.” However,
Gardasil remains to be the only cervical cancer vaccine that protects
against four types of HPV, whereas Cervarix protects against two
types.