- To improve the reproductive health of Nicaraguan women through the implementation of an adequate, integrated pilot programme for cervical cancer screening at 3 levels (population, health care centre, district hospital).
- Population-based KAP study at start and end of project
- Set up of screening- and treatment programme
- Monitoring of attendance rate and follow-up rate
- Comparison between cytology and visual inspection as screening tests
- Training of community health workers
- Invitation of target population
- Screening, colposcopy and treatment of precancerous lesions
- Follow-up of women treated
- Dissemination of results
- At the end of the intervention, 63% of women of the target population had attended the screening programme, compared to 42.5% prior to the intervention
- Of patients with abnormal screening tests, 80% attended the colposcopy clinic
- Of women with high-grade lesions, 91% were treated and more than 90% attended the follow-up visits
- Results were dissimated during the national workshops
- Results of the KAP study and the performance of the screening tests were published in international journals: Trop Med Int Health, 2002 Nov;7(11):935-41 and Trop Med Int Health, 2003 Aug;8(8):704-9.