OBJECTIVE: To evaluate a pilot program for early detection of cervical @entity5 using visual inspection with @entity1543 (VIA) and the loop electrosurgical excision procedure (LEEP) in one region of Morocco. METHODS: A descriptive analysis of the screening outcome measures of 43 participating primary care units and one reference center for LEEP was conducted in Mekn  s-Tafilalet between January 1, 2011, and December 31, 2013. Data on the number of @entity1 , VIA results, colposcopy, and treatment were used in analyses. RESULTS: Of the 308 197 @entity1 in the target age group (30-49 years), 18 586 (6.0%) were screened by VIA. Positive screening test results were recorded for 1628 (8.8%) @entity1 , of whom 1144 (70.3%) received diagnostic confirmation by colposcopy. Of the 87 (7.6%) @entity1 with @entity3146 , only 16 (18.4%) underwent LEEP; three cases of @entity3 were diagnosed. CONCLUSION: Issues with implementation of the screening program were found, including low compliance and a low treatment rate of @entity3146 by LEEP. By contrast, high rates of colposcopy referral were observed. Screen-and-treat by ablative methods (e.g. thermocoagulation) should be considered to increase treatment rates at national scale-up.

Organization and evaluation of a pilot cervical XXXX screening program in Morocco.

@entity1 :: ('9606', 'Species') :: ['participants', 'women'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity3 :: ('MESH:D009362', 'Disease') :: ['invasive cervical cancer'] @entity1543 :: ('MESH:D019342', 'Chemical') :: ['acetic acid'] @entity3146 :: ('MESH:D018290', 'Disease') :: ['cervical intraepithelial neoplasia']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
