Publication:

Prevalence of cervical intraepithelial neoplasia & cervical carcinoma in ever married women in rural area of a district in Haryana

Background Objectives: To find the burden of cervical intraepithelial neoplasia and cervical carcinoma in ever married rural women and to create awareness for its prevention and management.

Methods The present cross-sectional study was undertaken in Block Beri, district Jhajjar, Haryana, among ever married females aged 30-59 years. A total of 1615 women were enumerated from three randomly selected sub-centers. Out of these 1359 were interviewed by house to house survey. Among them 664 (49%) consented for per-vaginal examination for Visual Inspection with Acetic acid (VIA), Visual Inspection with Lugol’s Iodine (VILI) and Papanicolaou (Pap) smear at the respective sub-centers. Data was analyzed using SPSS version 17.

Results Per-vaginal discharge (45.9%) was the most common complaint followed by lower backache (36.6%) and lower abdominal pain (35.0%). VIA was positive in 18.5%; while VILI in 23.2% of study subjects. On cytological examination, in 313 subjects, no significant pathology was detected. Six subjects (0.904%) showed epithelial cell abnormality classified as ASCUS among four cases and one each as LSIL and HSIL.

Conclusions Low prevalence (0.9%) of epithelial cell abnormalities observed in study confirmed the national estimates for Haryana as low prevalence area for cervical cancers.