Comparative analysis shows that VIA and Pap smear are similarly effective for cervical screening in HIV-positive women, indicating a viable alternative in resource-limited settings.
There was a high prevalence of cervical epithelial cell abnormalities among HIV-positive women in Enugu. The overall accuracy of Pap smear cytology was essentially similar to that of VIA in screening for cervical epithelial lesions. Therefore, VIA is a cheaper, more affordable, and more readily available alternative to Pap smear cytology, especially in Nigeria.
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Ifebi et al. (2026) studied this question.
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