health education increased the uptake of screening among Asian women in Leicester, McAvoy and Raza found that written material sent by post was ineffective.'It is labour intensive to educate women to accept screening services.Secondly, medical staff need training to differentiate normal and abnormal cervices by visual inspection, particularly as inspection may not be sensitive and specific enough to detect early cancer owing to the range of aberrant normal cervices.Many false positive diagnoses may result and undue anxiety be caused if definitive diagnoses cannot then be made owing to lack of resources.Finally, direct inspection ofthe cervix is possible only in health centres with a room, couch, proper lighting, and speculums.Facilities and equipment are likely to be inadequate owing to lack of finance.Developing countries should invest in the health of the population instead of fighting wars and shift their priorities towards the health and social welfare of people.Direct visual inspection of the cervix to detect early cervical cancer may be useful in some centres but is not viable for population screening of women in developing countries.
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Sooraj George Thomas (1992) studied this question.
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