Women's Health Issues
Volume 20, Issue 1 , Pages 35-42 , January 2010

Impact of Patient Adherence and Test Performance on the Cost-Effectiveness of Cervical Cancer Screening in Developing Countries: The Case of Honduras

  • Rebecca B. Perkins, MD, MSc

      Affiliations

    • Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, Massachusetts
    • Corresponding Author InformationCorrespondence to: Rebecca B. Perkins, MD, MSc, Department of Obstetrics and Gynecology, Boston University Medical Center, 85 E. Concord St. 6th Floor, Boston, MA 02118; Phone: 617-414-5993; Fax: 617-414-7303.
  • ,
  • Sarah M. Langrish, NP

      Affiliations

    • Emma Romero de Callejas Centro de Cancer, Tegucigalpa, Honduras
  • ,
  • Linda J. Stern, MPH

      Affiliations

    • Brigham and Women's Hospital- PROMESA project, Boston, Massachusetts
  • ,
  • James F. Burgess, PhD

      Affiliations

    • Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts
  • ,
  • Carol J. Simon, PhD

      Affiliations

    • Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts

Received 9 April 2009 ,Revised 4 September 2009 ,Accepted 9 September 2009.

  • Image Result

    Cost-effectiveness analysis of VIA and Pap smears. The cost effectiveness of no screening, screening with Pap smears (three visits), and screening with VIA (two visits). Effectiveness is measured as t

    Cost-effectiveness analysis of VIA and Pap smears. The cost effectiveness of no screening, screening with Pap smears (three visits), and screening with VIA (two visits). Effectiveness is measured as the percentage of cancer cases avoided in the 10 years after screening. Costs are represented in U.S. dollars. VIA demonstrated extended dominance over the Pap smear.

 Funding for the cervical cancer prevention project from which primary data was gathered was provided by the Alliance for Cervical Cancer Prevention Small Grants Program. Funding for research was provided by the Building Interdisciplinary Careers in Women's Health (BIRCWH) Scholar Program K12-HD43444.

PII: S1049-3867(09)00102-9

doi: 10.1016/j.whi.2009.09.001

Women's Health Issues
Volume 20, Issue 1 , Pages 35-42 , January 2010