Nethanjalie Mapitigama

• Consultant Community Physician, National Programme Manager Gender and Women's Health at Ministry of Health, Sri Lanka

Improve the quality and coverage of National Cervical Cancer Screening programme

Background Cervical cancer is the 2nd most common female cancer among Sri Lankan females and is almost associated with sexually transmitted cervicovaginal human papillomavirus (HPV) infection. The study objectives were to determine the prevalence of vaginal and cervical HPV infection among 35year old ever-married women and assess the validity of pr...

Background Cervical cancer is the 2nd most common female cancer among Sri Lankan females and is almost associated with sexually transmitted cervicovaginal human papillomavirus (HPV) infection. The study objectives were to determine the prevalence of vaginal and cervical HPV infection among 35year old ever-married women and assess the validity of pr...

Background Cervical cancer is the 2 nd most common female cancer among Sri Lankan females and is almost associated with sexually transmitted cervicovaginal human papillomavirus (HPV) infection. The study objective is to determine the prevalence of vaginal HPV infection among ever-married

Background Cervical cancer is the 2nd most common female cancer among SriLankan female and is almost associated with sexually transmitted cervicovaginal human papillomavirus (HPV) infection. The study objective is to determine the prevalence of vaginal HPV infection among ever-married women. Method A descriptive cross-sectional study was carried ou...

Background Cervical cancer is the 2nd most common female cancer among Sri Lankan females and is almost associated with sexually transmitted cervicovaginal human papillomavirus (HPV) infection. The study objective is to determine the prevalence of vaginal HPV infection among ever-married women. Method A descriptive cross-sectional study was carried...

Objective: Screening for cervical cancer in Sri Lankan females with Pap smears (conventional cytology) has shown no marked reduction in cervical cancer incidence over the past two decades. The study aims to compare the efficacy of Pap smear, with other screening tools such as Liquid Based Cytology (LBC) and Human Papilloma Virus/ deoxyribonucleic a...

Acceptability, simplicity, and relevance of the new human papillomavirus/DNA test among 35-year-old eve married women in a district of Sri Lanka: focus group discussions Cervical cancer is the 2 nd leading cause of female cancer in Sri Lanka. Two major drawbacks of the present cervical cancer screening programme in Sri Lanka are, the suboptimal sen...

Background Two major drawbacks of the present cervical cancer screening programme in Sri Lanka are, the suboptimal sensitivity of the pap smear and the low coverage. The sensitivity of the HPV/DNA screening test is high. The objective of the study was to explore the acceptability relevance and simplicity of the new HPV/DNA screening implementation...

Background: Even after 20 years of existence of the cervical cancer programme with pap smears, there is no marked reduction in the incidence of cervical cancer in Sri Lanka. Therefore, the cervical cancer screening programme needs to be reviewed again. Objective: To explore the perceptions of cervical cancer screening programme among health care wo...

Background: Cervical cancer is the second commonest among the Sri Lankan females which accounts for nearly 10% of all female cancers. Almost all cervical cancers are associated with Human Papilloma Virus (HPV) infection which is essentially sexually transmitted. If HPV infection persists in a woman, it may take up to 20 to 30 years to develop preca...

Background: Cervical cancer is the 2nd leading cause of female cancer in Sri Lanka. All cervical cancers are virtually associated with human papillomavirus infection. HPV/DNA screening test is highly sensitive for high risk types of HPV (sensitivity 82%-100%). Therefore it’s important to find acceptability, relevance and simplicity of new HPV/DNA t...

Background: Cervical cancer is the 2nd leading cause of female cancer in Sri Lanka and annually 1721 new cases of cervical cancers are diagnosed and 690 women die from the disease, according to the 2012 estimates. Cervical cancers are virtually associated with sexually transmitted human papilloma virus (HPV) infection. Persistent infection with car...

Background: Persistent HPV infection with high risk oncogenic HPV genotypes can cause cervical cancer within 10-15 years, with a progression rate of 10%. Genotypes 16 and 18 contribute to about 70% of all cervical cancers worldwide. Other high-risk types are genotypes 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. One major drawback of the pre...

Background: Cervical cancer is the 2nd leading cause of female cancer in Sri Lanka. Hence, in 1998, Sri Lanka took the initiative to include screening for cervical cancer with conventional papaniculaou (pap) smear in the Well Woman Clinics. However, even after 20 years of cervical cancer screening (with pap smears), there is no marked reduction in...

Background: Persistent HPV infection with high risk oncogenic HPV genotypes can cause cervical cancer within 10-15 years, with a progression rate of 10%. Genotypes 16 and 18 contribute to about 70% of all cervical cancers worldwide. Other high-risk types are genotypes 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. One major drawback of the pre...

Background: Currently, pap smears are used to screen cervical cancers in Sri Lanka. Two major drawbacks of pap smear screening method are the suboptimal sensitivity and the low coverage. HPV/DNA screening method can be used as a cervical cancer screening method and high sensitivity (92.9%) is the major advantage of it. Specimens can be collected fo...

Background: Cervical cancer is the 2nd leading cause of female cancer in Sri Lanka and annually thousand seven hundred and twenty one new cases of cervical cancers are diagnosed and 690 women are died from the disease, according to 2012 estimates. Even after 20 years of cervical cancer screening (with pap smears), there is no marked reduction in in...

Background: Cervical cancer is the 2nd leading cause of female cancer in Sri Lanka. Hence, in 1998, Sri Lanka took the initiative to include screening for cervical cancer with conventional papaniculaou (pap) smear in the Well Woman Clinics. However, even after 20 years of cervical cancer screening (with pap smears), there is no marked reduction in...

Background: Even after 20 years of cervical cancer screening with pap smears, there is no marked reduction in incidence, morbidity and mortality of cervical cancer in Sri Lanka. Two major drawbacks of the present programme are the suboptimal sensitivity (53%) of the pap smear to detect Cervical Intraepithelial Neoplasia (CIN) and the low coverage....

Background: HPV/DNA screening test has an optimum sensitivity (92.9%) to detect cervical lesions. The objective of the study was to estimate the cost of cobas 4800 HPV/DNA test in thin prep cell collection media.

Background One of the major drawback of the present cervical cancer screening programme in Sri Lankla is the suboptimal sensitivity (53%) of the pap smear to detect Cervical Intraepithelial Neoplasia (CIN). The sensitivity of LBC and HPV/DNA test to detect CIN II+ is 79.1% and 92.9% respectively. The objective of the study was to describe results o...

Background Cervical cancer is the second commonest female cancer in Sri Lanka. Two major drawbacks of the present cervical cancer screening programme are the suboptimal sensitivity of the pap smear and the low coverage. The objective of the study is to determine the feasibility of a new HPV/DNA test among 35 -years -old ever-married women in a dist...

Background: In 1998, conventional papanic0laou smear screening was included in the Well Woman Clinic (WWC) program as a cervical cancer screening method. The objective of the study was to explore the perception of cervical cancer screening programs among healthcare workers in a district of Sri Lanka.

Background: This study aimed to obtain an overview of survivors of gender-based violence GBV who seek care, different types and consequences of (GBV), their modes of referral, factors associated with GBV, characteristics of the perpetrators, health-seeking behavior of the care-seekers and the service provided by GBV Care Centers in two tertiary car...

Caring for survivors of GBV: Revisited Vidanapathirana M, Senior Lecturer, Department of Forensic Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura Contact details: mudithavidana@gmail.com, Tel: 0772988227 The main objective of the medico-legal examination of survivours of Gender Based Violence (GBV) by the Forensic Medica...