Collection devices for cervical cytology samples
RHL practical aspects by Vatanasapt V
FIRST CONTACT (PRIMARY CARE) LEVEL
In Thailand, midwives or health-care workers at the health-care centre at village or subdistrict levels perform Pap smear tests. It should be possible to introduce the longer-tipped spatula or the Aylesbury spatula at this level of care because of the similarities between the longer-tipped spatula and the currently used spatula. Training health-care workers in sampling and the technique of applying the spatula on the glass slide to achieve a satisfactory smear would be important. Health-care workers should be trained inform the women who have positive smears to go for colposcopic examination.
REFERRAL HOSPITAL (SECONDARY CARE) LEVEL
The newly-introduced device should be used at this level too, but convincing medical doctors to use this improved device may need expert recommendation.
AT HOME OR IN THE COMMUNITY
The Aylesbury spatula is not suitable for used at home, but Kato's Device (1), which is a self-screening device, is best suited for use at home, especially in remote areas.
Sources of support: Cancer Unit, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
- Pengsaa P, Vatanasapt V, Sriamporn S, et al. A self-administered device for cervical cancer screening in Northeast Thailand. Acta cytologica 1997;41:749-754.
This document should be cited as: Vatanasapt V. Collection devices for obtaining cervical cytology samples: RHL practical aspects (last revised: 15 November 2002). The WHO Reproductive Health Library; Geneva: World Health Organization.