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Original Research Articles

Quality of cervical screening in the well woman clinics in Kalutara District


D. T. P. Liyanage ,

Ministry of Health, LK
About D. T. P.
National Institution of Health Sciences
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R. de A. Seneviratne

University of Colombo, LK
About R. de A.
Professor in Community Medicine, Faculty of Medicine
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The objective of this study was to assess the quality of cervical screening services in Well Woman clinics in the Kalutara District



A cross sectional survey of service prov1s1on, availability of physical facilities, performance of clinic activities including cervical screening in Well Woman clinics (WWC) and quality of follow up of clients in the clinics and field was carried out. A scoring system was developed for assessing quality and a consensus standard of quality was set by a panel of experts.



All clinics (l 00%) performed Pap smear testing, but only three of the seven clinics conducted four or more clinic sessions a month per DDHS area as recommended in the guidelines sent by the Ministry of Health.


The percentage mean scores of quality were: availability of required physical facilities in the WWCs - 73%; performance of general activities - 70%; cervical screening procedures 39.8%. Consensus by experts on expected percentage for above indicators of quality was >90%. The mean duration between Pap test and receiv­ing the report was 3.4 ± 2.25 months. Four (9%) clients with abnormal reports were lost to further care.  Only one (1)  referral from the WWCs to gynaecology clinics, of 162 referrals were referred back to WWC from the gynaecology clinics.



Facilities and service provision in the WWCs need improvement. Follow up care has to be strengthened by issuing guidelines to staff working in WWCs and referral clinics in secondary care institutions. Staff in referral institutions needs to be oriented to provide care of referred patients. Delay of reporting on Pap smears has to be rectified.
How to Cite: Liyanage, D.T.P. and Seneviratne, R. de A., 2005. Quality of cervical screening in the well woman clinics in Kalutara District. Journal of the College of Community Physicians of Sri Lanka, 10(1), pp.5–12. DOI:
Published on 29 Dec 2005.
Peer Reviewed


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