Effectiveness of HPV-Testing in Cervical Cancer Prevention in the Jujuy Demonstration Project in Argentina: A Population-Based, Quasi-Experimental Study

2018 ◽  
Author(s):  
Silvina Arrossi ◽  
Melisa Paolino ◽  
Rosa Laudi ◽  
Juan Gago ◽  
Alicia Campanera ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Experimental Study ◽  
Cancer Prevention ◽  
Population Based ◽  
Cervical Cancer Prevention ◽  
Demonstration Project ◽  
Hpv Testing ◽  
Quasi Experimental

scholarly journals Facilitators and Barriers to Cervical Cancer Screening in Migori County, Kenya

2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 82s-82s
Author(s):  
Holly Nishimura ◽  
Nelly Yatich ◽  
Megan Huchko
Keyword(s):  
Cervical Cancer ◽  
Focus Group ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Sub Saharan Africa ◽  
Hpv Testing ◽  
Community Members ◽  
Screening Programs ◽  
Barriers To Screening ◽  
Incidence And Mortality

Abstract 77 Background: Cervical cancer, a disease that is largely preventable through organized screening programs, still impacts over 500,000 women every year. Sub-Saharan Africa has the highest global incidence and mortality, largely due to lack of screening coverage. Low-cost and simple-to-implement screening technologies can potentially impact the rates of cervical cancer, if they are acceptable and scalable. As part of a trial to evaluate implementation strategies for cervical cancer prevention in western Kenya, we sought to identify the barriers and facilitators of screening, as well as opinions on a strategy employing self-collection of specimens for human papillomavirus (HPV) testing. Methods: Providers and female community members were recruited for focus groups using purposive sampling. Two focus group discussions (FGDs) with community members (n=24) and one FGD with providers (n=12) and key stakeholders were held in Migori County, Kenya, using structured guides to assess and current cervical cancer knowledge, screening practices, barriers to screening and potential strategies to facilitate screening access and uptake, including self-collected HPV testing. Results: Participants in both groups assessed the education around HPV, cervical cancer, and screening as very low in the community, and identified this lack of education as the main barrier to screening. Community members reported fear of pain and embarrassment as significant barriers to a screening pelvic exam. They also reported that lack of knowledge and discomfort among providers were significant barriers. Having undergone screening themselves or talking to someone with experience increased willingness to screen. Providers reported workload and lack of supplies and trained staff as significant barriers. Most participants in both FGDs felt that self-collection would help address barriers. Women expressed willingness to self-collect if given adequate instructions and if knowledgeable counselors were present to discuss results. Conclusion: Cervical cancer prevention strategies employing effective educational components and self-collected HPV testing could address many of the identified barriers to screening. Key findings from analysis of the focus group transcripts will be used to inform the implementation of community health campaigns. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.

scholarly journals A survey of population-based utility scores for cervical cancer prevention

2014 ◽  
Vol 7 (1) ◽  
pp. 899 ◽  
Author(s):  
Leonardo Simonella ◽  
Kirsten Howard ◽  
Karen Canfell
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Population Based ◽  
Cervical Cancer Prevention ◽  
Utility Scores

scholarly journals Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina

2019 ◽  
Author(s):  
Silvina Arrossi ◽  
Melisa Paolino ◽  
Rosa Laudi ◽  
Laura Thouyaret
Keyword(s):  
Cervical Cancer ◽  
Screening Program ◽  
Implementation Process ◽  
Cervical Cancer Prevention ◽  
Political Support ◽  
Demonstration Project ◽  
Hpv Testing ◽  
Structured Interviews ◽  
Treatment Services ◽  
Incidence And Mortality

Abstract Background The Jujuy Demonstration Project (JDP) was a four-year implementation project (2011-2014) to develop, implement and evaluate the programmatic components of an HPV-based screening program in Argentina . The aim of this paper is present a qualitative evaluation of the context and implementation process of JDP. Methods We used an adaptation of the Health System Framework (HSF), which includes contextual interconnected factors that are considered key drivers for successful health interventions. We reviewed Secondary Documents, which included program reports, information sheets, power point presentations, and minutes of meetings and management round-tables. We also carried out semi-structured interviews to key informants to explore their views about technology acceptability. Results Key components of JDP implementation process were high level of political support and consensus among stakeholders, the demonstrated effectiveness of the technology and its acceptability by health authorities and providers, funding of tests and diagnosis/treatment services, implementation of an information system for monitoring and evaluation, and the reorganization of the network of screening diagnosis and treatment services. Conclusion This analysis has made explicit the policy context in which the JDP was implemented, and system components that were key for the demonstrated effectiveness of the strategy. Such analyses provide useful insights into core components of HPV-testing implementation that are needed to guarantee its potential effectiveness to reduce cervical cancer incidence and mortality .

Discussions about self-obtained samples for HPV testing as an alternative for cervical cancer prevention

2008 ◽  
Vol 29 (4) ◽  
pp. 251-257 ◽  
Author(s):  
Paula C. Barata ◽  
Verna Mai ◽  
Robbi Howlett ◽  
Anna R. Gagliardi ◽  
Donna E. Stewart
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Hpv Testing
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