Pairing community health workers with HPV self-sampling for cervical cancer prevention in rural Haiti

Morgan Mandigo, Brigitte Frett, Jean Robert Laurent, Ian Bishop, Maxi Raymondville, Sarah Marsh, Erin Kobetz

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objective To assess a program in which community health workers (CHWs) provided women with self-sampling devices to detect high-risk human papillomavirus (HPV). Methods In a cross-sectional study, 13 CHWs visited homes in a rural area in Haiti's Central Plateau to recruit premenopausal women aged 30-50 years between July 2009 and April 2010. Eligible women had not undergone a cervical smear in the previous 3 years. Participants learned about cervical cancer and self-sampling for HPV testing before using a self-sampler in private. They then completed a questionnaire. CHWs later returned to provide results and advice about follow-up care. Results CHWs enrolled 493 women. Among the 485 women for whom questionnaires were received, 468 (96.5%) were comfortable using the self-sampler and 484 (99.8%) stated they would recommend it to others. Among 426 analyzed samples, 54 (12.7%) were positive for high-risk HPV, of whom 46 (85.2%) received follow-up care and 17 (31.5%) had precursor lesions and were treated. Conclusion Using a CHW-led intervention, women at high risk for developing cervical cancer were identified and navigated to preventive care. Therefore, pairing CHWs with HPV self-sampling is a promising strategy to combat cervical cancer in rural Haiti and similar settings.

Original languageEnglish (US)
Pages (from-to)206-210
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Issue number3
StatePublished - Mar 1 2015


  • Cervical cancer
  • Community health workers
  • Human papillomavirus (HPV)
  • Screening
  • Self-sampling

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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