Abstract
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 language | English |
|---|---|
| Pages (from-to) | 206-210 |
| Number of pages | 5 |
| Journal | International Journal of Gynecology and Obstetrics |
| Volume | 128 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2015 |
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Keywords
- Cervical cancer
- Community health workers
- Human papillomavirus (HPV)
- Screening
- Self-sampling
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Pairing community health workers with HPV self-sampling for cervical cancer prevention in rural Haiti. / Mandigo, Morgan; Frett, Brigitte; Laurent, Jean Robert; Bishop, Ian; Raymondville, Maxi; Marsh, Sarah; Kobetz, Erin.
In: International Journal of Gynecology and Obstetrics, Vol. 128, No. 3, 01.03.2015, p. 206-210.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pairing community health workers with HPV self-sampling for cervical cancer prevention in rural Haiti
AU - Mandigo, Morgan
AU - Frett, Brigitte
AU - Laurent, Jean Robert
AU - Bishop, Ian
AU - Raymondville, Maxi
AU - Marsh, Sarah
AU - Kobetz, Erin
PY - 2015/3/1
Y1 - 2015/3/1
N2 - 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.
AB - 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.
KW - Cervical cancer
KW - Community health workers
KW - Human papillomavirus (HPV)
KW - Screening
KW - Self-sampling
UR - http://www.scopus.com/inward/record.url?scp=84922455902&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84922455902&partnerID=8YFLogxK
U2 - 10.1016/j.ijgo.2014.09.016
DO - 10.1016/j.ijgo.2014.09.016
M3 - Article
VL - 128
SP - 206
EP - 210
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
SN - 0020-7292
IS - 3
ER -