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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Results of a community-based cervical cancer screening pilot project using human papillomavirus self-sampling in Kampala, Uganda
International Journal of Gynecology and Obstetrics, Volume 122, No. 2, Year 2013
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Description
Objective To examine the feasibility of a community-based screening program using human papillomavirus (HPV) self-sampling in a low-income country with a high burden of cervical cancer. Methods A pilot study was conducted among 205 women aged 30-69 years in the Kisenyi district of Kampala, Uganda, from September 5 to October 30, 2011. Women were invited to provide a self-collected specimen for high-risk oncogenic HPV testing by outreach workers at their homes and places of gathering in their community. Specimens were tested for HPV, Neisseria gonorrhoeae and Chlamydia trachomatis. Women who tested positive for HPV were referred for colposcopy, biopsy, and treatment at a regional hospital. Results Of the 199 women who provided a specimen, 35 (17.6%) tested positive for HPV. The outreach workers were able to provide results to 30 women (85.7%). In all, 26 (74.3%) of the women infected with HPV attended their colposcopy appointments and 4 (11.4%) women were diagnosed with grade 3 cervical intraepithelial neoplasia. Conclusion Self-collection of samples for community-based HPV testing was an acceptable option; most women who tested positive attended for definitive treatment. Self-sampling could potentially allow for effective recruitment to screening programs in limited-resource settings. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Ogilvie, Gina S.
Canada, Vancouver
The University of British Columbia
Mitchell, Sheona M.
Canada, Vancouver
The University of British Columbia
Sekikubo, Musa
Uganda, Kampala
Makerere University
Biryabarema, Christine
Uganda, Kampala
Makerere University
Byamugisha, Josaphat Kayogoza
Uganda, Kampala
Makerere University
Jerónimo, José A.
United States, Seattle
Program for Appropriate Technology in Health
Miller, Dianne M.
Uganda, Kampala
Makerere University
Steinberg, Malcolm H.
Canada, Burnaby
Simon Fraser University
Money, Deborah M.
Canada, Vancouver
The University of British Columbia
Statistics
Citations: 56
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1016/j.ijgo.2013.03.019
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Cancer
Health System And Policy
Study Locations
Uganda
Participants Gender
Female