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Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial

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Authors: Dr. Silvina Arrossi, Laura Thouyaret, Rolando Herrero, Alicia Campanera, Adriana Magdaleno, Milca Cuberli, Paula Barletta,Rosa Laudi, Liliana Orellana, and the EMA Study team

Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation of this technology is difficult in countries of middle and low income. The authors investigated whether offering HPV DNA self-collection during routine home visits by community health workers could increase cervical screening.

The authors performed a population-based cluster-randomized trial in the province of Jujuy, Argentina, between July 1, 2012, and Dec 31, 2012. The primary outcome was screening uptake, measured as the proportion of women having any HPV screening test within 6 months of the community health worker visit. 

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Resource Topic: Community Health Workers/Volunteers, Human Resources Management/Workforce Development, Prevention, mHealth and Technology

Resource Type: Research

Year: 2015

Region: Latin America and the Caribbean (LAC)

Country: Argentina

Publisher May Restrict Access: No

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