Results of a community-based cervical cancer screening pilot project using human papillomavirus self-sampling in Kampala, Uganda
Loading...
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Gynecology and Obstetrics
Abstract
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 posi tive 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. Published by Elsevier Ireland Ltd. All rights reserved.
Description
Keywords
Africa, Kampala ,Uganda, Community-based program, cervical cancer screening, Human papillomavirus, Reproductive health, Self-sampling
Citation
Ogilvie, G. S., Mitchell, S., Sekikubo, M., Biryabarema, C., Byamugisha, J., Jeronimo, J., ... & Money, D. M. (2013). Results of a community-based cervical cancer screening pilot project using human papillomavirus self-sampling in Kampala, Uganda. International Journal of Gynecology & bstetrics, 122(2O), 118-12http://dx.doi.org/10.1016/j.ijgo.2013.03.019.