dc.contributor.author | Joseph, Naima T | |
dc.contributor.author | Namuli, Alexcer | |
dc.contributor.author | Kakuhikire, Bernard | |
dc.contributor.author | Baguma, Charles | |
dc.contributor.author | Juliet, Mercy | |
dc.contributor.author | Ayebare, Patience | |
dc.contributor.author | Ahereza, Phionah | |
dc.contributor.author | Tsai, Alexander C | |
dc.contributor.author | Siedner, Mark J | |
dc.contributor.author | Randall, Thomas R | |
dc.contributor.author | Ngonzi, Joseph | |
dc.contributor.author | Boatin, Adeline A | |
dc.date.accessioned | 2022-05-18T07:21:34Z | |
dc.date.available | 2022-05-18T07:21:34Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Joseph, N. T., Namuli, A., Kakuhikire, B., Baguma, C., Juliet, M., Ayebare, P., ... & Boatin, A. A. (2021). Implementing community-based human papillomavirus self-sampling with SMS text follow-up for cervical cancer screening in rural, southwestern Uganda. Journal of Global Health, 11. | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1950 | |
dc.description.abstract | Background Self-collected HPV screening may improve cervical cancer screen¬ing coverage in low resource countries, yet data guiding implementation and fol¬low-up of abnormal results are sparse.
Methods This is a prospective cohort implementation study of HPV self-testing program in Mbarara, Uganda with mobile phones to facilitate result notification and referral for treatment at a regional hospital. The effectiveness of the interven¬tions was analyzed using Proctor’s model of implementation. Women were inter¬viewed following screening and at 6 months to assess acceptability and barriers to follow-up. Data were analyzed using descriptive statistics.
Results 159 of 194 (82%) of eligible women underwent HPV self-sampling; of these, 27 (17%) returned positive for high-risk HPV subtypes. We sent SMS mes¬sages providing test results and follow-up instructions to all participants. Seven¬teen (63%) hrHPV-positive participants reported receiving SMS text instructions for follow-up, of whom 6 (35%) presented for follow-up. The most common rea¬sons for not returning were: lack of transportation (n = 11), disbelief of results (n = 5), lack of childcare (n = 4), and lack of symptoms (n = 3). Confidence in test results was higher for self-screening compared to VIA (Likert score 4.8 vs 4.4, P = 0.001).
Conclusions Despite the use of SMS text-based referrals, only one-third of wom¬en presented for clinical follow-up after abnormal HPV testing. | en_US |
dc.description.sponsorship | Barry Foundation, Brigham & Women’s Hospital Connors Center for Women’s Health and Gender Biology, the donation of HPV assay cartridges from Cepheid, Friends of a Healthy Uganda, and US National Institutes of Health R01MH113494. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Journal of Global Health | en_US |
dc.subject | Self-sampling | en_US |
dc.subject | SMS text | en_US |
dc.subject | Uganda | en_US |
dc.subject | Cervical cancer | en_US |
dc.title | Implementing community-based human papillomavirus self-sampling with SMS text follow-up for cervical cancer screening in rural, southwestern Uganda | en_US |
dc.type | Article | en_US |