Feasibility and Acceptability of Tele-Colposcopy on the Caribbean Coast of Nicaragua: A Descriptive Mixed-Methods Study

Mitchell, Emma; Doede, Aubrey L.; Estrada, Michelet McLean; Granera, Orlando Benito; Galindo, Francisco; Dunn, Bruce L.; Banks, Shernai; Marks-Symeonides, Imani; Morrone, Danielle; Pitt, Charlotte; Dillingham, Rebecca

doi:10.1089/tmr.2021.0024

Cited by 2 publications

(4 citation statements)

References 31 publications

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“…Barriers to cervical cancer screening, diagnosis, and access to treatment persist in the RACCS, though efforts are underway by the Ministry of Health (MINSA) to increase screening and preventive services (23). Within the city of Bluefields, screening services are provided at no cost through a network of primary care clinics or at the region's only hospital.…”

Section: Caribbean Coast Of Nicaragua: Contextual Factors Impacting A...mentioning

confidence: 99%

“…Within the city of Bluefields, screening services are provided at no cost through a network of primary care clinics or at the region's only hospital. For rural surrounding communities, screening services are provided at no cost through MINSA brigades, where healthcare providers travel to these remote areas to provide screening and return for follow-up (23).…”

Section: Caribbean Coast Of Nicaragua: Contextual Factors Impacting A...mentioning

confidence: 99%

“…In 2018 through 2019, study team members traveled to Bluefields to continue the environmental scan (23), now guided by the WHO's toolkit on data collection for cervical cancer control (29). All operational public and private clinics were analyzed (n=13) for: transportation considerations (n=13 accessible through taxis, less accessible for rural surrounding communities); potable water (accessible at n=11 clinics); power sources (consistently accessible for n=12 clinics); wifi (n=0 clinics had this accessible) and landline phone access (n=7 clinics).…”

Section: Phase 2: Environmental Scanmentioning

confidence: 99%

“…A significant consideration is in the rapidly changing landscape of cervical cancer control technologies in low recourse settings. For example, our research team began systematically collecting data for the phase II environmental scan before the WHO published the data collection toolkit we ultimately used (23). It is important for cervical cancer control researchers to remain current in implementation of evidence-based prevention strategies.…”

Section: Limitationsmentioning

confidence: 99%

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Feasibility and acceptability of self-collection of Human Papillomavirus samples for primary cervical cancer screening on the Caribbean Coast of Nicaragua: A mixed-methods study

et al. 2023

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BackgroundCervical cancer is the primary cause of cancer death for women in Nicaragua, despite being highly preventable through vaccination against high-risk genotypes of the Human Papillomavirus (hrHPV), screening for hrHPV, and early detection of lesions. Despite technological advances designed to increase access to screening in low resource settings, barriers to increasing population-level screening coverage persist. On the Caribbean Coast of Nicaragua, only 59% of women have received one lifetime screen, compared to 78.6% of eligible women living on the Pacific and in the Interior. In concordance with the WHO’s call for best practices to eliminate cervical cancer, we explored the feasibility and acceptability of self-collection of samples for hrHPV testing on the Caribbean Coast of Nicaragua through a multi-year, bi-national, community-based mixed methods study.MethodsBetween 2016 and 2019, focus groups (n=25), key informant interviews (n=12) [phase I] and an environmental scan [phase II] were conducted on the Caribbean Coast of Nicaragua in partnership and collaboration with long-term research partners at the University of Virginia and community-based organizations. In spring 2020, underscreened women on the Caribbean Coast of Nicaragua were recruited and screened for hrHPV, with the choice of clinician collection or self-collection of samples.ResultsOver the course of the study, providers and potential patients expressed significant acceptability of self-collection of samples as a strategy to reduce barriers currently contributing to the low rates of screening (phases I and II). Ultimately 99.16% (n=1,767) of women chose to self-collect samples, demonstrating a high level of acceptability of self-collection in this pilot sample (phase III). Similarly, focus groups, key informant interviews, and the environmental scan (phases I and II) of resources indicated critical considerations for feasibility of implementation of both HPV primary screening and subsequently, self-collection of samples. Through phase III, we piloted hrHPV screening (n=1,782), with a 19.25% hrHPV positivity rate.ConclusionSelf-collection of samples for hrHPV testing demonstrated high acceptability and feasibility. Through concerted effort at the local, regional, and national levels, this project supported capacity building in reporting, monitoring, and surveilling cervical cancer screening across the continuum of cervical cancer control.

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Section: Caribbean Coast Of Nicaragua: Contextual Factors Impacting A...mentioning

confidence: 99%

Section: Caribbean Coast Of Nicaragua: Contextual Factors Impacting A...mentioning

confidence: 99%

Section: Phase 2: Environmental Scanmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Feasibility and acceptability of self-collection of Human Papillomavirus samples for primary cervical cancer screening on the Caribbean Coast of Nicaragua: A mixed-methods study

et al. 2023

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An insight into clinical and laboratory detections for screening and diagnosis of cervical cancer

Padavu

Aichpure

Kumar

et al. 2023

Expert Review of Molecular Diagnostics

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Feasibility and Acceptability of Tele-Colposcopy on the Caribbean Coast of Nicaragua: A Descriptive Mixed-Methods Study

Cited by 2 publications

References 31 publications

Feasibility and acceptability of self-collection of Human Papillomavirus samples for primary cervical cancer screening on the Caribbean Coast of Nicaragua: A mixed-methods study

Feasibility and acceptability of self-collection of Human Papillomavirus samples for primary cervical cancer screening on the Caribbean Coast of Nicaragua: A mixed-methods study

An insight into clinical and laboratory detections for screening and diagnosis of cervical cancer

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