Implementation research applied to the programmatic implementation of HPV self-testing in the Province of Jujuy.

ARROSSI S; CAMPANERA A; LAUDI R; PAOLINO M; THOUYARET L

Lyon

Congreso; Global cancer ocurrence, causes and avenues to prevention; 2016

IARC-WHO

Purpose: We carried"out implementation research to evaluate scaling"up of HPV self"collection offered by community health workers (CHW) during home visits in Jujuy, Argentina. In 2014 findings from previous mix" methods research (The EMA project) were used to expand HPV self"collection as a provincial strategy to increase HPV"testing among screening under"users. We report selected monitoring outcomes for the first year of the scaling"up phase. Methods: We analyzed data program from the national online screening information system using the RE" AIM framework. Presented outcomes are Reach: percentage of screened under"usersc Efficacy: positivityc detection of CIN2+c Adoption: percentage of CHWs with at least one woman with self"collected testc Implementation: percentage of trained CHWs, percentage of women with completion of follow"up. Maintenance: Number of women with self"collected tests during second year of the scaling"up (2015). Results: Protocols, referral network and training components were developedc triage cytology was recommended for HPV+ women. In total 568/698 CHWs were trained to offer the strategy. In 2014, a total of 12780 women aged 30+ were HPV"screened in the Jujuy public health sector, 38% (n=4866) of them with self"collected tests. Among women with self"collected tests 85% (n=4133/4866) were screening under"users vs. 61% (n=4820/7914) of women with clinician"collected tests at health centers (p