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Salud Pública de México
Print version ISSN 0036-3634
Abstract
CUROTTO, Mariana; ZALACAIN-COLOMBO, Julieta; PAOLINO, Melisa and ARROSSI, Silvina. Adoption and implementation of HPV self-collection sampling by CHWs in Jujuy, Argentina. Salud pública Méx [online]. 2018, vol.60, n.6, pp.674-682. Epub Aug 22, 2019. ISSN 0036-3634. https://doi.org/10.21149/8854.
Objective:
To evaluate adoption and implementation of scaling up of HPV self-collection (SC) strategy offered door-to-door by Community Health Workers (CHWs) in Jujuy, Argentina.
Materials and methods:
A self-administered questionnaire was applied to 478 CHWs. RE-AIM model was used to evaluate adoption and implementation dimensions.
Results:
Adoption: 81.8% offered SC and 86.4% were satisfied with the strategy. Implementation: main problems were delays in the delivery of tubes (61.3%) and results (70.0%), lack of human resources (28.3%) and difficulties in obtaining an appointment for triage (26.1%). The main obstacle was the excessive workload of CHWs (50.2%). Training (38.0%) and the list of women to be offered the test (28.7%) were identified as facilitators.
Conclusions:
The adoption of SC strategy was high among CHWs. Program strategies should be strengthened to motivate and reduce the excessive workload of CHWs when implementing SC strategy.
Keywords : community health workers; papillomaviridae; mass screening; health evaluation; cervical cancer prevention programs.
