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Salud Pública de México
versión impresa ISSN 0036-3634
Resumen
ARROSSI, Silvina. The impact of the HPV test in screening programs in Latin America: The case of Argentina. Salud pública Méx [online]. 2019, vol.61, n.1, pp.86-94. Epub 01-Ene-2019. ISSN 0036-3634. https://doi.org/10.21149/9257.
Objective:
To assess the impact of HPV testing on longstanding problems faced by screening programs in Latin America, using the case of the Jujuy Demonstration Project (JDP) in Argentina.
Materials and methods:
The study measured the level of impact produced by the introduction of HPV-testing on problems faced by cytology programs by analyzing modifications on specific problems produced during the JDP. Impact was classified as direct/indirect, and positive/ negative.
Results:
Direct/positive impact was found in issues concerning age and screening frequency, cytology laboratories and screening sensitivity, and low coverage. Direct/negative impact was mainly related to the adherence to triage cytology by HPV+ women with self-collected-tests, and the delivery and labelling of samples. Indirect impact of HPV-Test was mostly positive, and related to the programmatic reorganization which was facilitated by the introduction of HPV testing.
Conclusions:
HPV testing provides an opportunity window for improving primary screening, but does not solve programmatic problems.
Palabras llave : papillomavirus infection; cytology; mass screening; health evaluation; cervical cancer prevention programs.