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Published on: June 17, 2009
[Adoption and implementation of HPV self-collection sampling by CHWs in Jujuy, Argentina]
Mariana Curotto1, Julieta Zalacaín-Colombo1, Melisa Paolino2
1Programa Nacional de Prevención de Cáncer Cervicouterino, Instituto Nacional del Cáncer, Ministerio de Salud de la Nación. Buenos Aires, Argentina.
Objective:
To evaluate adoption and implementation of scaling up of HPV self-collection (SC) strategy offered doorto-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 satis- fied 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 strategiesshould be strengthened to motivate and reduce the excessive workload of CHWs when implementing SC strategy.
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