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Area of Science:

  • Public Health
  • Gynecology
  • Global Health

Background:

  • Cervical cancer screening faces significant barriers for women in San Lucas Tolimán (SLT), Guatemala, particularly Indigenous populations.
  • A pilot program was designed and implemented to address these barriers through culturally appropriate and accessible screening and treatment for women aged 30-49.

Purpose of the Study:

  • To describe the design and implementation of a culturally sensitive cervical cancer screening and treatment pilot program in a rural Guatemalan municipality.
  • To assess the feasibility and effectiveness of a community health worker-led program utilizing HPV self-swabbing and visual inspection with acetic acid (VIA).

Main Methods:

  • Community health workers (CHWs) were trained on human papillomavirus (HPV) self-swab kit use and provided educational seminars.
  • Eligible women enrolled via a mobile health app, collected self-samples at home, and received follow-up care including VIA and same-day treatment (cryotherapy or thermocoagulation) for positive cases.

Main Results:

  • 132 women completed HPV self-swabs, with a 25.76% HPV positivity rate.
  • VIA screening revealed a 24.47% positivity rate, and 23 women received treatment.
  • San Lucas Tolimán exhibited higher HPV positivity rates compared to nearby regions, indicating a significant public health concern.

Conclusions:

  • The pilot program identified significantly higher HPV positivity rates in SLT than previously reported in Guatemalan studies.
  • Effective cervical cancer treatment in Guatemala necessitates patient support and financial assistance to ensure affordability and accessibility.
  • This pilot program provides a scalable model for organizations globally to invest in culturally sensitive cervical cancer screening and treatment initiatives.