Pairing @entity497 with HPV self-sampling for cervical XXXX prevention in rural Haiti.

@entity1 @entity497 @entity1082 @entity5
OBJECTIVE: To assess a program in which @entity497 ( @entity497 ) provided @entity1 with self-sampling devices to detect high-risk @entity1082 ). METHODS: In a cross-sectional study, 13 @entity497 visited homes in a rural area in Haiti's Central Plateau to recruit premenopausal @entity1 aged 30-50years between July 2009 and April 2010. Eligible @entity1 had not undergone a cervical smear in the previous 3years. @entity1 learned about cervical @entity5 and self-sampling for HPV testing before using a self-sampler in private. They then completed a questionnaire. @entity497 later returned to provide results and advice about follow-up care. RESULTS: @entity497 enrolled 493 @entity1 . Among the 485 @entity1 for whom questionnaires were received, 468 (96.5%) were comfortable using the self-sampler and 484 (99.8%) stated they would recommend it to others. Among 426 analyzed samples, 54 (12.7%) were positive for high-risk HPV, of whom 46 (85.2%) received follow-up care and 17 (31.5%) had precursor lesions and were treated. CONCLUSION: Using a CHW-led intervention, @entity1 at high risk for developing cervical @entity5 were identified and navigated to preventive care. Therefore, pairing @entity497 with HPV self-sampling is a promising strategy to combat cervical @entity5 and similar settings.
