Salud publica de Mexico · 2018
[Adoption and implementation of HPV self-collection sampling by CHWs in Jujuy, Argentina].
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Curotto Mariana, Zalacaín-Colombo Julieta, Paolino Melisa, Arrossi Silvina
Аннотация
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.
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.
Предметные рубрики MeSH
AdultAgedAged, 80 and overArgentinaAttitude of Health PersonnelCommunity Health WorkersEarly Detection of CancerFemaleHuman Papillomavirus DNA TestsHumansMiddle AgedPatient Acceptance of Health CareProcedures and Techniques UtilizationSelf-ExaminationSpecimen HandlingSurveys and QuestionnairesUterine Cervical NeoplasmsVaginal SmearsWorkload