{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:31:17Z","timestamp":1790962277371,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"22","license":[{"start":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:00:00Z","timestamp":1600819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U54 CA190153"],"award-info":[{"award-number":["U54 CA190153"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 AI027763"],"award-info":[{"award-number":["P30 AI027763"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D43TW10132"],"award-info":[{"award-number":["D43TW10132"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The World Health Organization (WHO) refers to cervical cancer as a public health problem, and sub\u2010Saharan Africa bears the world's highest incidence. In the realm of screening, simplified WHO recommendations for low\u2010resource countries now present an opportunity for a public health approach to this public health problem. We evaluated the feasibility of such a public health approach to cervical cancer screening that features community\u2010based self\u2010administered HPV testing and mobile treatment provision. In two rural districts of western\u2010central Uganda, Village Health Team members led community mobilization for cervical cancer screening fairs in their communities, which offered self\u2010collection of vaginal samples for high\u2010risk human papillomavirus (hrHPV) testing. High\u2010risk human papillomavirus\u2010positive women were re\u2010contacted and referred for treatment with cryotherapy by a mobile treatment unit in their community. We also determined penetrance of the mobilization campaign message by interviewing a probability sample of adult women in study communities about the fair and their attendance. In 16 communities, 2142 women attended the health fairs; 1902 were eligible for cervical cancer screening of which 1892 (99.5%) provided a self\u2010collected vaginal sample. Among the 393 (21%) women with detectable hrHPV, 89% were successfully contacted about their results, of which 86% returned for treatment by a mobile treatment team. Most of the women in the community (93%) reported hearing about the fair, and among those who had heard of the fair, 68% attended. This public health approach to cervical cancer screening was feasible, effectively penetrated the communities, and was readily accepted by community women. The findings support further optimization and evaluation of this approach as a means of scaling up cervical cancer control in low\u2010resource settings.<\/jats:p>","DOI":"10.1002\/cam4.3468","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T16:36:32Z","timestamp":1600878992000},"page":"8701-8712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["A public health approach to cervical cancer screening in Africa through community\u2010based self\u2010administered HPV testing and mobile treatment provision"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7569-8173","authenticated-orcid":false,"given":"Miriam","family":"Nakalembe","sequence":"first","affiliation":[{"name":"Infectious Diseases Institute\u2010Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Makanga","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute\u2010Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Kambugu","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute\u2010Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Laker\u2010Oketta","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute\u2010Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan J.","family":"Huchko","sequence":"additional","affiliation":[{"name":"Duke University Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Martin","sequence":"additional","affiliation":[{"name":"University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050132"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(06)60035-0"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0149696"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000084"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.070013"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31828e5a91"},{"issue":"1","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1186\/1471-2458-14-596","article-title":"Acceptability of self\u2010collection sampling for HPV\u2010DNA testing in low\u2010resource settings: a mixed methods approach","volume":"14","author":"Bansil P","year":"2014","journal-title":"BMC Public Health"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.03.019"},{"issue":"1","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12905-018-0586-0","article-title":"Evaluating a community\u2010based cervical cancer screening strategy in Western Kenya: a descriptive study","volume":"18","author":"Swanson M","year":"2018","journal-title":"BMC Women Health"},{"key":"e_1_2_9_13_1","volume-title":"WHO Guidelines for Screening and Treatment of Precancerous Lesions for Cervical Cancer Prevention","author":"World Health Organization","year":"2013"},{"issue":"2","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"97s","DOI":"10.1200\/jgo.18.41300","article-title":"Loss to follow\u2010up in a cervical cancer screening and treatment program in Western Kenya","volume":"4","author":"Kiptoo S","year":"2018","journal-title":"J Glob Oncol"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12549"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30482-6"},{"key":"e_1_2_9_17_1","unstructured":"FisherJD FisherWA.The information\u2010motivation\u2010behavioral skills model. InEmerging theories in health promotion practice and research: strategies for improving public health.2002;15(1):40\u201070.Hoboken NJ:John Wiley and sons."},{"key":"e_1_2_9_18_1","unstructured":"Uganda. Compendium of statistical concepts and definitions used in the Uganda statistical system and services. Kampala Uganda. Uganda Bureau of Statistics.https:\/\/unstats.un.org\/unsd\/vitalstatkb\/KnowledgebaseArticle50859.aspx. Accessed September 11 2020."},{"key":"e_1_2_9_19_1","unstructured":"Uganda AIDS indicator survey 2011.https:\/\/health.go.ug\/docs\/UAIS_2011_KEY_FINDINGS.pdf"},{"key":"e_1_2_9_20_1","unstructured":"VHTM\/Community health extension workers. Kampala Uganda. Ministry of Health.http:\/\/health.go.ug\/community\u2010health\u2010departments\/VHTM\u2010community\u2010health\u2010extension\u2010workers. Accessed September 11 2020."},{"key":"e_1_2_9_21_1","volume-title":"Community Health Workers: What Do We Know About Them? 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