{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:31:15Z","timestamp":1790962275919,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,9]],"date-time":"2019-11-09T00:00:00Z","timestamp":1573257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>To achieve higher coverage and effectiveness in limited\u2010resource settings, World Health Organization (WHO) guidelines for cervical cancer prevention recommend a screen\u2010and\u2010treat strategy with high\u2010risk human papillomavirus (HPV) testing. We piloted a real\u2010word project to examine the feasibility of this approach in rural Cameroon. Nurses from the Women's Health Program (WHP) of the Cameroon Baptist Convention Health Services (CBCHS) educated women in remote villages on cervical cancer prevention. At a follow\u2010up visit, they explained to nonpregnant women aged 30\u201365 how to self\u2010collect vaginal specimens for HPV testing with the careHPV assay. The cytobrush specimens were transported in coolers to a CBCHS laboratory for analysis. The nurses returned to villages to inform women of their results, examined HPV\u2010positive women in the primary health centers (PHCs) using visual inspection with acetic acid and Lugol's iodine (VIA\/VILI) enhanced by digital cervicography (DC) to guide treatment. Of the 1,270 eligible women screened (mean age: 44.7\u2009years), 196 (15.4%) were HPV\u2010positive, of whom 185 (94.4%) were examined, 16 (8.6%) were VIA\/VILI\u2010positive, 8 (4.3%) were VIA\/VILI\u2010inadequate, one (0.5%) was VIA\/VILI\u2010uncertain and 161 (87.0%) were treated with thermal ablation. One woman had LEEP, and another woman with invasive cancer was treated at a referral facility. The cytobrushes broke off in the vaginas of two women (removed in the village) and in the bladder of another (surgically removed). Community\u2010based cervical cancer screening with self\u2010collected specimens for HPV testing is feasible in rural Cameroon. Education on the proper sampling procedure and follow\u2010up of women who are HPV\u2010positive are essential.<\/jats:p>","DOI":"10.1002\/ijc.32746","type":"journal-article","created":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T15:38:33Z","timestamp":1571672313000},"page":"128-138","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Feasibility of a community\u2010based cervical cancer screening with \u201ctest and treat\u201d strategy using self\u2010sample for an HPV test: Experience from rural Cameroon, Africa"],"prefix":"10.1002","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4722-9262","authenticated-orcid":false,"given":"Joel","family":"Fokom Domgue","sequence":"first","affiliation":[{"name":"Department of Gynecologic Oncology and Reproductive Medicine The University of Texas MD Anderson Cancer Center  Houston TX"},{"name":"Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9  Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Futuh","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calvin","family":"Ngalla","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kakute","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Manjuh","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Manga","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Nulah","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith","family":"Welty","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Schmeler","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology and Reproductive Medicine The University of Texas MD Anderson Cancer Center  Houston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Welty","sequence":"additional","affiliation":[{"name":"Cameroon Baptist Convention Health Services  Bamenda North West Region Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,9]]},"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":"10.1016\/j.ijgo.2016.03.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31795-0"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.11380"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2006.05.121"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1363\/3514709"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170631"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.10.012"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3084"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000084"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.7464"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e318280f395"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157319"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808516"},{"key":"e_1_2_9_16_1","volume-title":"WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. WHO Guidelines Approved by the Guidelines Review Committee","author":"WHO","year":"2013"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00492-17"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1309\/AJCP4Q0NSDHWIZGU"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70210-9"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-596"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1089"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7354-4"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2019.1587894"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0444"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/14.4.301"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2006.12.018"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2016-0383"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.11.002"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000133"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001141"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.05.014"},{"key":"e_1_2_9_32_1","first-page":"1","article-title":"Triage of women testing positive with the careHPV test on self\u2010collected vaginal samples for cervical cancer screening in a low\u2010resource setting","volume":"4","author":"Poli UR","year":"2018","journal-title":"J Glob Oncol"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2209.151440"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6833a2"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2014.510"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70570-9"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29250"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29353"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djy225"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S80624"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12655"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-016-0355-x"},{"key":"e_1_2_9_43_1","volume-title":"WHO guidelines for the use of thermal ablation for cervical pre\u2010cancer lesions","author":"World Health Organization","year":"2019"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.LGT.0000171663.86847.45"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(05)80363-3"}],"container-title":["International Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijc.32746","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijc.32746","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijc.32746","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijc.32746","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T06:51:06Z","timestamp":1693983066000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ijc.32746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,9]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1002\/ijc.32746"],"URL":"https:\/\/doi.org\/10.1002\/ijc.32746","archive":["Portico"],"relation":{},"ISSN":["0020-7136","1097-0215"],"issn-type":[{"value":"0020-7136","type":"print"},{"value":"1097-0215","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,9]]},"assertion":[{"value":"2019-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}