{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T22:28:01Z","timestamp":1772749681203,"version":"3.50.1"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"14","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Parasitology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In Africa, female genital schistosomiasis (FGS) damages women\u2019s health. In Cameroon, diagnosis is rare and healthcare workers lack knowledge. Clinicians can be trained to identify FGS lesions, but the accuracy is uncertain. We assessed the acceptability and feasibility of FGS screening in Cameroon\u2019s East Province by comparing static HIV clinics and mobile pop-up clinics through consultations and acceptance rates, guided by precise disease mapping. A clinician was remotely trained to diagnose FGS lesions, with success measured by expert comparison using cervix images. The proportion of FGS was compared between settings. A total of 1242 women were approached, 624 in the HIV clinics and 618 in the mobile clinics, respectively. Women at HIV clinics were significantly older [37.0\u00a0years (interquartile range, IQR: 31\u201343)] than those at mobile clinics [28.5\u00a0years (IQR: 23\u201336)]. Refusal of the screening procedures was significantly higher in the HIV clinics (50%) than in the mobile clinics (31%). FGS lesions were present in over half of women examined, 51% in the HIV clinic and 56% in the community. The diagnostic concordance between clinicians was more than 90%. It is both feasible and acceptable to identify and treat FGS lesions in areas without specialized care. Mobile pop-up clinics\u2019 acceptability is better, with younger women participating which helps to better rectify age-inequities in FGS surveillance, and remote telemedicine training is effective. Prevalence of FGS suspect lesions was very high in both settings.<\/jats:p>","DOI":"10.1017\/s0031182025100255","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T07:40:05Z","timestamp":1750059605000},"page":"1490-1496","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Cross-sectional assessment of feasibility and acceptability in screening for female genital schistosomiasis (FGS) in two clinical settings in East Province, Cameroon"],"prefix":"10.1017","volume":"152","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6884-3841","authenticated-orcid":false,"given":"Sandrine","family":"Nyotue","sequence":"first","affiliation":[{"name":"CIRES (Centre International de Recherches, d\u2019Enseignements et de Soins)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Ciaffi","sequence":"additional","affiliation":[{"name":"CIRES (Centre International de Recherches, d\u2019Enseignements et de Soins)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aim\u00e9","family":"Assigui","sequence":"additional","affiliation":[{"name":"CIRES (Centre International de Recherches, d\u2019Enseignements et de Soins)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7365-7650","authenticated-orcid":false,"given":"Louis-Albert","family":"Tchuem Tchuent\u00e9","sequence":"additional","affiliation":[{"name":"University of Yaound\u00e9 I, Ministry of Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bodo","family":"Randraniasolo","sequence":"additional","affiliation":[{"name":"Association K\u2019OLO VANONA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9370-3420","authenticated-orcid":false,"given":"John Russell","family":"Stothard","sequence":"additional","affiliation":[{"name":"Liverpool School of Tropical Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jutta","family":"Reinhard-Rupo","sequence":"additional","affiliation":[{"name":"Ares Trading S.A. (an affiliate of Merck KGaA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Christinet","sequence":"additional","affiliation":[{"name":"ASCRES, Association de Soutien aux Centres de Recherches, d\u2019Enseignements et de Soins"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"S0031182025100255_ref15","unstructured":"UNAIDS (2019) No more neglect: Female genital schistosomiasis and HIV\u2014Integrating sexual and reproductive health interventions to improve women\u2019s lives Geneva, Switzerland: Joint United Nations Programme on HIV\/AIDS (UNAIDS). https:\/\/www.unaids.org\/en\/resources\/documents\/2019\/female_genital_schistosomiasis_and_hiv"},{"key":"S0031182025100255_ref19","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2021.735281"},{"key":"S0031182025100255_ref14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0008337"},{"key":"S0031182025100255_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpara.2016.02.006"},{"key":"S0031182025100255_ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0010165"},{"key":"S0031182025100255_ref17","volume-title":"Female Genital Schistosomiasis: A Pocket Atlas for Clinical Health-care Professionals","year":"2015"},{"key":"S0031182025100255_ref18","volume-title":"WHO Guideline for Screening and Treatment of Cervical Pre-cancer Lesions for Cervical Cancer Prevention","year":"2021a"},{"key":"S0031182025100255_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/traa159"},{"key":"S0031182025100255_ref3","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.20.252270"},{"key":"S0031182025100255_ref12","first-page":"544","article-title":"Association of schistosomiasis and HIV infections: A systematic review and meta-analysis","volume":"102","author":"Patel","year":"2021","journal-title":"International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases"},{"key":"S0031182025100255_ref6","first-page":"76","article-title":"Schistosoma haematobium infection during pregnancy and foetal outcomes in an endemic area of Malawi","volume":"8","author":"Kayuni","year":"2019","journal-title":"Infectious Diseases of Poverty"},{"key":"S0031182025100255_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01252-2"},{"key":"S0031182025100255_ref4","first-page":"1918","article-title":"Barriers and facilitators in implementing population-based common cancer screening through community health workers","volume":"9","author":"Goldstein","year":"2020","journal-title":"Journal of Public Health Research"},{"key":"S0031182025100255_ref1","first-page":"100226","article-title":"High prevalence of HPV in HIV-positive women aged over 40 years: results from the EVRI trial","volume":"14","author":"Baisley","year":"2022","journal-title":"Papillomavirus Research"},{"key":"S0031182025100255_ref11","first-page":"114","article-title":"Women\u2019s knowledge of cervical cancer and uptake of Pap smears in the province of KwaZulu-Natal, South Africa","volume":"4","author":"Mbatha","year":"2017","journal-title":"Asia-Pacific Journal of Oncology Nursing"},{"key":"S0031182025100255_ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0009789"},{"key":"S0031182025100255_ref8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0000007"},{"key":"S0031182025100255_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2008.02161.x"},{"key":"S0031182025100255_ref13","first-page":"14","article-title":"Visual diagnosis of female genital schistosomiasis in Zambian women from hand-held colposcopy: Agreement of expert image review and association with clinical symptoms","volume":"8","author":"Sturt","year":"2023","journal-title":"Wellcome Open Research"}],"container-title":["Parasitology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0031182025100255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T10:35:21Z","timestamp":1772706921000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0031182025100255\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":19,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0031182025100255"],"URL":"https:\/\/doi.org\/10.1017\/s0031182025100255","relation":{},"ISSN":["0031-1820","1469-8161"],"issn-type":[{"value":"0031-1820","type":"print"},{"value":"1469-8161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}