{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T19:22:54Z","timestamp":1747077774000},"reference-count":24,"publisher":"Instituto Nacional de Salud Publica","issue":"6, nov-dic","license":[{"start":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T00:00:00Z","timestamp":1544659200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Salud Publica Mex"],"abstract":"<jats:p>\u00a0Objetivo. Evaluar la adopci\u00f3n e implementaci\u00f3n en escala de la estrategia orientada a ofrecer puerta a puerta la autoto\u00adma de la prueba del virus del papiloma humano (AT-VPH), por parte de agentes sanitarios (AS), en Jujuy, Argentina. Material y m\u00e9todos. Se aplic\u00f3 una encuesta autoadministrada a 478 AS. Las dimensiones de adopci\u00f3n e implementaci\u00f3n fueron evaluadas con el modelo RE-AIM. Resultados. Adopci\u00f3n: 81.8% de los AS ofreci\u00f3 la AT-VPH y 86.4% expres\u00f3 grati\u00adficaci\u00f3n con la estrategia. Implementaci\u00f3n: los problemas encontrados fueron la demora en la entrega de tubos (61.3%) y resultados (70.0%); falta de recursos humanos (28.3%), y dificultades al obtener turnos para realizar el triage (26.1%). El principal obst\u00e1culo fue la sobrecarga de trabajo (50.2%), mientras que la capacitaci\u00f3n (38.0%) y el listado de mujeres a contactar (28.7%) fueron los elementos facilitadores. Con\u00adclusiones. La adopci\u00f3n de la AT-VPH fue alta entre los AS. Deben reforzarse las estrategias program\u00e1ticas para motivar a los AS y reducir su carga de trabajo al implementar la AT-VPH.<\/jats:p>","DOI":"10.21149\/8854","type":"journal-article","created":{"date-parts":[[2018,4,5]],"date-time":"2018-04-05T20:08:56Z","timestamp":1522958936000},"page":"674","source":"Crossref","is-referenced-by-count":8,"title":["Adopci\u00f3n e implementaci\u00f3n del ofrecimiento de la autotoma VPH  por agentes sanitarios en Jujuy, Argentina"],"prefix":"10.21149","volume":"60","author":[{"given":"Mariana","family":"Curotto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julieta","family":"Zalaca\u00edn-Colombo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melisa","family":"Paolino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvina","family":"Arrossi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8786","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Ronco G, Giorgi-Rossi P, Carozzi F, Confortini M, Dalla Palma P, Del Mistro A, et al. Efficacy of human papillomavirus testing for the detection of invasive cervical cancers and cervical intraepithelial neoplasia: a randomised controlled trial. Lancet Oncol. 2010;11(3):249-57. https:\/\/doi.org\/10.1016\/S1470-2045(09)70360-2","DOI":"10.1016\/S1470-2045(09)70360-2"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Arbyn M,Verdoodt F, Snijders PJ,VerhoefVM, Suonio E, Dillner L, et al. Accuracy of human papillomavirus testing on self-collected versus clinician-collected samples: a meta-analysis. Lancet Oncol. 2014;15(2):172-83. https:\/\/doi.org\/10.1016\/S1470-2045(13)70570-9","DOI":"10.1016\/S1470-2045(13)70570-9"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Bansil P,Wittet S, Lim JL,Winkler JL, Paul P, Jeronimo J.Acceptability of self-collection sampling for HPV-DNA testing in low-resource settings: a mixed methods approach. BMC Public Health. 2014;14:596. https:\/\/doi.org\/10.1186\/1471-2458-14-596","DOI":"10.1186\/1471-2458-14-596"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Snijders PJ,VerhoefVM,Arbyn M, Ogilvie G, Minozzi S, Banzi R, et al. High-risk HPV testing on self-sampled versus clinician-collected specimens: a review on the clinical accuracy and impact on population attendace in cervical cancer screening. Int J Cancer. 2013;132(10):2223-36. https:\/\/doi.org\/10.1002\/ijc.27790","DOI":"10.1002\/ijc.27790"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5.Verdoodt F, Jentschke M, Hillemanns P, Racey CS, Snijders PJF,Arbyn M. Reaching women who do not participate in the regular cervical cancer screening programme by offering self-sampling kits: a systematic review and meta-analysis of randomized trials. Eur J Cancer. 2015;51(16):2375-85.https:\/\/doi.org\/10.1016\/j.ejca.2015.07.006","DOI":"10.1016\/j.ejca.2015.07.006"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"6. Arrossi S,Thouyaret L, Herrero R, Campanera A, Magdaleno A, Cuberli M, et al. Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomised trial. Lancet Glob Health. 2015;3(2):e85-e94. https:\/\/doi.org.10.1016\/S2214-109X(14)70354-7","DOI":"10.1016\/S2214-109X(14)70354-7"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7. Barbee L, Kobetz E, Menard J, Cook N, Blanco J, Barton B, et al. Assessing the acceptability of self-sampling for HPV among Haitian immigrant women: CBPR in action. Cancer Causes Control. 2010;21(3):421-31. https:\/\/doi.org\/10.1007\/s10552-009-9474-0","DOI":"10.1007\/s10552-009-9474-0"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8. Mandingo M, Frett B, Laurent JR, Bishop I, Raymondville M, Marsh S et al. Pairing community health workers with HPV self-sampling for cervical cancer prevention in rural Haiti. Int J Gynaecol Obstet. 2015;128:206-10. https:\/\/doi.org\/10.1016\/j.ijgo.2014.09.016","DOI":"10.1016\/j.ijgo.2014.09.016"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9. Milat AJ, Bauman A, Redman S. Narrative review of models and success factors for scaling up public health interventions. Implement Sci. 2015;10:113. https:\/\/doi.org\/10.1186\/s13012-015-0301-6","DOI":"10.1186\/s13012-015-0301-6"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Arrossi S, Paolino M,Thouyaret L, Laudi R, Campanera A. Evaluation of scaling-up of HPV self-collection offered by community health workers at home visits to increase screening among socially vulnerable under-screened women in Jujuy Province,Argentina. Implement Sci. 2017;12(1):17. https:\/\/doi.org\/10.1186\/s13012-017-0548-1","DOI":"10.1186\/s13012-017-0548-1"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"11. Glasgow RE,Vogt TM, Boles SM. Evaluating the public health impact  of health promotion interventions: the RE-AIM framework.Am J Public Health. 1999; 89(9):1322-27. https:\/\/doi.org\/10.2105\/AJPH.89.9.1322","DOI":"10.2105\/AJPH.89.9.1322"},{"key":"ref11","volume-title":"A guide to implementation research in the prevention and control of noncommunicable diseases Ginebra","year":"2016","unstructured":"12. World Health Organization.A guide to implementation research in the prevention and control of noncommunicable diseases. Ginebra:WHO, 2016."},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"13. Proctor EK, Powell BJ, Baumann AA, Hamilton AM, Santens RL. Writing implementation research grant proposals: ten key ingredients. Implement Sci. 2012;7:96. https:\/\/doi.org\/10.1186\/1748-5908-7-96","DOI":"10.1186\/1748-5908-7-96"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"14. Arrossi S,Thouyaret L, Laudi R, Mar\u00edn O, Ram\u00edrez J, Paolino M, et al. Implementation of HPV-testing for cervical cancer screening in programmatic contexts: the Jujuy demonstration project in Argentina. Int J Cancer. 2015;137(7):1709-18. https:\/\/doi.org.10.1002\/ijc.29530","DOI":"10.1002\/ijc.29530"},{"key":"ref14","volume-title":"Prevenci\u00f3n del c\u00e1ncer cervicouterino","author":"Arrossi","year":"2015","unstructured":"15. Arrossi S,Thouyaret L, Paul L. Prevenci\u00f3n del c\u00e1ncer cervicouterino: recomendaciones para el tamizaje,seguimiento y tratamiento de mujeres en el marco de programas de tamizaje basados en el test deVPH.Actualizaci\u00f3n 2015. Buenos Aires: INC, 2015."},{"key":"ref15","volume-title":"Manual para la implementaci\u00f3n del test deVPH en contexto program\u00e1tico","author":"Arrossi","year":"2016","unstructured":"16. Arrossi S, Curotto M,Thouyaret L, Paolino M, Cuberli M, Laudi R. Manual para la implementaci\u00f3n del test deVPH en contexto program\u00e1tico. Buenos Aires: INC, 2016."},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"17. Curotto M, Barletta P, Paolino M, Arrossi S. La perspectiva de los agentes sanitarios sobre la incorporaci\u00f3n program\u00e1tica de la autotoma del test deVPH. Cad Saude Publica. 2017;33(4):e00138515. https:\/\/doi.org\/10.1590\/0102-311X00138515","DOI":"10.1590\/0102-311x00138515"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"18. Hsieh HF, Shannon SE.Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-1288. https:\/\/doi.org\/10.1177\/1049732305276687","DOI":"10.1177\/1049732305276687"},{"key":"ref18","article-title":"Measurement issues in dissemination and implementation research in health.","volume-title":"Dissemination and implementation research in health NuevaYork","author":"Proctor","year":"2012","unstructured":"19. Proctor E, Brownson R. Measurement issues in dissemination and implementation research in health. En: Brownson RC, Colditz G, Procter E, eds. Dissemination and implementation research in health. NuevaYork: Oxford University Press, 2012."},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"20. JaskiewiczW,Tulenko K. Increasing community health worker productivity and effectiveness: a review of the influence of the work environment. Hum Resour Health. 2012;10:38. https:\/\/doi.org\/10.1186\/1478-4491-10-38","DOI":"10.1186\/1478-4491-10-38"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"21. Kok MC, Dieleman M,Taegtmeyer M, Broerse J, Kane SS, Ormel H, et al. Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review. Health Policy Plan. 2015;30(9):1207-27. https:\/\/doi.org\/10.1093\/heapol\/czu126","DOI":"10.1093\/heapol\/czu126"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"22. Kok MC, Namakhoma I, Nyirenda L, Chikaphupha K, Broerse JEW, Dieleman M, et al. Health surveillance assistants as intermediates between the community and health sector in Malawi: exploring how relationships influence performance. BMC Health Serv Res. 2016;16:164. https:\/\/doi.org\/10.1186\/s12913-016-1402-x","DOI":"10.1186\/s12913-016-1402-x"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"23. Glenton C, Colvin CJ, Carlsen B, Swartz A, Lewin S, Noyes J, et al. Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis. Cochrane Database Sys Rev. 2013;(10):CD010414.https:\/\/doi.org\/10.1002\/14651858.CD010414","DOI":"10.1002\/14651858.CD010414"},{"key":"ref23","first-page":"10","article-title":"HPV testing in self-collected samples.","volume":"1","author":"Arrossi","year":"2017","unstructured":"24.Arrossi S. HPV testing in self-collected samples. HPVWorld.2017;1:10-11.","journal-title":"HPVWorld"}],"container-title":["Salud P\u00fablica de M\u00e9xico"],"original-title":[],"link":[{"URL":"http:\/\/www.saludpublica.mx\/index.php\/spm\/article\/viewFile\/8854\/11492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.saludpublica.mx\/index.php\/spm\/article\/viewFile\/8854\/11492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T19:26:47Z","timestamp":1549481207000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.saludpublica.mx\/index.php\/spm\/article\/view\/8854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,13]]},"references-count":24,"journal-issue":{"issue":"6, nov-dic","published-online":{"date-parts":[[2018,12,13]]}},"URL":"https:\/\/doi.org\/10.21149\/8854","relation":{},"ISSN":["1606-7916","0036-3634"],"issn-type":[{"value":"1606-7916","type":"electronic"},{"value":"0036-3634","type":"print"}],"subject":[],"published":{"date-parts":[[2018,12,13]]}}}