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Investigating feasibility of 2021 WHO protocol for cervical cancer screening in underscreened populations: PREvention and SCReening Innovation Project Toward Elimination of Cervical Cancer (PRESCRIP-TEC).


ABSTRACT:

Background

High-risk human papillomavirus (hrHPV) testing has been recommended by the World Health Organization as the primary screening test in cervical screening programs. The option of self-sampling for this screening method can potentially increase women's participation. Designing screening programs to implement this method among underscreened populations will require contextualized evidence.

Methods

PREvention and SCReening Innovation Project Toward Elimination of Cervical Cancer (PRESCRIP-TEC) will use a multi-method approach to investigate the feasibility of implementing a cervical cancer screening strategy with hrHPV self-testing as the primary screening test in Bangladesh, India, Slovak Republic and Uganda. The primary outcomes of study include uptake and coverage of the screening program and adherence to follow-up. These outcomes will be evaluated through a pre-post quasi-experimental study design. Secondary objectives of the study include the analysis of client-related factors and health system factors related to cervical cancer screening, a validation study of an artificial intelligence decision support system and an economic evaluation of the screening strategy.

Discussion

PRESCRIP-TEC aims to provide evidence regarding hrHPV self-testing and the World Health Organization's recommendations for cervical cancer screening in a variety of settings, targeting vulnerable groups. The main quantitative findings of the project related to the impact on uptake and coverage of screening will be complemented by qualitative analyses of various determinants of successful implementation of screening. The study will also provide decision-makers with insights into economic aspects of implementing hrHPV self-testing, as well as evaluate the feasibility of using artificial intelligence for task-shifting in visual inspection with acetic acid.

Trial registration

ClinicalTrials.gov, NCT05234112 . Registered 10 February 2022.

SUBMITTER: Sultanov M 

PROVIDER: S-EPMC9284962 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Investigating feasibility of 2021 WHO protocol for cervical cancer screening in underscreened populations: PREvention and SCReening Innovation Project Toward Elimination of Cervical Cancer (PRESCRIP-TEC).

Sultanov Marat M   Zeeuw Janine de J   Koot Jaap J   der Schans Jurjen van JV   Beltman Jogchum J JJ   Fouw Marlieke de M   Majdan Marek M   Rusnak Martin M   Nazrul Naheed N   Rahman Aminur A   Nakisige Carolyn C   Rao Arathi P AP   Prasad Keerthana K   Guruvare Shyamala S   Biesma Regien R   Versluis Marco M   de Bock Geertruida H GH   Stekelenburg Jelle J  

BMC public health 20220715 1


<h4>Background</h4>High-risk human papillomavirus (hrHPV) testing has been recommended by the World Health Organization as the primary screening test in cervical screening programs. The option of self-sampling for this screening method can potentially increase women's participation. Designing screening programs to implement this method among underscreened populations will require contextualized evidence.<h4>Methods</h4>PREvention and SCReening Innovation Project Toward Elimination of Cervical Ca  ...[more]

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