Abstract Background The incidence of cervical cancer in Kenya is among the highest in the world.Few Kenyan women are able to access screening, thus fueling the high cervical cancer burden.Self-collected human papilloma Virus (HPV) tests, administered during community-health campaigns in rural areas may be a way to expand access to screening.
Methods In December 2015, we carried out a four-day community health campaign (CHC) to educate participants about cervical cancer prevention and offer self-administered HPV screening.Community enumeration, outreach and mobilization preceded the CHC.Samples were sent to Migori County Hospital for HPV DNA testing using careHPV Test Kits.
Women were notified Rugby - Accessories of results through their choice of short message service (SMS), phone call, home visit or clinic visit.HPV positive women were referred for cryotherapy following a screen-and-treat strategy.Results Door-to-door enumeration identified approximately 870 eligible women in Ngodhe Community in Migori County.
Among the 267 women attending the campaign, 255 women enrolled and collected samples: 243 tests were successfully resulted and 12 were indeterminate.Of the 243 resulted tests, 47 (19%) were positive for HPV, with young age being the only significant predictor of positivity.In multivariate analysis, each additional year of age conferred about a 4% decrease in the odds of testing positive (95% CI 0.
1 to 7%, p = 0.046).Just over three-quarters of all women (195/255), were notified of their results.
Those who were unable to be reached were more likely to prefer receiving results from clinic (54/60, 90%) and were less likely to have mobile phones (24/60, 73%).Although 76% of HPV positive women were notified of their results, just half (51%) of those testing positive presented for treatment.HPV positive women who successfully accessed the treatment facility did not differ from their non-presenting Oil counterparts by demographics, health history, desired route of notification or access to a mobile phone.
Conclusion Nearly a third of eligible women in Ngodhe Community attended the CHC and were screened for cervical cancer.Nearly all women who attended the CHC underwent cervical cancer screening by self-collected HPV tests.Three-quarters of all participants received results, but just half of HPV positive participants presented for treatment in a timely fashion, suggesting that linkage to treatment remains a major challenge.
Trial registration NCT02124252, Registered 25 April 2014.