Preliminary assessment of using mobile point-of-care human papillomavirus (HPV) testing with the option of immediate colposcopy in a rural area in a high-income country: a case study.

Autor:	Paterson H; Te Waka Wahine Hauora, The Woman's Health Bus, University of Otago, 362 Leith Street Dunedin 9016, New Zealand., Macfarlane E; Te Waka Wahine Hauora, The Woman's Health Bus, University of Otago, 362 Leith Street Dunedin 9016, New Zealand., Slater T; Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, 14 Kelburn Parade, Wellington 6012, New Zealand., Stanton JL; Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, 14 Kelburn Parade, Wellington 6012, New Zealand., MacDonald EJ; Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, 14 Kelburn Parade, Wellington 6012, New Zealand., Gibson M; Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, 14 Kelburn Parade, Wellington 6012, New Zealand., Lawton B; Te Tātai Hauora o Hine, National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, 14 Kelburn Parade, Wellington 6012, New Zealand.
Jazyk:	angličtina
Zdroj:	The New Zealand medical journal [N Z Med J] 2024 Jun 07; Vol. 137 (1596), pp. 43-51. Date of Electronic Publication: 2024 Jun 07.
DOI:	10.26635/6965.6267
Abstrakt:	Aim: Cervical cancer is now preventable with human papillomavirus (HPV) vaccination and HPV screening. However, structural health system barriers in rural areas can inhibit screening access. Inequitable access for rural Māori is exacerbated by social determinants and racism. Pro-equity tools, such as self-taken swabs point of care (POC) testing, now exist. This study aimed to investigate whether POC HPV testing and immediate offer of colposcopy by a mobile colposcopy service is possible at a rural community event. Methods: This case study was a collaboration between a research centre, a women's health bus, a molecular diagnostics company, a Māori health provider and a community charity, and took place prior to the new cervical screening programme introduction at a 2-day community event-a shearathon. Eligible participants were offered a self-taken swab for HPV, which was analysed by POC testing. If high-risk HPV was detected, they were offered an immediate colposcopy. The Māori-centred qualitative component explored women's experiences of the process. Results: Fourteen women undertook a self-test for HPV. High-risk HPV was detected in six women and all were offered immediate colposcopy. Six women were interviewed. All were supportive of the service. Culturally safe staff taking time to put women at ease contributed to acceptability and positive experiences. Conclusion: This case study shows that provision of POC HPV testing and colposcopy at a rural community event setting is possible through cross-sector collaboration. This service was acceptable to rural transient workers who face barriers to healthcare in a high-income country. Competing Interests: Cepheid loaned the GeneXpert® machine but had no part in the conceptualisation, study design, protocol development, project administration or findings of the study. The study was funded by the Health Research Council of New Zealand (HRC 20/550). (© PMA.)
Databáze:	MEDLINE
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