School-based human papillomavirus vaccination: An opportunity to increase knowledge about cervical cancer and improve uptake of screening

Dreyer, Greta; Merwe, Frederick H van der; Botha, Matthys H.; Snyman, Leon Cornelius; Constant, Deborah; Visser, Cathy; Harvey, Justin

doi:10.7196/samj.2015.v105i11.9814

Cited by 23 publications

(32 citation statements)

References 10 publications

(8 reference statements)

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“…The systematic search returned 3704 unique entries, after duplicates were removed. Screening and application of eligibility criteria produced 19 studies for inclusion in the review [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. Figure 2 shows the results of the study selection process.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…A quarter of studies (n = 5, 26.3%) did not specify which screening test was being performed [20,22,24,29,32]. Multiple screening methods were used in some studies, such as those that compared uptake of HPV self-sampling to facility-based visual inspection screening methods [19,25,27,28]. Screening was offered at workplaces [28], in women's homes [19,27,28], in community spaces [23], and in health facilities [15-18, 20-22, 24-26, 29-33].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Six of the included studies described innovative approaches to delivering cervical screening including: changes to the type of cervical screening provided, the screening location, or the coupling of cervical screening with other services with the intent to make cervical screening more comfortable, convenient, and accessible by removing or mitigating environmental barriers to screening. Cervical screening was integrated with sexual and reproductive health services in two studies [22,24], and with HPV vaccination for adolescent daughters in a school-based intervention [19]. Multiple studies also drew upon established social ties; interventions targeted male partners [22] and peer groups of female sex workers [24], utilized trusted community health outreach workers and religious leaders to deliver interventions [18,25,28], and leveraged the influence of the King's council in one community [27].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

et al. 2020

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Background: Sub-Saharan Africa (SSA) experiences disproportionate burden of cervical cancer incidence and mortality due in part to low uptake of cervical screening, a strategy for prevention and down-staging of cervical cancer. This scoping review identifies studies of interventions to increase uptake of cervical screening among women in the region and uses the Integrated Behavioral Model (IBM) to describe how interventions might work. Methods: A systematic search of literature was conducted in PubMed, Web of Science, Embase, and CINAHL databases through May 2019. Screening and data charting were performed by two independent reviewers. Intervention studies measuring changes to uptake in screening among women in SSA were included, with no restriction to intervention type, study setting or date, or participant characteristics. Intervention type and implementation strategies were described using behavioral constructs from the IBM.Results: Of the 3704 citations the search produced, 19 studies were selected for inclusion. Most studies were published between 2014 and 2019 (78.9%) and were set in Nigeria (47.4%) and South Africa (26.3%). Studies most often assessed screening with Pap smears (31.6%) and measured uptake as ever screened (42.1%) or screened during the study period (36.8%). Education-based interventions were most common (57.9%) and the IBM construct of knowledge/skills to perform screening was targeted most frequently (68.4%). Willingness to screen was high, before and after intervention. Screening coverage ranged from 1.7 to 99.2% post-intervention, with six studies (31.6%) reporting a significant improvement in screening that achieved ≥60% coverage. (Continued on next page)Conclusions: Educational interventions were largely ineffective, except those that utilized peer or community health educators and mHealth implementation strategies. Two economic incentivization interventions were moderately effective, by acting on participants' instrumental attitudes, but resulted in screening coverage less than 20%. Innovative service delivery, including community-based self-sampling, acted on environmental constraints, striving to make services more available, accessible, and appropriate to women, and were the most effective. This review demonstrates that intent to perform screening may not be the major determinant of screening behavior, suggesting other theoretical frameworks may be needed to more fully understand uptake of cervical screening in sub-Saharan Africa, particularly for health systems change interventions.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

et al. 2020

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“…[5] Most recently, human papillomavirus vaccination of girl children (boys too, it is hoped, when the vaccine is cheaper) has been rolled out. [6] Fortunately too, according to Jacob and Coetzee, [7] missed opportunities for immunisation in health facilities are low, at least in the Western Cape metro, reflecting good immunisation coverage among those children who do access health facilities.…”

Section: Vaccination Saves Livesmentioning

confidence: 99%

Editor's Choice

Seggie

2015

S Afr Med J

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“…The most recent addition was a vaccine against human papillomavirus (HPV) in 2014, which is offered to all grade 4 schoolgirls in public schools. [3] Moreover, all these vaccines are provided free of charge to all children.…”

Section: Guest Editorialmentioning

confidence: 99%

Vaccination saves lives – dare we allow the anti-vaccine lobbyists to prevent it?

Baker¹

2015

S Afr Med J

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School-based human papillomavirus vaccination: An opportunity to increase knowledge about cervical cancer and improve uptake of screening

Cited by 23 publications

References 10 publications

Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

Editor's Choice

Vaccination saves lives – dare we allow the anti-vaccine lobbyists to prevent it?

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