The Peru cervical cancer prevention study (PERCAPS): Community-based participatory research in Manchay, Peru

Kimberly L. Levinson, Carolina Abuelo, Eunice Chyung, Jorge Salmeron, Suzanne E. Belinson, Carlos Vallejos Sologuren, Carlos Santos Ortiz, Maria Jose Vallejos, Jerome L. Belinson

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Cervical cancer is a preventable disease which causes significant morbidity and mortality, particularly in developing countries. Although technology for early detection continues to improve, prevention programs suffer from significant barriers. Communitybased participatory research is an approach to research which focuses on collaboration with the community to surmount these barriers. The objective of this study was to evaluate the utility of community-based participatory research techniques in a mother-child screen/treat and vaccinate program for cervical cancer prevention in Manchay, Peru. Materials and Methods: Human papillomavirus (HPV) self-sampling and cryotherapy were used for the screen/treat intervention, and the Gardasil vaccine was used for the vaccine intervention. Community health workers from Manchay participated in a 3-day educational course, designed by the research team. The community health workers then decided how to implement the interventions in their community. The success of the program was measured by (1) the ability of the community health workers to determine an implementation plan, (2) the successful use of research forms provided, (3) participation and retention rates, and (4) satisfaction of the participants. Results: (1) The community health workers used a door-to-door approach through which participants were successfully registered and both interventions were successfully carried out; (2) registration forms, consent forms, and result formswere used correctly with minimal error; (3) screen/treat intervention: 97% of registered participants gave an HPV sample, 94% of HPV-positive women were treated, and 90% returned for 6-month follow-up; vaccine intervention: 95% of registered girls received the first vaccine, 97% of those received the second vaccine, and 93% the third; (4) 96% of participants in the screen/treat intervention reported high satisfaction. Conclusions: Community-based participatory research techniques successfully helped to implement a screen/treat and vaccinate cervical cancer prevention program in Manchay, Peru. These techniquesmay help overcome barriers to large-scale preventive health-care interventions.

Original languageEnglish (US)
Pages (from-to)141-147
Number of pages7
JournalInternational Journal of Gynecological Cancer
Volume23
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

Keywords

  • Cervical cancer
  • Community-based participatory research
  • Prevention

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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