[阿根廷胡胡伊省社区卫生工作者采用和实施人乳头瘤病毒自我采集样本的情况]

[Adoption and implementation of HPV self-collection sampling by CHWs in Jujuy, Argentina].

作者信息

Curotto Mariana, Zalacaín-Colombo Julieta, Paolino Melisa, Arrossi Silvina

机构信息

Programa Nacional de Prevención de Cáncer Cervicouterino, Instituto Nacional del Cáncer, Ministerio de Salud de la Nación. Buenos Aires, Argentina.

Consejo Nacional de Investigaciones Científicas yTécnicas, Centro de Estudios de Estado y Sociedad. Buenos Aires, Argentina.

出版信息

Salud Publica Mex. 2018 Nov-Dic;60(6):674-682. doi: 10.21149/8854. Epub 2018 Apr 4.

DOI:10.21149/8854

PMID:30138554

Abstract

OBJECTIVE

To evaluate adoption and implementation of scaling up of HPV self-collection (SC) strategy offered doorto-door by Community Health Workers CHWs) in Jujuy, Argentina.

MATERIALS AND METHODS

A self-administered questionnaire was applied to 478 CHWs.RE-AIM model was used to evaluate adoption and implementation dimensions.

RESULTS

Adoption:81.8% offered SC and 86.4% were satis- fied with the strategy. Implementation: main problems were delays in the delivery of tubes (61.3%) and results (70.0%), lack of human resources (28.3%) and difficulties in obtaining an appointment for triage (26.1%). The main obstacle was the excessive workload of CHWs (50.2%).Training (38.0%) and the list of women to be offered the test (28.7%) were identified as facilitators.

CONCLUSIONS

The adoption of SC strategy was high among CHWs.Program strategiesshould be strengthened to motivate and reduce the excessive workload of CHWs when implementing SC strategy.

摘要

目的

评估在阿根廷胡胡伊省由社区卫生工作者（CHWs）挨家挨户提供的扩大人乳头瘤病毒（HPV）自我采样（SC）策略的采用和实施情况。

材料与方法

对478名社区卫生工作者进行了一份自填式问卷调查。采用RE-AIM模型评估采用和实施维度。

结果

采用情况：81.8%的人提供自我采样服务，86.4%的人对该策略感到满意。实施情况：主要问题是采样管交付延迟（61.3%）和结果反馈延迟（70.0%）、人力资源短缺（28.3%）以及分诊预约困难（26.1%）。主要障碍是社区卫生工作者工作量过大（50.2%）。培训（38.0%）和接受检测的女性名单（28.7%）被确定为促进因素。