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Cherniak W, Tyler N, Arora K, Lapidos-Salaiz I, Sczudlo E, Lin A, Barnhart M, Flanigan J, Silkensen S. From potential to practice: how accelerating access to HPV tests and screen and treat programmes can help eliminate cervical cancer. Fam Med Community Health 2020; 7:e000182. [PMID: 32148728 PMCID: PMC6910768 DOI: 10.1136/fmch-2019-000182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 09/13/2019] [Accepted: 09/15/2019] [Indexed: 12/24/2022] Open
Abstract
Human papillomavirus (HPV) vaccination campaigns to prevent cervical cancer are being considered and implemented in countries around the world. While vaccination will protect future generations, it will not help the millions of women currently infected, leading to an estimated 311 000 deaths per year globally. This paper examines a selection of strategies that when applied to both existing and new technologies, could accelerate access to HPV testing. Authors from the US Agency for International Development, the National Institutes of Health, and the Bridge to Health Medical and Dental, a non-governmental organisation, joined forces to propose a scalable and country-directed solution for preventing cervical cancer using an end-to-end approach. Collectively, the authors offer seven evidence-based strategies, that when used alone or in combination have the ability to reduce HPV-caused cervical cancer deaths and disability. These strategies include (1) consistent HPV test intervals to decrease HPV DNA test costs; (2) exploring market shaping opportunities; (3) employing iterative user research methodologies like human-centred design; (4) target product profiles for new HPV tests; (5) encouraging innovation around cervical cancer screen and treat programmes; (6) developing national cancer control plans; and (7) integrating cervical cancer screen and treat services into existing infrastructure. By using the strategies outlined here, in combination with HPV vaccination campaigns, national governments will be able to scale and expand cervical cancer screening programmes and provide evidence-based treatment programmes for HPV-infected women.
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Affiliation(s)
- William Cherniak
- Bridge to Health Medical and Dental, Toronto, Ontario, Canada.,Family and Community Medicine, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
| | - Nikki Tyler
- Bureau for Global Health, USAID, Washington, DC, USA
| | - Kriti Arora
- Bridge to Health Medical and Dental, Toronto, Ontario, Canada
| | | | - Emma Sczudlo
- Bridge to Health Medical and Dental, Toronto, Ontario, Canada
| | - Amy Lin
- Bureau for Global Health, USAID, Washington, DC, USA
| | | | - John Flanigan
- Center for Global Health, National Cancer Institute, Bethesda, Maryland, USA
| | - Shannon Silkensen
- Center for Global Health, National Cancer Institute, Bethesda, Maryland, USA
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Moss SM, Bailey A, Cubie H, Denton K, Sargent A, Muir P, Vipond IB, Winder R, Kitchener H. Comparison of the performance of HPV tests in women with abnormal cytology: results of a study within the NHS cervical screening programme. Cytopathology 2014; 26:373-80. [DOI: 10.1111/cyt.12210] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/04/2014] [Indexed: 11/26/2022]
Affiliation(s)
- S. M. Moss
- Centre for Cancer Prevention; Queen Mary University of London; London UK
| | - A. Bailey
- Public Health Laboratory; Manchester UK
| | - H. Cubie
- Scottish HPV Reference Laboratory; Edinburgh UK
| | | | | | - P. Muir
- Public Health Laboratory; Public Health England; Bristol UK
| | - I. B. Vipond
- Public Health Laboratory; Public Health England; Bristol UK
| | - R. Winder
- NHS Cancer Screening Programmes; Sheffield UK
| | - H. Kitchener
- Institute of Cancer Sciences; University of Manchester; Manchester Academic Health Centre UK
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