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dc.contributor.authorRol, Mary Luz
dc.contributor.authorPicconi, María Alejandra
dc.contributor.authorFerrera, Annabelle
dc.contributor.authorSánchez, Gloria Inés
dc.contributor.authorHernández, María de la Luz
dc.contributor.authorLineros, Joana
dc.contributor.authorPeraza, Ana
dc.contributor.authorBrizuela, Marisol
dc.contributor.authorMendoza Torres, Laura Patricia 
dc.contributor.authorMongelós Dacunte, Pamela Esther 
dc.contributor.authorCabrera, Yessy
dc.contributor.authorRodríguez de la Peña, Margarita
dc.contributor.authorCorrea, Rita Mariel
dc.contributor.authorTerán, Carolina
dc.contributor.authorColque Reynaga, Deisy
dc.contributor.authorGarcía, Laura
dc.contributor.authorRamírez, Arianis Tatiana
dc.contributor.authorHernández Nevarez, Pilar
dc.contributor.authorDoimi, Franco
dc.contributor.authorRamón, María
dc.contributor.authorArias Stella, Javier
dc.contributor.authorZúñiga, Michael
dc.contributor.authorVillagra, Veronica 
dc.contributor.authorBobadilla Frizzola, María Liz 
dc.contributor.authorCardinal, Lucía
dc.contributor.authorValls, Joan
dc.contributor.authorLucas, Eric
dc.contributor.authorBaena, Armando
dc.contributor.authorFleider, Laura
dc.contributor.authorVenegas, Gino
dc.contributor.authorCruz Valdez, Aurelio
dc.contributor.authorRodríguez, Guillermo
dc.contributor.authorCalderón, Alejandro
dc.contributor.authorWiesner, Carolina
dc.contributor.authorLuciani, Silvana
dc.contributor.authorBroutet, Nathalie
dc.contributor.authorHerrero, Rolando
dc.contributor.authorAlmonte, Maribel
dc.contributor.otherUniversidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Saludes
dc.date.accessioned2024-07-09T17:46:23Z
dc.date.available2024-07-09T17:46:23Z
dc.date.issued2022-11-17
dc.identifier.citationRol, M. L., Picconi, M. A., Ferrera, A., Sánchez, G. I., Hernández, M. L., Lineros, J., Peraza, A., Brizuela, M., Mendoza, L., Mongelós, P., Cabrera, Y., Rodríguez de la Peña, M., Correa, R. M., Terán, C., Colque Reynaga, D., García, L., Ramírez, A. T., Hernández-Nevarez, P., Doimi, F., Ramón, M., … Almonte, M. (2022). Implementing HPV testing in 9 Latin American countries: The laboratory perspective as observed in the ESTAMPA study. Frontiers in medicine, 9, 1006038. https://doi.org/10.3389/fmed.2022.1006038en
dc.identifier.otherhttps://doi.org/10.3389/fmed.2022.1006038es
dc.identifier.urihttp://hdl.handle.net/20.500.14066/4420
dc.descriptionCorrespondence: Maribel Almonte almontem@who.inten
dc.descriptionThis article was submitted to Infectious Diseases - Surveillance, Prevention and Treatment, a section of the journal Frontiers in Medicine.en
dc.description.abstractBackground: Replacement of cytology screening with HPV testing is recommended and essential for cervical cancer elimination. HPV testing for primary screening was implemented in 12 laboratories within 9 Latin American countries, as part of the ESTAMPA cervical cancer screening study. Our observations provide information on critical operational aspects for HPV testing implementation in diverse resource settings. Methods: We describe the implementation process of HPV testing in ESTAMPA, focusing on laboratory aspects. We assess the readiness of 12 laboratories to start HPV testing and their continuity capacity to maintain good quality HPV testing until end of recruitment or up to December 2021. Readiness was based on a checklist. Information from the study database; regular meetings and monitoring visits; and a questionnaire on laboratory operational aspects sent in May 2020 were used to assess continuity capacity. Compliance with seven basic requirements (readiness) and eight continuity requirements (continuity capacity) was scored (1 = compliant, 0 = not compliant) and totaled to classify readiness and continuity capacity as very limited, limited, moderate or high. Experiences, challenges, and enablers of the implementation process are also described. Results: Seven of 12 laboratories had high readiness, three moderate readiness, and of two laboratories new to HPV testing, one had limited readiness and the other very limited readiness. Two of seven laboratories with high readiness also showed high continuity capacity, one moderate continuity capacity, and the other four showed limited continuity capacity since they could not maintain good quality HPV testing over time. Among three laboratories with moderate readiness, one kept moderate continuity capacity and two reached high continuity capacity. The two laboratories new to HPV testing achieved high continuity capacity. Based on gained expertise, five laboratories have become part of national screening programs. Conclusion: High readiness of laboratories is an essential part of effective implementation of HPV testing. However, high readiness is insufficient to guarantee HPV testing high continuity capacity, for which a "culture of quality" should be established with regular training, robust monitoring and quality assurance systems tailored to local context. All efforts to strengthen HPV laboratories are valuable and crucial to guarantee effective implementation of HPV-based cervical screening.es
dc.description.sponsorshipConsejo Nacional de Ciencia y Tecnologíaes
dc.format.extent15 páginases
dc.language.isoenges
dc.publisherFrontiers Media S.A.es
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.classification7. Saludes
dc.subject.classification7.2. Abarca desde medicina preventiva, incluyendo todos los aspectos de tratamientos médicos y quirúrgicos, tanto para individuos como para grupos, y las provisiones de hospitales y cuidado domiciliario, medicina social e investigación pediátrica y geriátricaes
dc.subject.otherCervical cancer screeninges
dc.subject.otherESTAMPA studyes
dc.subject.otherHPV testinges
dc.subject.otherHPV testing implementationes
dc.subject.otherLatin Americaes
dc.subject.otherReadiness and continuity capacityes
dc.titleImplementing HPV testing in 9 Latin American countries : the laboratory perspective as observed in the ESTAMPA studyes
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.doi10.3389/fmed.2022.1006038es
dc.description.fundingtextPrograma Paraguayo para el Desarrollo de la Ciencia y Tecnología. Proyectos de investigación y desarrolloes
dc.identifier.essn2296-858Xes
dc.journal.titleFrontiers in Medicinees
dc.relation.projectCONACYT14-INV-036es
dc.relation.projectCONACYTPINV18-256es
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.rights.copyright© 2022 Rol, Picconi, Ferrera, Sánchez, Hernández, Lineros, Peraza, Brizuela, Mendoza, Mongelós, Cabrera, Rodríguez de la Peña, Correa, Terán, Colque Reynaga, García, Ramírez, Hernández-Nevarez, Doimi, Ramón, Arias-Stella, Zúñiga, Villagra, Bobadilla, Cardinal, Valls, Lucas, Baena, Fleider, Venegas, Cruz-Valdez, Rodríguez, Calderón, Wiesner, Luciani, Broutet, Herrero and Almonte. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.es
dc.subject.ocde3. Ciencias Médicas y de la Saludes
dc.subject.ocde3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)es
dc.volume.number9es


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