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The Peru Cervical Cancer Screening Study (PERCAPS): The Design and Implementation of a Mother/Daughter Screen, Treat, and Vaccinate Program in the Peruvian Jungle

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Abstract

Peru struggles to prevent cervical cancer (CC). In the jungle, prevention programs suffer from significant barriers although technology exists to detect CC precursors. This study used community based participatory research (CBPR) methods to overcome barriers. The objective was to evaluate the utility of CBPR techniques in a mother–child screen/treat and vaccinate program for CC prevention in the Peruvian jungle. The CC prevention program used self-sampling for human papillomavirus (HPV) for screening, cryotherapy for treatment and the HPV vaccine Gardasil for vaccination. Community health leaders (HL) from around Iquitos participated in a two half day educational course. The HLs then decided how to implement interventions in their villages or urban sectors. The success of the program was measured by: (1) ability of the HLs to determine an implementation plan, (2) proper use of research forms, (3) participation and retention rates, and (4) participants’ satisfaction. HLs successfully registered 320 women at soup kitchens, schools, and health posts. Screening, treatment, and vaccination were successfully carried out using forms for registration, consent, and results with minimum error. In the screen/treat intervention 100 % of participants gave an HPV sample and 99.7 % reported high satisfaction; 81 % of HPV + women were treated, and 57 % returned for 6-month followup. Vaccine intervention: 98 % of girls received the 1st vaccine, 88 % of those received the 2nd, and 65 % the 3rd. CBPR techniques successfully helped implement a screen/treat and vaccinate CC prevention program around Iquitos, Peru. These techniques may be appropriate for large-scale preventive health-care interventions.

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Notes

  1. Jerome L. Belinson has received support in kind (reagents and testing) and funds for direct support and research, under the auspices of Preventive Oncology International Inc., from Hologic Inc., Qiagen, Gen-Probe, Merck Inc., BGI Shenzhen, and GE Healthcare. The other authors have no conflicts of interest to report. This work was supported by the National Institutes of Health Office of the Director, Fogarty International Center, Office of AIDS Research, National Cancer Center, National Eye Institute, National Heart, Blood, and Lung Institute, National Institute of Dental and Craniofacial Research, National Institute On Drug Abuse, National Institute of Mental Health, National Institute of Allergy and Infectious Diseases, and National Institutes of Health Office of Women’s Health and Research through the Fogarty International Clinical Research Scholars and Fellows Program at Vanderbilt University (R24 TW007988) and the American Relief and Recovery Act, Merck Inc. “Investigator Initiated Studies Program”, and Preventive Oncology International.

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Authors and Affiliations

  1. Charlestown HealthCare Center, Massachusetts General Hospital, 73 High St, Charlestown, MA, 02445, USA

    Carolina E. Abuelo

  2. Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USA

    Kimberly L. Levinson & Jerome L. Belinson

  3. Instituto Mexicano del Seguro Social, Cuernavaca Morelos, Mexico

    Jorge Salmeron

  4. Oncosalud, Lima, Peru

    Carlos Vallejos Sologuren & Maria Jose Vallejos Fernandez

  5. Preventive Oncology International, Cleveland Heights, OH, USA

    Jerome L. Belinson

Authors
  1. Carolina E. Abuelo
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  2. Kimberly L. Levinson
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  3. Jorge Salmeron
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  4. Carlos Vallejos Sologuren
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  5. Maria Jose Vallejos Fernandez
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  6. Jerome L. Belinson
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Correspondence to Carolina E. Abuelo.

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Abuelo, C.E., Levinson, K.L., Salmeron, J. et al. The Peru Cervical Cancer Screening Study (PERCAPS): The Design and Implementation of a Mother/Daughter Screen, Treat, and Vaccinate Program in the Peruvian Jungle. J Community Health 39, 409–415 (2014). https://doi.org/10.1007/s10900-013-9786-6

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  • DOI: https://doi.org/10.1007/s10900-013-9786-6

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