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Experiences with HPV self-sampling in India

Advancing cervical cancer prevention and screening

Bibliographic Data

ID15375930
AuthorsKavita Anand (0000-0001-5665-9304, Homi Bhabha National Institute, corresponding author), Gauravi Mishra (0000-0002-0154-7302), Gauravi A Mishra (Homi Bhabha National Institute), Vijay B Suryawanshi (0009-0000-9502-9049, Homi Bhabha National Institute), Sharmila Pimple (0000-0003-2976-9107), Sharmila A Pimple (Homi Bhabha National Institute), Vasundhara Kulkarni (0000-0002-4448-9341, Homi Bhabha National Institute), Mandana Vahabi (0000-0002-7950-7335, St. Michael's Hospital)
Year2026
Volume26
Issue1
Publication date2026-02-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-026-26212-y
PMID41715026
OpenAlexW7130505122
LanguageEN
References cited36

Cervical cancer is the second common cancer among Indian women, with incidence of 17.7 per 100,000 women and a national screening coverage of less than 2%. HPV-Self Sampling (SS) offers a promising opportunity to expand screening coverage. However, understanding the feasibility of this method within the local context is crucial before implementing it as a large-scale intervention. To assess the feasibility of HPV self-sampling (HPV-SS) by exploring the determinants of participation, user experiences and care trajectory among screen positive women on HPV-SS from urban non slum, urban slum, rural and tribal settings in India. Eligible women in age group of 30–69 years were invited to participate in the study. Women enrolled in the study were delivered in-depth education on cervical cancer. In post education session, women were invited to participate in cervical cancer screening, using HPV-SS. The initial participation rate in the study was 66%. The acceptance of HPV-SS was 98.2% after health education among enrolled women. The prevalence of oncogenic HPV ranged from 4.4% to 11.2%, with the highest rates observed in tribal population. Compliance with referral among screen-positive women was 82% in urban non-slum areas and 89% from urban slum settings. In rural and tribal settings, compliance rates were 67% and 89%, respectively, following the organization of community camp. Perception of self-confidence in the accuracy of collecting self-samples and preference for HPV-SS over provider-collected samples varied across the settings. The study highlights HPV-SS as a key driver for scaling up cervical cancer screening coverage. However, initial low participation rates for cervical cancer screening, underscores the need for continuous community awareness efforts and capacity-building among grass root healthcare personnel. Though HPV-SS appears promising, challenges such as limited access to designated laboratories and accessibility to treatment facilities remain significant barriers of widespread implementation

Biostatistics · Cancer prevention · Cervical cancer · Cervical cancer screening · Context (archaeology · Incidence (geometry · Public health · Referral · Rural area · Cervical Cancer and HPV Research · Global Cancer Incidence and Screening · Head and Neck Cancer Studies

  • Epidemiology and Burden of Human Papillomavirus and Related Diseases, Molecular Pathogenesis, and Vaccine Evaluation

    Open Access•Arnaud John Kombe Kombe, Bofeng Li et al.•Frontiers in Public Health•2021

  • Knowledge, Attitude and Practices Towards Cervical Cancer and its Screening Among Women from Tribal Population

    Open Access•Supriti Ghosh, Sneha D Mallya et al.•Journal of Racial and Ethnic…•2021

  • Acceptability and Feasibility of HPV Self-Sampling as an Alternative Primary Cervical Cancer Screening in Under-Screened Population Groups

    Open Access•Eliza Lai‐yi Wong, Annie Wai-Ling Cheung et al.•International Journal of…•2020

  • Effectiveness of family-centred sexual health education and HPV self-sampling in promoting cervical cancer screening among hard-to-reach indian women in rural and tribal areas

    Open Access•Mandana Vahabi, Gauravi Mishra et al.•BMC Public Health•2023

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