Evaluation of video-assisted HPV education in government-supported clinics in Western Kenya

Despite prevalent preventative methods of human papillomavirus (HPV), cervical cancer remains the foremost cause of cancer-related death among women of reproductive age in Western Kenya. HPV self-sampling is a preventative measure that can improve accessibility and availability to cervical cancer screening. Correct education about HPV is crucial to combating stigma and increasing HPV screening uptake. In this study, we evaluated the workflow impact of a video-assisted HPV education to promote self-sampling in clinical settings in Kisumu, Kenya. We conducted a descriptive workflow study nested in a two-part cluster-randomized control trial in six government-supported health clinics in Kisumu County. We observed the workflow of HPV screening video-assisted and standard health educations. and evaluated community and clinic health assistant facilitation (CCHA), duration, and feasibility of the intervention. Thirty HPV screening-eligible women who participated in the video intervention were recruited for three focus group discussions (FGDs). The FGDs aimed to better understand women’s experience with the video screening, their impressions on the content, and feedback about intervention logistics. Across 33 observations, 16.5 women per day watched the educational video at intervention clinics, and 14 women per day heard standard Ministry of Health cervical cancer prevention education talks at control clinics. Sixty-three percent of women participated in HPV self-sampling in the intervention sites, compared to forty-six percent who screened after standard health talks at control sites. The workflow observations identified variable video projection and viewing space, access to power supply, and CCHA availability and ability to utilize the projector as major factors impacting education workflow. Women in FGDs appreciated the video modality, length of video, and education location. HPV video education is a suitable intervention, with further research recommended to determine the viability of sustainably implementing the intervention in a clinic environment. This research is fully funded by the Duke University Global Health Institute

Cancer · Cervical cancer · Cluster sampling · Environmental health · Family medicine · Focus group · Gynecology · Health education · Population · Public health · Reproductive health · Cervical Cancer and HPV Research · Global Cancer Incidence and Screening · Medicine · Nursing · Vaccine Coverage and Hesitancy · Internal Medicine

• Applying the Information–Motivation–Behavioral Skills model to a video-assisted HPV intervention to promote self-screening uptake

  Open Access•Hanul Choi, Haley Dion et al.•BMJ Global Health•2025

  Incluir item

• The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

  Open Access•María Del Pilar García Pinacho, Emmanuel Kwateng Drokow et al.•Frontiers in Public Health•2021

  Incluir item

• HPV Vaccination in Kenya

  Open Access•Christine Karanja-Chege, Christine Muthoni Karanja-Chege•Frontiers in Public Health•2022

  Incluir item

• Predictors of cervical cancer screening among Kenyan women

  Open Access•Anne Ng’ang’a, Mary Nyangasi et al.•BMC Public Health•2018

  Incluir item

• Impact of health education intervention on knowledge and perception of cervical cancer and screening for women in Ghana

  Open Access•Nancy Innocentia Ebu Enyan, Salome Amissah-Essel et al.•BMC Public Health•2019

  Incluir item