Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina

Fil: Paolino, Melisa. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.

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Detalles Bibliográficos
Autores principales: Arrossi, Silvina, Cuberli, Milca, Curotto, Mariana, Le Pera, Anabella, Paolino, Melisa, Sánchez Antelo, Victoria, Mazzadi, Juan David, Binder, Fernando, Firmenich, Beatriz
Formato: Artículo publishedVersion
Lenguaje:Inglés
Publicado: 2023
Materias:
COLPOSCOPÍA
EFECTIVIDAD
ESTUDIOS DE EVALUACIÓN
MUJERES
NEOPLASIAS DEL CUELLO UTERINO
TEST
PAPILLOMAVIRUS HUMANO
FIDELIDAD DE IMPLEMENTACIÓN
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4710
Aporte de:
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad de Centro de Estudios de Estado y Sociedad (CEDES)
id I61-R167-123456789-4710
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
topic COLPOSCOPÍA
EFECTIVIDAD
ESTUDIOS DE EVALUACIÓN
MUJERES
NEOPLASIAS DEL CUELLO UTERINO
TEST
PAPILLOMAVIRUS HUMANO
FIDELIDAD DE IMPLEMENTACIÓN
spellingShingle COLPOSCOPÍA
EFECTIVIDAD
ESTUDIOS DE EVALUACIÓN
MUJERES
NEOPLASIAS DEL CUELLO UTERINO
TEST
PAPILLOMAVIRUS HUMANO
FIDELIDAD DE IMPLEMENTACIÓN
Arrossi, Silvina
Cuberli, Milca
Curotto, Mariana
Le Pera, Anabella
Paolino, Melisa
Sánchez Antelo, Victoria
Mazzadi, Juan David
Binder, Fernando
Firmenich, Beatriz
Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
topic_facet COLPOSCOPÍA
EFECTIVIDAD
ESTUDIOS DE EVALUACIÓN
MUJERES
NEOPLASIAS DEL CUELLO UTERINO
TEST
PAPILLOMAVIRUS HUMANO
FIDELIDAD DE IMPLEMENTACIÓN
description Fil: Paolino, Melisa. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
format Artículo
publishedVersion
Artículo
Artículo
author Arrossi, Silvina
Cuberli, Milca
Curotto, Mariana
Le Pera, Anabella
Paolino, Melisa
Sánchez Antelo, Victoria
Mazzadi, Juan David
Binder, Fernando
Firmenich, Beatriz
author_facet Arrossi, Silvina
Cuberli, Milca
Curotto, Mariana
Le Pera, Anabella
Paolino, Melisa
Sánchez Antelo, Victoria
Mazzadi, Juan David
Binder, Fernando
Firmenich, Beatriz
author_sort Arrossi, Silvina
title Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
title_short Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
title_full Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
title_fullStr Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
title_full_unstemmed Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
title_sort assessing the implementation fidelity of hpv self-collection offered by community health workers during home visits (the ema strategy): a case study in a low-middle-resource setting in argentina
publishDate 2023
url http://repositorio.cedes.org/handle/123456789/4710
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spelling I61-R167-123456789-47102023-06-01T20:30:52Z Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina Arrossi, Silvina Cuberli, Milca Curotto, Mariana Le Pera, Anabella Paolino, Melisa Sánchez Antelo, Victoria Mazzadi, Juan David Binder, Fernando Firmenich, Beatriz COLPOSCOPÍA EFECTIVIDAD ESTUDIOS DE EVALUACIÓN MUJERES NEOPLASIAS DEL CUELLO UTERINO TEST PAPILLOMAVIRUS HUMANO FIDELIDAD DE IMPLEMENTACIÓN Fil: Paolino, Melisa. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Sánchez‑Antelo, Victoria. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Cuberli, Milca. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina. Fil: Curotto, Mariana. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina. Fil: Le Pera, Anabella. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Binder, Fernando. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Mazzadi, Juan David. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET); Argentina. Background: In Argentina, HPV self-collection offered by community health workers was demonstrated to be effective to improve cervical cancer screening uptake. Based on these findings, the EMA strategy was scaled up in nine Argentinian provinces. However, there is no evidence about the degree of fidelity-in relation to the core components proposed by the National Program on Cervical Cancer Prevention-with which this strategy was implemented in the new jurisdictions. We carried out a fidelity evaluation of the EMA strategy scaling-up aimed at evaluating the level of adherence to the core components of the EMA strategy, and how different moderating factors affected the implementation fidelity. Methods: This descriptive study used a multi-method approach involving quantitative and qualitative evaluations of the implementation fidelity using the Conceptual Framework for Implementation Fidelity. Evaluation of the degree of adherence to the core components of the EMA strategy was carried out through the analysis of a self-administered survey of health promoters, observations, and secondary data from the National Screening Information System. The analysis of moderating factors was carried out through analysis of field notes, and semi-structured interviews with key stakeholders. Results: Our results showed that the core components with highest fidelity were training, sample handling, and transportation. Regarding the offer of HPV self-collection, we found some adaptations such as locations in which health promoters offered HPV self-collection, and fewer pieces of information provided to women during the offer. In the follow-up and treatment core component, we found a reduced adherence to triage and colposcopy. Some contextual factors had a negative impact on implementation fidelity, such as urban insecurity and the reduction in the number of health promoters that offered HPV self-collection. Moderating factors that contributed to achieve high level of fidelity included a well-defined strategy with clear steps to follow, permanent feedback and high level of engagement among implementers. Conclusions: Our study shows how the analysis of fidelity and adaptations of HPV self-collection in real-world contexts are key to measure and maximize its effectiveness in low-middle-income settings. 2023-02-07T21:15:19Z 2023-02-07T21:15:19Z 2023-01-12 Artículo info:eu-repo/semantics/publishedVersion info:ar-repo/semantics/artículo info:eu-repo/semantics/article Firmenich B, Arrossi S. Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina. Implement Sci Commun. 2023 Jan 12;4(1):4. Disponible en: http://repositorio.cedes.org/handle/123456789/4710. 2662-2211 http://repositorio.cedes.org/handle/123456789/4710 10.1186/s43058-022-00367-2 36635749 eng Implement Sci Commun. 2023 Jan 12;4(1):4 info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/4.0/ application/pdf

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