New See-and-Treat Study for Cervical Cancer Prevention begins in Cajamarca, Peru

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Click here to hear Dr. Patricia Garcia (University Cayetano Heredia) share about this implementation study and training in Peru for cervical cancer prevention.

GWHT and HOPE Peru have initiated our first implementation studies on a see-and-treat program for cervical cancer prevention in Cajamarca (in the Andean mountains) of Peru. This region has one of the highest incidence rates of cervical cancer in Peru. The traditional 3-visit model of Pap smears (screening), standard colposcopy (diagnosis) and LEEP or Cryotherapy (treatment) is reduced to one visit through the implementation model we are evaluating.

In this model, screening for HPV, the virus that causes cervical cancer is completed as a self-test. Midwives at local primary care clinics image the cervix of women who are HPV-positive with the Pocket colposcope. Abnormalities, as identified through remote physician guided diagnosis, are treated using thermal ablation during the same visit (see and treat model). Women with advanced disease are referred to a local hospital, for treatment.

More about this study:

Funded by USAID-DIV

Partnering with Dr. Patricia Garcia, University Cayetano Heredia in Lima, Peru

Expected enrollment: 4,000 women screened for HPV; 400 diagnosed and treated with Pocket Colposcopy and Thermal Ablation

Enrollment is ongoing through April 2023.

Listen to Dr. Patricia Garcia (University Cayetano Heredia) share about this implementation study and training in Peru for cervical cancer prevention.

You can learn more from the images and the captions below.

The entire tool kit needed for the see and treat studies: (1) An HPV kit for self-testing (2) Pocket colposcope to image the cervix and protective sheath to avoid infection when in use (3) a cell phone for image capture, storage, and telemedicine (4) a thermocoagulator to ablate the cervix in a see and treat setting
Health providers testing out the Pocket colposcope on a Lucia model of the cervix created by Rice University and the University of Malawi
Midwives getting training on cervical imaging and interpreting the images of the cervix
Physicians using pictures of the cervix remotely to provide diagnosis

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