Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review

Objectives The objective of this scoping review was to map evidence on the acceptability of self-sampling for human papillomavirus testing (HPVSS) for cervical cancer screening among women in the sub-Saharan Africa region.Design Scoping review.Methods Using Arksey and O’Malley’s framework, we search...

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Main Authors: Tafadzwa Dzinamarira, Tivani Phosa Mashamba-Thompson, Mathias Dzobo, Kabelo Kgarosi, Kuhlula Maluleke, Ziningi Nobuhle Jaya
Format: Article
Language:English
Published: BMJ Publishing Group 2023-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/4/e062090.full
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author Tafadzwa Dzinamarira
Tivani Phosa Mashamba-Thompson
Mathias Dzobo
Kabelo Kgarosi
Kuhlula Maluleke
Ziningi Nobuhle Jaya
author_facet Tafadzwa Dzinamarira
Tivani Phosa Mashamba-Thompson
Mathias Dzobo
Kabelo Kgarosi
Kuhlula Maluleke
Ziningi Nobuhle Jaya
author_sort Tafadzwa Dzinamarira
collection DOAJ
description Objectives The objective of this scoping review was to map evidence on the acceptability of self-sampling for human papillomavirus testing (HPVSS) for cervical cancer screening among women in the sub-Saharan Africa region.Design Scoping review.Methods Using Arksey and O’Malley’s framework, we searched Scopus, PubMed, Medline Ovid, Cochrane and Web of Science databases for evidence on the acceptability of HPVSS among women aged 25 years and older published between January 2011 and July 2021. We included studies that reported evidence on the acceptability of HPVSS for cervical cancer screening. Review articles and protocols were excluded. We also searched for evidence from grey literature sources such as dissertations/theses, conference proceedings, websites of international organisations such as WHO and relevant government reports. Two reviewers independently performed the extraction using a pre-designed Excel spreadsheet and emerging themes were narratively summarised.Results The initial search retrieved 1018 articles. Of these, 19 articles were eligible and included in the review. The following themes emerged from the included articles: acceptability of HPVSS; lack of self-efficacy to perform HPVSS, complications when performing HPVSS, preferences for provider sampling or assistance; setting of HPVSS; HPVSS by vulnerable populations.Conclusion Evidence shows that HPVSS is highly acceptable for cervical cancer screening in sub-Saharan Africa. Further research exploring the acceptability of HPVSS among women residing in rural areas is required, as well as studies to determine women’s preferences for HPVSS intervention including the preferred type of sampling devices. Knowledge on the acceptability and preferences for HPVSS is important in designing women-centred interventions that have the potential to increase screening coverage and participation in cervical cancer screening programmes.
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spelling doaj.art-4395902b46e245bebf465c0b5fcb863f2024-11-08T00:45:08ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2022-062090Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping reviewTafadzwa Dzinamarira0Tivani Phosa Mashamba-Thompson1Mathias Dzobo2Kabelo Kgarosi3Kuhlula Maluleke4Ziningi Nobuhle Jaya5Columbia University ICAP, New York, USASchool of Health Systems and Public Health, University of Pretoria, Pretoria, Gauteng, South AfricaSchool of Health Systems and Public Health, University of Pretoria Faculty of Health Sciences, Pretoria, South AfricaSchool of Heath Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, Gauteng, South Africa4 School of Health Systems and Public Health, Faculty of Health Sciences University of Pretoria, Pretoria, Gauteng, South AfricaSchool of Health Systems and Public Health, University of Pretoria, Pretoria, Gauteng, South AfricaObjectives The objective of this scoping review was to map evidence on the acceptability of self-sampling for human papillomavirus testing (HPVSS) for cervical cancer screening among women in the sub-Saharan Africa region.Design Scoping review.Methods Using Arksey and O’Malley’s framework, we searched Scopus, PubMed, Medline Ovid, Cochrane and Web of Science databases for evidence on the acceptability of HPVSS among women aged 25 years and older published between January 2011 and July 2021. We included studies that reported evidence on the acceptability of HPVSS for cervical cancer screening. Review articles and protocols were excluded. We also searched for evidence from grey literature sources such as dissertations/theses, conference proceedings, websites of international organisations such as WHO and relevant government reports. Two reviewers independently performed the extraction using a pre-designed Excel spreadsheet and emerging themes were narratively summarised.Results The initial search retrieved 1018 articles. Of these, 19 articles were eligible and included in the review. The following themes emerged from the included articles: acceptability of HPVSS; lack of self-efficacy to perform HPVSS, complications when performing HPVSS, preferences for provider sampling or assistance; setting of HPVSS; HPVSS by vulnerable populations.Conclusion Evidence shows that HPVSS is highly acceptable for cervical cancer screening in sub-Saharan Africa. Further research exploring the acceptability of HPVSS among women residing in rural areas is required, as well as studies to determine women’s preferences for HPVSS intervention including the preferred type of sampling devices. Knowledge on the acceptability and preferences for HPVSS is important in designing women-centred interventions that have the potential to increase screening coverage and participation in cervical cancer screening programmes.https://bmjopen.bmj.com/content/13/4/e062090.full
spellingShingle Tafadzwa Dzinamarira
Tivani Phosa Mashamba-Thompson
Mathias Dzobo
Kabelo Kgarosi
Kuhlula Maluleke
Ziningi Nobuhle Jaya
Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
BMJ Open
title Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
title_full Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
title_fullStr Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
title_full_unstemmed Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
title_short Mapping evidence on the acceptability of human papillomavirus self-sampling for cervical cancer screening among women in sub-Saharan Africa: a scoping review
title_sort mapping evidence on the acceptability of human papillomavirus self sampling for cervical cancer screening among women in sub saharan africa a scoping review
url https://bmjopen.bmj.com/content/13/4/e062090.full
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