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Cancer Epidemiol Biomarkers Prev. 2020 Nov;29(11):2261-2268. doi: 10.1158/1055-9965.EPI-20-0422. Epub 2020 Aug 20.

Reproducibility of a Rapid Human Papillomavirus Test at Different Levels of the Healthcare System in Tanzania: The AISHA Study.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

Armando Baena, Hugo De Vuyst, David Mesher, Mabula Kasubi, Safina Yuma, Julius Mwaiselage, Semi Zouiouich, Pendo Mlay, Crispin Kahesa, Sihem Landoulsi, Maria de la Luz Hernandez, Eric Lucas, Rolando Herrero, Maribel Almonte, Nathalie Broutet

Affiliations

  1. Prevention and Implementation Group, Early Detection and Prevention Section, International Agency for Research on Cancer (IARC), Lyon, France.
  2. Prevention and Implementation Group, Early Detection and Prevention Section, International Agency for Research on Cancer (IARC), Lyon, France. [email protected].
  3. Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Service, Public Health England, London, United Kingdom.
  4. Department of Microbiology/Immunology, Muhimbili National Hospital, Dar es Salaam, Tanzania.
  5. Reproductive and Child Health Section, Ministry of Health, Community Development, Gender, Elderly and Children, Dodoma, Tanzania.
  6. Cancer Prevention Services, Ocean Road Cancer Institute, Dar es Salaam, Tanzania.
  7. Nutritional Epidemiology Group, Nutrition and Metabolism Section, International Agency for Research on Cancer (IARC), Lyon, France.
  8. Department of Gynecology and Obstetrics, Kilimanjaro Christian Medical Centre, Kilimanjaro, Tanzania.
  9. UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Geneva, Switzerland.
  10. Screening Group, Early Detection and Prevention Section, International Agency for Research on Cancer (IARC), Lyon, France.
  11. Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.

PMID: 32856600 DOI: 10.1158/1055-9965.EPI-20-0422

Abstract

BACKGROUND: To inform policy makers in Tanzania if and how best to implement rapid HPV testing, we assessed the interobserver reproducibility of

METHODS: Women aged 30 to 50 years were screened by

RESULTS: Samples from 1,134 women were locally tested and retested at ReH and/or NRL. Test results from Dar es Salaam ReH and Kilimanjaro PHC showed clear quality problems including suspicion of contamination during testing or aliquoting. After excluding these samples, 18.8% of 743 women were HPV positive at clinic level. The resulting

CONCLUSIONS: Rapid HPV testing was highly reproducible between lower and higher levels of the healthcare system in Tanzania; however, performance seems to be operator dependent.

IMPACT: The

©2020 American Association for Cancer Research.

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