“This is really something: same place, same day result, same day treatment” women’s experiences of testing positive for HPV and receiving same-day treatment in Papua New Guinea: an interpretative phenomenological analysis

BMC Women's Health

Research

John Bolgna¹  Joseph Kuk²  Hawa Camara³  Rebecca Guy³  Steven G Badman³  Andrew J. Vallely⁴  Angela Kelly-Hanku⁴  Somu Nosi⁵  Gloria Munnull⁶  Glen DL Mola⁷ 

[1] Department of Obstetrics & Gynaecology, Modilon General Hospital, PO Box 1200, Madang, Papua New Guinea;Department of Obstetrics & Gynaecology, Mt Hagen Provincial Hospital, PO Box 36, WHP 281, Mt Hagen, Papua New Guinea;Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Wallace Wurth Building, UNSW, 2052, Sydney, NSW, Australia;Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Wallace Wurth Building, UNSW, 2052, Sydney, NSW, Australia;Papua New Guinea Institute of Medical Research, PO Box 60, Homate Street, Goroka, Eastern Highlands Province, Papua New Guinea;Papua New Guinea Institute of Medical Research, PO Box 60, Homate Street, Goroka, Eastern Highlands Province, Papua New Guinea;Papua New Guinea Institute of Medical Research, PO Box 60, Homate Street, Goroka, Eastern Highlands Province, Papua New Guinea;Department of Obstetrics & Gynaecology, Mt Hagen Provincial Hospital, PO Box 36, WHP 281, Mt Hagen, Papua New Guinea;School of Medicine and Health Sciences, University of Papua New Guinea, NCD, PO Box 5623, Boroko, Papua New Guinea;

关键词: HPV positive test result;    Same day screen-and-treat;    Cervical screening;    Papua New Guinea;    Thermal ablation;   

DOI  :  10.1186/s12905-023-02557-z

 received in 2022-07-19, accepted in 2023-07-19,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionHuman papillomavirus (HPV) testing is transforming cervical screening globally. The World Health Organization (WHO) now recommends same-day HPV screen-and-treat for primary cervical screening in low- and middle-income countries (LMIC) but there is a lack of evidence on women’s lived experience of testing positive for oncogenic HPV and receiving same-day treatment. This study aimed to address this knowledge gap among women participating in a same-day HPV screen-and-treat (HPV S&T) program in Papua New Guinea.MethodsAs part of a larger qualitative study, this paper explores the lived experiences of 26 women who tested positive for oncogenic HPV and were treated the same day. We analysed the data using the interpretative phenomenological analysis method. All data were managed using Nvivo 12.5.ResultsThe interpretative phenomenological analysis led to three superordinate themes: 1) facing and alleviating initial worries, (2) transforming the disclosure process, and (3) connecting to their faith. Women’s experiences of the same day HPV screen-and-treat were framed by initial emotional reactions to their positive HPV test result, and having access to treatment on the same day, which helped address their worries and fears, and transformed their experience of disclosing their test result and subsequent treatment to family and friends.ConclusionThis study shows that, while women experience similar initial emotional reactions, undergoing same day treatment quickly resolved the women’s worries, making this program highly acceptable. Overall, women’s engagement in the program confirmed its high acceptability and cultural congruence, leaving women feeling empowered and hopeful about their future, and the future of all Papua New Guinea women.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023