Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a.

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Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster- randomised trial  Dr Silvina Arrossi, PhD, Laura Thouyaret, BSc, Rolando Herrero, PhD, Alicia Campanera, MD, Adriana Magdaleno, BSc, Milca Cuberli, MSc, Paula Barletta, BSc, Rosa Laudi, MD, Liliana Orellana, PhD  The Lancet Global Health  Volume 3, Issue 2, Pages e85-e94 (February 2015) DOI: 10.1016/S2214-109X(14)70354-7 Copyright © 2015 Arrossi et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 1 Trial profile CHW=community health worker. The Lancet Global Health 2015 3, e85-e94DOI: (10.1016/S2214-109X(14)70354-7) Copyright © 2015 Arrossi et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 2 Screening uptake at cluster level 94 CHWs were in the intervention group; 97 CHWs were in the control group. Control versus intervention, p<0·0001. The lower and upper end of the green box represent the first and third quartile, respectively; the solid line represents the median; + represents the mean; vertical lines show the range of the Tukey boxplot threshold; outliers are denoted with asterisks. The Lancet Global Health 2015 3, e85-e94DOI: (10.1016/S2214-109X(14)70354-7) Copyright © 2015 Arrossi et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 3 Follow-up of women positive for high-risk HPV CHW=community health worker. HPV=human papillomavirus. *33 tested by private service, five negative Pap test, three moved, four refused or could not have treatment, one died, 20 no data available. †One moved, one no data available. ‡One moved, one refused treatment, five no data available. The Lancet Global Health 2015 3, e85-e94DOI: (10.1016/S2214-109X(14)70354-7) Copyright © 2015 Arrossi et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions