Community-based Intervention for Cervical Cancer Screening Uptake in Nepal

Not Applicable

Completed

• Conditions: Cervical Cancer Screening
• Interventions: Behavioral: FCHV home visit

• Registration Number: NCT03808064
• Lead Sponsor: University of Aarhus

Brief Summary

This study aims to evaluate the effect of a Female Community Health Volunteer (FCHV) led community-based educational intervention through home visits increasing cervical cancer screening uptake.

Detailed Description

Cervical cancer is the major cause of cancer deaths among women in Nepal. Screening is one of the most effective tools for early diagnosis, prevention, and treatment. However, skilled health professionals and tools available for cervical cancer screening are limited in low and middle-income countries (LMICs) including Nepal. The World Health Organization (WHO) and Alliance for Cervical Cancer Prevention (ACCP) recommends that countries, areas, or institutions seeking to initiate or strengthen cervical cancer screening programs should consider introducing or expanding Visual Inspection with Acetic acid (VIA) until more appropriate and affordable HPV-based tests become available. 'National Guideline for Cervical Cancer Screening and Prevention in Nepal, 2010' includes VIA as a screening method for cervical cancer. Current studies reveal Nepalese women's participation in cervical cancer screening is low. Thus, there is a need for appropriate, cost-effective and sustainable interventions to increase VIA screening uptake at the primary health care level across Nepal.

The primary objective of this study is to evaluate the effect of a Female Community Health Volunteer (FCHV) led community-based educational intervention through home visits increasing cervical cancer screening uptake. The primary outcome of the study is to increase the cervical cancer-screening uptake in the intervention group. This will be the first community-based cluster-randomized trial designed to mobilize FCHVs for increasing cervical cancer screening uptake in Nepal.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-01-10
• Study First Submitted QC: 2019-01-14
• Study First Posted: 2019-01-17
• Study Start: 2019-04-17
• Primary Completion: 2020-12-26
• Study Completion: 2020-12-26
• Status Verified: 2021-12
• Last Update Submitted: 2021-12-02
• Last Update Posted: 2021-12-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 690

Inclusion Criteria

• All women of age group 30-60 years who were recruited in the COBIN Wave I survey

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Exclusion Criteria

• Women who are not able to give consent
• Severely ill,
• Pregnant or less than 6 weeks after delivery,
• Who is already diagnosed with cervical pre-cancer and cancer
• With a history of total hysterectomy
• Who are reluctant to participate in the study or unable to complete the interview

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention arm	FCHV home visit	After randomization, the FCHVs in the intervention arm will receive training, health education materials and a recording register. After receiving training, they will educate women of their respective ward on cervical cancer screening and prevention through home visits and maintain records in their service register.

Primary Outcome Measures

Name	Time	Method
The increase in the number of participants attending cervical cancer screening after education intervention	One year	The effect of Female Community Health Volunteers led community based educational intervention through home visits for increasing cervical cancer screening uptake will be evaluated by comparing the baseline with follow up study.

Trial Locations

Locations (1)

Nepal Development Society; 🇳🇵 Pokhara, Gandaki, Nepal