HPV Testing for Cervical Cancer Prevention

HPV Testing for Cervical Cancer Prevention

Project Dates:

2022/2023

A six-month pilot of a multi-centre implementation study for women in five Whanganui regional general practices.

HPV testing has the potential to save many lives by improving the sensitivity of the screening program and by reducing barriers to cervical screening. . Women enrolled in selected general practices in Whanganui (and in Wellington and Christchurch ) will be offered participation in a pilot that will inform the national implementation of HPV testing for cervical cancer prevention.

HPV testing will be introduced into the National Cervical Screening Programme (NCSP) in mid-2023.

HPV testing has the potential to save many lives by improving the sensitivity of the screening program and by reducing barriers to cervical screening. Women will have a new option of self-testing or continuing with the current clinician testing.

Aspects of HPV screening will be a major change for the NCSP. For this reason it is important to determine real world information on the feasibility and impact of HPV screening including the new self-testing option.

Women enrolled in selected general practices in Whanganui, Wellington and Christchurch will be offered participation in the pilot.

Participation in this pilot will enable early access to the benefits of HPV screening and the outcomes of the pilot will enable the national implementation of HPV testing in 2023 to be introduced in an optimal manner.

A local steering group has been formed to introduce the pilot.

  • We wish to offer participation in the pilot to women in five general practices in the Whanganui region.
  • The practices have been selected to ensure a balanced representation of women participating throughout the three regions involved.
  • We aim to enrol 1000 women in the pilot over six-months from July 2022
  • Women will be offered participation as their screening falls due
  • Invitation to participate will be coordinated by a locality screening centre
  • Women may choose a self test or a clinician test
  • Because this is a pilot study, participating women will be requested to sign an informed consent.
  • Women may choose not to participate
  • Test results will be managed by the clinical team at the women’s general practice
  • Approximately 1 in 10 women will have a positive high risk HPV test result and will require further examination (cytology testing) by their general practice.
  • Some of these women may need to be referred to the hospital clinic for a close examination of the cervix (colposcopy)

This project was feature in the New Zealand Medical Journal  - Te Ara Tika o Te Hauora Hapori, Feb 2024. You can view this below.

Project summary report:

Research project report:

Research project file:

Project documents:

Perceived barriers to self-collected HPV testing for cervical cancer screening, and knowledge of HPV: a survey of primary healthcare smeartakers across Aotearoa New Zealand

November 15, 2024

Article published in the New Zealand Medical Journal - Te Ara Tika o Te Hauora Hapori, Feb 2024.

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Lets test for HPV - Peter Sykes presentation October 2022

February 24, 2023

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Primary care experiences in the ‘Let’s test for HPV’ study: a qualitative analysis

July 6, 2023

Article as published on ‘Online Early’ in the Journal of Primary Health Care.

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Project updates:

Let’s Test for HPV Newsletter, Issue 5 - 28th Nov ‘22

December 13, 2022

November newsletter update.

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At-home testing option trialled as part of new cervical cancer screening study.

December 12, 2022

Around three thousand New Zealanders are being given the opportunity to take part in a new study where they can choose to test themselves for cervical cancer at either their doctor’s surgery or in the comfort of their own home.

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Cervical cancer screening study to let participants home test

February 24, 2023

A new cervical cancer screening study will give its participants the option to test at home.

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HPV vaccination resistance and barriers in testing still prevalent for cervical cancer

December 11, 2023

Despite free cervical screening and self-tests, there are still barriers to women accessing appointments to prevent cervical cancer.

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Project team:

Dr John McMenamin

Dr John McMenamin

Debra Smith

Debra Smith

Lucia Gribble

Lucia Gribble

Thea Wilson

Thea Wilson

Project collaborators:

Gonville Health

GH

Gonville Health

Te Oranganui Medical Centre Te Waipuna

Te Oranganui Medical Centre Te Waipuna

Stewart Street Surgery

SSS

Stewart Street Surgery

Taihape Health

TH

Taihape Health

Ruapehu Health

RH

Ruapehu Health

Whanganui Regional Health Network Outreach

WRHNO

Whanganui Regional Health Network Outreach

Funders:

University of Otago Christchurch