Cervical cancer prevention in El Salvador (CAPE)-An HPV testing-based demonstration project: Changing the secondary prevention paradigm in a lower middle-income country.
•CareHPV tests were used to compare screen-and-treat and colposcopy management.•Screen-and-treat strategy with HPV testing was found to be very cost-effective.•CAPE has screened > 25,000 women in the Paracentral region.•Over 70% of screen-positive women received recommended treatment within six months.•CAPE is an example of public-private partnership resulting in paradigm change.
Basic Health International, Colonia San Francisco, Avenida Las Camelias #14, San Salvador, El Salvador.
Mauricio
M
Maza
Basic Health International, Colonia San Francisco, Avenida Las Camelias #14, San Salvador, El Salvador.
Karla
K
Alfaro
Basic Health International, 25 Broadway, 5th Floor, New York, NY, USA.
Jillian
J
Garai
National Unit of Control and Prevention of Cancer, Ministry of Health, San Salvador, El Salvador.
Mario Morales
MM
Velado
Division of Cancer Epidemiology and Genetics, National Cancer Institute, 9609 Medical Center Dr., Rockville, MD, USA.
Julia C
JC
Gage
Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, NY, USA.
Philip E
PE
Castle
Department of Pathology, University of Southern California, 2011 Zonal Ave., Los Angeles, CA, USA.
Juan
J
Felix
Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization, 525 23rd St., NW, Washington, DC, USA.
Silvana
S
Luciani
Center for Health Decision Science, Harvard School of Public Health, 718 Huntington Ave., Boston, MA, USA.
Nicole
N
Campos
Center for Health Decision Science, Harvard School of Public Health, 718 Huntington Ave., Boston, MA, USA.
Jane
J
Kim
Icahn School of Medicine at Mount Sinai, One Gustav Levy Pl., New York, NY, USA.
Rachel
R
Masch
Basic Health International, 25 Broadway, 5th Floor, New York, NY, USA.
Miriam
M
Cremer
Cervical cancer; HPV; Implementation; Screen-and-treat; Screening