Send to

Choose Destination
Int J Womens Health. 2015 Feb 2;7:149-54. doi: 10.2147/IJWH.S56307. eCollection 2015.

Education efforts may contribute to wider acceptance of human papillomavirus self-sampling.

Author information

Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Department of Gynecology and Obstetrics, University Center Hospital, Yaoundé, Cameroon.
Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Geneva Foundation for Medical Education and Research, Geneva, Switzerland.



Information about women's acceptance of new screening methods in Sub-Saharan Africa is limited. The aim of this study was to report on women's acceptance of human papillomavirus (HPV) self-sampling following an educational intervention on cervical cancer and HPV.


Women were recruited from the city of Tiko and a low-income neighborhood of Yaoundé, both in Cameroon. Written and oral instructions about how to perform an unsupervised HPV self-sample were given to participants, who performed the test in a private room. Acceptability of HPV self-sampling was evaluated by questionnaire. Participants previously screened for cervical cancer by a physician were asked additional questions to assess their personal preferences about HPV self-sampling.


A sample of 540 women were prospectively enrolled in the study; median age was 43 years old (range 30-65 years). Participants expressed a high level of acceptance of HPV self-sampling as a screening method following information sessions about cervical cancer and HPV. Most expressed no embarrassment, pain, anxiety, or discomfort (95.6%, 87.8%, 91.3%, and 85.0%, respectively) during the information sessions. Acceptance of the method had no correlation with education, knowledge, age, or socio-professional class. Eighty-six women (16%) had a history of previous screening; they also reported high acceptance of HPV self-sampling.


Educational interventions on cancer and HPV were associated with high acceptability of HPV self-testing by Cameroonian women. Further evaluation of the intervention in a larger sample and using a control group is recommended.


Cameroon women; HPV; cervical cancer screening; low-resource country; physician sampling; self-sampling

Supplemental Content

Full text links

Icon for Dove Medical Press Icon for PubMed Central
Loading ...
Support Center