Agentes Sanitarios y mSalud: Adopción de estrategias para la prevención del cáncer cervicouterino en Argentina

Victoria Sanchez Antelo; Melisa Paolino; Silvina Arrossi

doi:10.56294/saludcyt2023624

Original

Published: 2023-11-29

DOI: https://doi.org/10.56294/saludcyt2023624

Community Health Workers and mHealth: adoption of strategies for the prevention of cervical cancer in Argentina

Abstract

Introduction: The ATICA strategy was a multicomponent mHealth intervention based on sending SMS messages to HPV+ women to promote triage cytology. After 60 days, an email and a SMS message were also sent to the Community Health Worker (CHW) to visit women who had not attended triage.
Aim: To analyze the perceptions of CHWs about barriers and facilitators of the implementation of the multicomponent intervention and their intention to adopt it.
Methods: We evaluated the implementation of the intervention using the Consolidated Framework for Implementation Research (CFIR) and RE-AIM framework. CHWs were asked to complete an anonymous, self-administered survey to evaluate their intention to adopt the intervention and to identify barriers and facilitators. We measured the association between intention to adopt the ATICA strategy and CFIR constructs. We used IBM SPSS software to calculate the chi-square and evaluate associations.
Results: Of the 221 CHWs in the ATICA study, 197 completed the survey. 78.3% of them would adopt the strategy in their work without differences between sociodemographic profiles or according to familiarity with phone use. The intention to adopt ATICA was higher among those who perceived it as a relative advantage (81% vs. 62.5%; p=0.04) and among those who found it easy to register phone numbers (81.8% vs. 64.3%; p=0.04). 98.3% stated that strategies were needed to expand triage coverage in the province.
Conclusion: The high intention to adopt the ATICA strategy among CHWs will contribute to the future scaling-up of the intervention.

Keywords:

Telemedicine,

Implementation Science,

Community Health Workers,

Cervical cancer,

Argentina,

How to Cite

Sanchez Antelo V, Paolino M, Arrossi S. Community Health Workers and mHealth: adoption of strategies for the prevention of cervical cancer in Argentina. Salud, Ciencia y Tecnología [Internet]. 2023 Nov. 29 [cited 2024 May 21];3:624. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/624

Copyright Notice

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

Article metrics

Google scholar: See link

Metrics

Metrics Loading ...

Vol. 3 (2023)

See full issue

Revistas/Journals

Issue

About

Author Guidelines