Improving the uptake of HPV screening in women with HIV

Purpose of the Project:The purpose of this DNP project evaluated opportunities for women living with HIV (WLWH) who are at risk for cervical cancer and who are due for screening, in an effort to improve screening rates.ProceduresConducted a chart review of 50 WLWH, evaluating patient's last Papanicolaou (Pap) test, human papillomavirus (HPV) screening, results of the Pap/HPV test, and determining whether they were due for screening. An educational toolkit was then created for the clinic designed for patients, in an effort to increase patient awareness of the need for screening. A staff survey was then conducted with four clinic staff members, assessing perceptions and beliefs about the toolkit.ResultsA total of 50 patient charts of WLWH were reviewed to determine last Pap/ HPV screening, results of these screenings, and whether patient was due for screening based on current recommended guidelines. It was found that more than half or 56% of WLWH were due for Pap/ HPV screening according to guidelines for this population. Additionally, it was found that four women refused any Pap or HPV screening. These results indicated a need and opportunity to improve screening in WLWH. Implications for PracticeThe self-collection method has broadened screening options for women by providing an alternative to traditional clinician-collected samples. This approach gives women greater choice, enhancing the likelihood of their participation in screening.