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Remote Resilience: Novel Applications of mHealth in Nicaragua's Cancer Control Program

The following grant was awarded by, is supported by, is administered by or is in partnership with the Fogarty International Center at the U.S. National Institutes of Health (NIH).

Funding Fogarty Program

Mobile Health (mHealth)

Project Information in NIH RePORTER

Remote Resilience: Novel Applications of mHealth in Nicaragua's Cancer Control Program

Principal Institution

University of Virginia

Principal Investigator(s) (PI)

Mitchell, Emma McKim; Almendarez Peralta, Juan Ramon; Dillingham, Rebecca A.

Project Contact Information

Email: emm6z@virginia.edu

Year(s) Awarded

2022–2024

Country

Nicaragua

Project Description

Despite global advances in technologies to prevent cervical cancer, roughly 90% of the burden of this preventable disease persists in low- and middle-income countries (LMICs). Along with the WHO’s call for elimination of cervical cancer within 100 years comes the need for effective innovations for expanding screening and completing follow-up triage and treatment. Mobile health (mHealth) interventions integrated into existing HPV-based cervical cancer control programs may significantly impact patient health outcomes and provider engagement.

Based on a successful pilot study enrolling nearly 2,000 women in Bluefields, Nicaragua, researchers have identified the unique role mHealth interventions may play in improving health outcomes when integrated into an HPV primary screening program. Innovations presented include the development of a mHealth platform that combines a patient-centered mobile application (app) with a provider-focused portal, as well as integration of the provider- focused portal with the National Cervical Cancer Surveillance System (SIVIPCAN). Through developing this culturally-tailored, regionally appropriate mHealth intervention for women and healthcare providers  and then pilot testing the impact of this intervention when integrated into a community-based HPV-based primary cervical cancer screening program, this study will provide important evidence relative to the potential for novel mHealth interventions to improve cervical cancer screening follow-up and treatment, with a focus on rural and remote settings, often the hardest geographic regions in which to improve health outcomes.


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