Development of a Cervical Cancer Screening Model Using HPV Self-Sampling with Community Health Volunteer Participation at Yang Talat Hospital, Kalasin Province.

Abstract

     This study aimed to develop a community-based cervical cancer screening model using HPV self-sampling, facilitated through the active participation of village health volunteers (VHVs) in the service areas of Yang Talat Hospital, Kalasin Province. A participatory action research (PAR) approach was employed, incorporating the theories of social support and self-efficacy. The study was conducted in three phases: problem assessment, model development, and evaluation of effectiveness. The sample consisted of 58 women aged 30–65 and 20 VHVs. Data were analyzed using descriptive statistics.

     Results showed that key barriers to screening access included distance (15–25 kilometers), cost (80–120 baht per visit), and low knowledge levels (mean score: 7.8 out of 15). The developed model significantly increased the screening participation rate from 0% to 46.6% (p < 0.001), improved women’s knowledge scores from 7.8 to 13.2 (p < 0.001), and enhanced VHV knowledge from 24.6 to 67.1(p < 0.001). The target group reported high satisfaction with the model (mean score: 4.6), and sustainability evaluation showed high scores across all dimensions (mean: 4.5/5.0).