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Participatory evaluation of community-based HPV and cervical cancer prevention and control efforts.

This paper describes efforts to evaluate community efforts to develop community-based interventions to reduce the incidence of cervical cancer and the mortality associated with cervical cancer in one South Carolina county. The overall incidence rate of cervical cancer in this community is 17.1 cases per 100,000 women and the mortality rate is 2.6 deaths per 100,000.1 However, the mortality rate is almost twice as high (4.2) among African American (AA) women.1, 2 Cervical cancer is largely preventable with regular screening (e.g., Pap test and humanpapilloma virus (HPV) DNA test) and adherence to recommended follow-up care. Unfortunately, many people remain unaware of the link between some types of HPV and cervical cancer. Studies in the United States and the United Kingdom have found low levels of HPV knowledge, including risk factors, sexual transmission, disease management, cancer risk, or even basic awareness among young adults, adolescents, and adult women.3–16 
 
 
In recognition of cervical cancer disparities and the opportunities for addressing precursors to behavior, the Community Partnership and Outreach Core (CPOC) of the University of South Carolina (USC) and Claflin University Center of Excellence in Cancer and HIV Research is a community-based participatory initiative to develop and implement culturally and linguistically appropriate public health programs, resources, and services to eliminate HIV and HPV related health disparities. The specific aims of the CPOC are: 
 
 
To develop, assemble, and engage community leadership in the form of a Community Advisory Group (CAG) to identify strategies for meeting the preventive and treatment needs of the community specific to HIV/AIDS and HPV/cervical cancer; 
 
 
To provide technical assistance to the community for planning, designing, adapting, implementing, and evaluating community programs, services, and resources; 
 
 
To serve as a resource for the community; 
 
 
To develop and implement programs, services, and resources to reduce HIV/AIDS and HPV and cervical cancer health disparities within the community; 
 
 
To assist with community capacity development opportunities; 
 
 
To evaluate the community-based participatory research (CBPR) approach impact on the community and health outcomes during the project period.