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7%-83.9%). The overall agreement between the two sampling methods was 93.9% and the kappa value was 0.82 (P less then 0.001). The sensitivity of HPV detection using vaginal samples was 98.9% (95% CI 93.9%-99.8%) and the specificity was 100% (95% CI 86.7%-100%) with cervical sampling as the gold standard. By Kappa index, an almost perfect agreement for HPV DNA detection between self-collected and physician-collected samples was observed. CONCLUSION Self-collection of vaginal samples ensures equity of cervical cancer screening in low-income countries such as
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