Overview of the Initiative
The Northwest Territories (NWT) health authority has launched a pilot project to mail free human papillomavirus (HPV) self-sampling kits to residents in the Beaufort Delta region. The program is designed to improve access to cervical cancer screening, particularly for people in remote communities. Eligible residents in Sachs Harbour and Tsiigehtchic are the first to receive the kits, with a plan to expand territory-wide by March 2026 and extend to other NWT regions by March 2027.
The pilot is a collaborative effort with the Canadian Partnership Against Cancer and Indigenous organizations in the area, underscoring a commitment to culturally respectful engagement and community leadership in health.
How the Self-Screening Works
Participants receive a self-sampling kit by mail, which includes an invitation letter, an Evalyn brush for sample collection, an instruction pamphlet, and a laboratory requisition form. Individuals can collect a vaginal sample at home or at a local health centre. The completed form and sample are then mailed or delivered to a health centre or lab for processing.
In communities where mail-out kits are not yet available, residents can still obtain HPV self-sampling at their local health centre or primary care clinic. The program also accommodates individuals who prefer or require assistance from a healthcare provider to collect the sample.
Jenna Long, acting executive director of clinical integration for the NWT health authority, described the kit as designed for ease of use. “Since the introduction of the HPV testing kits, many patients have noted that they prefer self-sampling and are happy with the change,” Long said.
Who is Eligible and Safety Considerations
The program covers people with a cervix aged 25 to 69, including women, non-binary, two-spirit, transgender, and intersex individuals. Those who are pregnant or using a pessary should speak with a healthcare provider about whether self-sampling is appropriate for them. People with symptoms or concerns related to cervical cancer should seek medical advice promptly.
Why the Shift to HPV Testing?
The NWT updated its cervical cancer screening guidelines in April to favor HPV testing over traditional Pap tests. HPV screening can detect high-risk infections earlier and more effectively, potentially reducing the incidence of cervical cancer. The Canadian Partnership Against Cancer notes that HPV tests can be done less frequently than Pap tests, while maintaining or improving detection accuracy. Pap testing remains available in the territory for those who prefer it or have medical needs.
Implications for Public Health in the NWT
BC’s experience with self-screening shows several benefits, including avoiding pelvic exams for those who wish to self-test, reducing barriers to care, and improving access for individuals without a regular healthcare provider. The NWT program shares these goals, emphasizing culturally safe screening and patient autonomy as part of its broader effort to eliminate cervical cancer, a leading cancer among people with a cervix worldwide.
Timeline and Next Steps
The Beaufort Delta pilot is expected to be a stepping stone toward a broader rollout across the NWT, with a target completion date of March 2027. The timeline may be influenced by external factors such as the Canada Post strike, underscoring the importance of flexible operations and local health centres in maintaining screening access.
How to Learn More or Participate
Residents interested in receiving a self-sampling kit or opting out of the territorial screening program can contact the cervical screening program via email or phone (1-866-313-7989, option eight). Healthcare providers can also offer guidance on eligibility and testing options.
