These researchers used Kaupapa Māori (by Māori, for Māori) mixed methodology, involving hui (focus groups/interviews) and a survey, to assess the potential acceptability of HPV self-testing for never/ under-screened (self-reported no cervical screen in ≥4 years) among Māori women aged ≥25 years living in 4 regions throughout New Zealand. Community-based researchers ran hui with 106 women and the survey was completed by 397 women. Seventeen healthcare providers (HCPs) were interviewed. Although the majority (87.15%) of survey participants were enrolled with a primary health organisation (PHO) and 71.9% attended regularly, they did not attend regular cervical screening. The most frequently cited barrier to screening was a desire for bodily autonomy (retaining privacy, control over one’s body), including whakamā (embarrassment/ shyness/reticence). Around 75% of the survey participants reported being likely/very likely to do an HPV selftest and 90% indicated that they would be likely/very likely to attend follow-up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the need for health literacy, cultural competence and empathetic support.
