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Fig 1.

Genital Self-sampling in the BILHIV Study.

A) Participants held a 6-inch vaginal swab at the 2 3/8-inch score mark, inserted the swab vaginally until their fingers touched the labia minora, and rotated the swab against the vaginal walls (minimum 15 repetitions). B) Participants held the 6 3/4-inch cervical swab at the non-flocked end, inserted the swab until their fingers touched the labia minora and/or encountered resistance, and rotated the swab against the place of resistance (minimum 15 repetitions).

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Fig 1 Expand

Fig 2.

BILHIV study flow diagram.

Not visited - the participant was not visited before the study closed for enrollment (189) Visited but not contacted - a visit was made to the study household, but the participant could not be located (70), had relocated (39), or died (1) Contacted & not immediately enrolled - (42), out of town (18), declined to participate (60) Contacted & ineligible - virgin (16), pregnant (17), over 31 (8)

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Fig 2 Expand

Table 1.

Baseline characteristics of 603 Zambian women living in S. haematobium endemic areas near the Zambezi river by district.

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Table 1 Expand

Table 2.

Diagnostic test results and FGS prevalence in 603 Zambian women living in S. haematobium endemic areas near the Zambezi river.

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Table 2 Expand

Fig 3.

Distribution of positive diagnostic test results by age group.

A. Distribution of positive urine CAA, urine microscopy, and urine PCR results by age group* B. Distribution of positive genital PCR results by age group* C. Distribution of any positive genital PCR result by age group* *Please see S1 Table for further details of the numbers of women tested per time point

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Fig 4.

Venn Diagram of 28* Positive PCR-based Self-Collected Specimens (paired with CVL) for Schistosoma by Collection Type *2 participants with positive genital self-collected specimens did not follow up in clinic for cervicovaginal lavage.

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Table 3.

Sensitivity and specificity of genital specimens for the detection of Schistosoma DNA by PCR.

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Table 3 Expand

Table 4.

Sub-analysis of sensitivity and specificity of self-collected genital swabs compared with cervicovaginal lavage for the detection of Schistosoma DNA in participants with positive urine specimens: CAA(n = 78), microscopy (n = 32), PCR (n = 26).

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Table 4 Expand