The purpose of this paper is to provide evidence-based guidance on the management of a positive human papilloma virus (HPV) test and to provide guidance around screening and HPV testing for specific patient populations. The guideline was developed by a working group in collaboration with the Gynecologic Oncology Society of Canada (GOC), Society of Colposcopists of Canada (SCC), and the Canadian Partnership Against Cancer. The literature informing these guidelines was obtained through a systematic review of relevant literature by a multi-step search process led by an information specialist. The literature was reviewed up to July 2021 with manual searches of relevant national guidelines and more recent publications. The quality of the evidence and strength of recommendations were developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework. The intended users of this guideline include primary care providers, gynecologists, colposcopists, screening programs, and healthcare facilities. The implementation of the recommendations will ensure an optimum implementation of HPV testing with a focus on the management of positive results. Recommendations for appropriate care for underserved and marginalized groups are made.

The First Nations people experience significant challenges that may influence the ability to follow COVID-19 public health directives on-reserve. This study aimed to describe experiences, perceptions and circumstances of an Alberta First Nations community, related to COVID-19 public health advice. We hypothesized that many challenges ensued when following and implementing advice from public health experts.
With First Nations leadership and staff, an online cross-sectional survey was deployed between April 24 and June 25, 2020. It assessed the appropriateness of public health advice to curb COVID-19 within this large First Nations community. Both quantitative and qualitative data were captured and described.
A total of 106 adults living on-reserve responded; over 80% were female. Difficulty accessing food was significant by employment status (p = 0.0004). Those people with lower income found accessing food (p = 0.0190) and getting essential medical care (p = 0.0060), clothing (p = 0.0280) and transportation (p = 0.0027) more difficult. Some respondents described lost income associated with COVID-19 experiences, as well as difficulties accessing essential supplies. Respondents found \"proper handwashing\" most easy (98%) and \"keeping a distance of 2 m from others\" most difficult (23%). Many respondents found following public health advice within their personal domain easy and put \"family safety\" first but experienced some difficulties when navigating social aspects and obligations, particularly when unable to control the actions of others. People stated wanting clear information, but were sometimes critical of the COVID-19 response.
First Nations people face many additional challenges within the COVID-19 response, driven in part by ongoing issues related to significant societal, economic, and systemic factors.
RéSUMé: OBJECTIFS: Les Premiers Peuples connaissent d’importantes difficultés qui peuvent nuire à la capacité de suivre les directives de santé publique sur la COVID-19 dans les réserves. Notre étude visait à décrire les expériences, les perceptions et la situation d’une Première Nation de l’Alberta en lien avec les consignes de santé publique sur la COVID-19. Nous avons postulé que de nombreuses difficultés s’ensuivent lorsque les conseils des spécialistes de la santé publique sont suivis et appliqués. MéTHODE: Avec les dirigeants et le personnel de la Première Nation, nous avons mené un sondage transversal en ligne entre le 24 avril et le 25 juin 2020. Le sondage évaluait la pertinence des consignes de santé publique pour contenir la COVID-19 dans cette grande communauté. Des données quantitatives et qualitatives ont été saisies et décrites. RéSULTATS: En tout, 106 adultes vivant dans la réserve ont répondu; plus de 80 % étaient des femmes. Les difficultés d’accès aux aliments selon la situation d’emploi étaient significatives (p = 0,0004). Les personnes à faible revenu trouvaient plus difficile d’accéder aux aliments (p = 0,0190) et d’obtenir des soins médicaux essentiels (p = 0,0060), de se procurer des vêtements (p = 0,0280) et de trouver de moyens de transport (p = 0,0027). Certains répondants ont fait état de pertes de revenus associées à leurs expériences de la COVID-19, et de difficultés d’accès aux fournitures essentielles. Les répondants ont trouvé que « bien se laver les mains » était la consigne la plus facile à respecter (98 %), et que « rester à 2 mètres les uns des autres » était la plus difficile (23 %). De nombreux répondants ont trouvé facile de respecter les consignes de santé publique dans leur domaine personnel et d’accorder la priorité à « la santé familiale », mais ont éprouvé des difficultés à négocier les obligations et aspects sociaux, particulièrement lorsqu’ils ne pouvaient pas contrôler les actions des autres. Les gens ont dit vouloir des informations claires, mais ont parfois critiqué la riposte à la COVID-19. CONCLUSION: Les Premiers Peuples font face à de nombreuses difficultés supplémentaires dans le cadre de la riposte à la COVID-19; ces difficultés résultent en partie de problèmes persistants liés à d’importants facteurs sociétaux, économiques et systémiques.

OBJECTIVE: To identify key mental health service components required for Aboriginal and Torres Strait Islander peoples and develop proposed modelling to modify the National Mental Health Service Planning Framework to account for the unique needs of these populations.
METHODS: Service areas and corresponding modelling rules were informed by a review and analysis of literature and data (on existing service models and policy directions) and expert group discussions on the important aspects of mental health care for Aboriginal and Torres Strait Islander peoples.
RESULTS: Eight key service areas were identified and translated into proposed modelling rules for service planning: culturally appropriate assessment; increased care coordination; more family and carer involvement and support; specified workforce; holistic primary care teams; enhanced staffing for inpatient care; integrating culture; and earlier support for behavioural and psychological symptoms of dementia.
CONCLUSIONS: This study provides a consolidated framework and implementation guidance to support more effective mental health service planning for Aboriginal and Torres Strait Islander peoples.
CONCLUSIONS: Better supporting planners to make informed decisions regarding mental health service provision for Aboriginal and Torres Strait Islander peoples will assist in a nationally coordinated approach to closing the mental health gap between Indigenous and non-Indigenous peoples.