Megan Justine Huchko | Scholars@Duke

Megan Justine Huchko
Hollier Family Associate Professor of Global Health

Megan Huchko, MD, MPH, holds a dual appointment as an Associate Professor in the Department of Obstetrics & Gynecology and the Duke Global Health Institute. Dr. Huchko was an undergraduate at Duke before moving to New York City to complete medical school at the Albert Einstein College of Medicine, and residency training at Columbia Presbyterian Medical Center. She completed her fellowship in Reproductive Infectious Disease the University of California, San Francisco, and was a faculty member there.

Dr. Huchko practices as an ob/gyn generalist and specializes in cervical cancer prevention through her clinical work and global women’s health research. Her research focuses on optimizing the diagnosis and treatment of cervical cancer among vulnerable women in settings where health disparities occur. She has been working with the Family AIDS Care and Education Services (FACES) program in the Nyanza Province of western Kenya since 2006.

She designed and implemented a cervical cancer screening and prevention (CCSP) program for HIV-infected women enrolled in care at FACES. The CCSP program has provided a clinical resource, as well as a cohort to evaluate the epidemiology of cervical cancer among HIV-infected women, the feasibility of integrating cervical cancer prevention programs into HIV and general outpatient clinics, the safety of various diagnostic and treatment modalities, the efficacy of low-cost/low-resource screening modalities in HIV-infected women and provider and patient-level barriers and facilitators to uptake of cervical cancer prevention activities.

Currently, she is carrying out several large studies in central Uganda and western Kenya to evaluate the optimal implementation strategy for HPV-based cervical cancer screening in rural settings. At Duke, she leads the Center of Excellence in Global Women’s Health through the Global Health Institute and serves as Director for the Ob/Gyn Clinical Research Unit (CRU).

Current Research Interests

Cervical Cancer Prevention; Colposcopy; Human Papillomavirus; Implementation Science

Current Appointments & Affiliations

Hollier Family Associate Professor of Global Health, Obstetrics and Gynecology, Women's Community & Population Health, Obstetrics and Gynecology 2021 - 2026
Associate Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Women's Community & Population Health, Obstetrics and Gynecology 2022
Associate Research Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2016
Member of the Duke Cancer Institute, Duke Cancer Institute, Institutes and Centers 2017

Contact Information

310 Trent Drive, Room 204, Durham, NC 27708
Box 90519, Durham, NC 27708
megan.huchko@duke.edu
Center for Global Reproductive Health at Duke

Background
Education, Training, & Certifications
- M.P.H., University of California - Berkeley 2007
- M.D., Yeshiva University, Albert Einstein College of Medicine 2002
- B.A., Duke University 1997
Previous Appointments & Affiliations
- Associate Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Women's Community & Population Health, Obstetrics and Gynecology 2018 - 2022
- Instructor in the Department of Obstetrics and Gynecology, Obstetrics and Gynecology, Women's Community & Population Health, Obstetrics and Gynecology 2016 - 2018
- Visiting Associate Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2016
Leadership & Clinical Positions at Duke
- Director, Center for Global Reproductive Health at Duke
  Director, Clinical Research Unit, Department of Ob/Gyn
  Medical Director, Cervix Clinic in 1J
Recognition
In the News
- NOV 9, 2020 Duke Research Blog
  
  Trust in Gynecology: Acts of Listening to Improve Women's Health
- JAN 8, 2020 Duke Global Health Initiative
  
  Dreaming of a World Without Cervical Cancer
- FEB 27, 2018 Duke Global Health Institute
  
  New DGHI Center Will Address Global Reproductive Health
- MAY 4, 2017
  
  Glad You Asked: Proposed Health Policy Changes Will Hit Women Hard
Expertise
Global Scholarship
- Research
  - Kenya (Country)
  - Uganda (Country)
Research
Selected Grants
- Technology-enabled Single-Visit Model for Cervical Cancer Prevention at the Community Level awarded by National Institutes of Health 2022 - 2027
- Developing a Stigma-Responsive Intervention to Offer Cervical Cancer Prevention Services in HIV Care Facilities awarded by National Institutes of Health 2022 - 2025
- Duke Women's Reproductive Health Research Scholars awarded by National Institutes of Health 2020 - 2025
- mSaada: a mobile application to strengthen community-based cervical cancer screening awarded by National Institutes of Health 2022 - 2024
- Novel see and treat strategies for cervical cancer prevention in low-resource settings awarded by National Institutes of Health 2019 - 2024
- United States-East Africa HIV-Associated Malignancy Research Center (USEAHAMRC) for Career Development and the Prevention, Early Detection and Efficient Linkage to Care for Oncovirus-related Cancers awarded by University of California - San Francisco 2020 - 2023
- Closing the gap between identification and treatment of cervical abnormalities in Lima, Peru through integration of pocket colposcopy, telemedicine and visual counseling awarded by US Agency for International Development 2019 - 2023
- Developing a tool to measure cervical cancer stigma among HIV+ women in Kenya awarded by National Institutes of Health 2019 - 2022
- mHealth-supported telecolposcopy for cervical cancer screening in low-resource settings awarded by National Institutes of Health 2018 - 2021
- Evaluating a Community-Driven Cervical Cancer Prevention Strategy in Western Kenya awarded by National Institutes of Health 2014 - 2020
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Isaacson, Sinéad, Konyin Adewumi, Jennifer S. Smith, Carissa Novak, Sandra Oketch, and Megan J. Huchko. “A Qualitative Exploration of Barriers to Treatment Among HPV-Positive Women in a Cervical Cancer Screening Study in Western Kenya.” Oncologist 28, no. 1 (January 18, 2023): e9–18. https://doi.org/10.1093/oncolo/oyac208.
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  - O’Shea, Michele, Jackton Omoto, Megan Huchko, and Stephen Gwer. “Development and initial validation of a pictorial survey to assess for symptomatic pelvic organ prolapse and urinary incontinence in western Kenya.” Int Urogynecol J 33, no. 9 (September 2022): 2515–23. https://doi.org/10.1007/s00192-022-05214-5.
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  - Adewumi, Konyin, Holly Nishimura, Sandra Y. Oketch, Prajakta Adsul, and Megan Huchko. “Barriers and Facilitators to Cervical Cancer Screening in Western Kenya: a Qualitative Study.” J Cancer Educ 37, no. 4 (August 2022): 1122–28. https://doi.org/10.1007/s13187-020-01928-6.
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  - Reid, Hadley Woodruff, Rae Jean Proeschold-Bell, Christina Makarushka, Katherine Dayllan Melgar Vega, Megan Huchko, Jose Jeronimo, and Lavanya Vasudevan. “Using the Consolidated Framework for Implementation Research to Inform the Design of the Mobile Inspección Visual con Ácido Acético System: Mixed Methods Case Study.” Jmir Form Res 6, no. 6 (June 23, 2022): e32577. https://doi.org/10.2196/32577.
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  - Stocks, Jacob, Saduma Ibrahim, Lawrence Park, and Megan Huchko. “Mobile Phone Ownership and Use Among Women Screening for Cervical Cancer in a Community-Based Setting in Western Kenya: Observational Study.” Jmir Public Health Surveill 8, no. 6 (June 7, 2022): e28885. https://doi.org/10.2196/28885.
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  - Choi, Yujung, Saduma Ibrahim, Lawrence P. Park, Craig R. Cohen, Elizabeth A. Bukusi, and Megan J. Huchko. “Uptake and correlates of cervical cancer screening among women attending a community-based multi-disease health campaign in Kenya.” Bmc Womens Health 22, no. 1 (April 18, 2022): 122. https://doi.org/10.1186/s12905-022-01702-4.
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  - Stocks, Jacob, Yujung Choi, Saduma Ibrahim, and Megan Huchko. “Iterative Development of a Mobile Phone App to Support Community Health Volunteers During Cervical Cancer Screening in Western Kenya: Qualitative Study.” Jmir Form Res 6, no. 2 (February 24, 2022): e27501. https://doi.org/10.2196/27501.
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  - Ginjupalli, Ramya, Rachel Mundaden, Yujung Choi, Emily Herfel, Sandra Yvonne Oketch, Melissa H. Watt, Breandan Makhulo, Elizabeth Anne Bukusi, and Megan Huchko. “Developing a framework to describe stigma related to cervical cancer and HPV in western Kenya.” Bmc Womens Health 22, no. 1 (February 11, 2022): 39. https://doi.org/10.1186/s12905-022-01619-y.
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  - Pieters, Michelle M., Rae Jean Proeschold-Bell, Emily Coffey, Megan J. Huchko, and Lavanya Vasudevan. “Knowledge, attitudes, and practices regarding cervical cancer screening among women in metropolitan Lima, Peru: a cross-sectional study.” Bmc Women’S Health 21, no. 1 (August 2021): 304. https://doi.org/10.1186/s12905-021-01431-0.
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  - Strickler, Howard D., Marla J. Keller, Nancy A. Hessol, Isam-Eldin Eltoum, Mark H. Einstein, Philip E. Castle, L Stewart Massad, et al. “Primary HPV and Molecular Cervical Cancer Screening in US Women Living With Human Immunodeficiency Virus.” Clin Infect Dis 72, no. 9 (May 4, 2021): 1529–37. https://doi.org/10.1093/cid/ciaa1317.
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  - Rossman, Andrea H., Hadley W. Reid, Michelle M. Pieters, Cecelia Mizelle, Megan von Isenburg, Nimmi Ramanujam, Megan J. Huchko, and Lavanya Vasudevan. “Digital Health Strategies for Cervical Cancer Control in Low- and Middle-Income Countries: Systematic Review of Current Implementations and Gaps in Research.” Journal of Medical Internet Research 23, no. 5 (May 2021): e23350. https://doi.org/10.2196/23350.
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  - Gravitt, Patti E., Michelle I. Silver, Heather M. Hussey, Silvina Arrossi, Megan Huchko, Jose Jeronimo, Sharon Kapambwe, et al. “Achieving equity in cervical cancer screening in low- and middle-income countries (LMICs): Strengthening health systems using a systems thinking approach.” Prev Med 144 (March 2021): 106322. https://doi.org/10.1016/j.ypmed.2020.106322.
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  - Mungo, Chemtai, Saduma Ibrahim, Elizabeth A. Bukusi, Hong-Ha M. Truong, Craig R. Cohen, and Megan Huchko. “Scaling up cervical cancer prevention in Western Kenya: Treatment access following a community-based HPV testing approach.” Int J Gynaecol Obstet 152, no. 1 (January 2021): 60–67. https://doi.org/10.1002/ijgo.13171.
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  - Swanson, Megan, Miriam Nakalembe, Lee-May Chen, Stefanie Ueda, Jane Namugga, Carol Nakisige, and Megan J. Huchko. “Surgical candidacy and treatment initiation among women with cervical cancer at public referral hospitals in Kampala, Uganda: a descriptive cohort study.” Bmj Open 10, no. 12 (December 12, 2020): e039946. https://doi.org/10.1136/bmjopen-2020-039946.
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  - Vasudevan, Lavanya, Sandra Stinnett, Cecelia Mizelle, Katherine Melgar, Christina Makarushka, Michelle Pieters, Luis Enrique Roman Sanchez, Jose Jeronimo, Megan J. Huchko, and Rae Jean Proeschold-Bell. “Barriers to the uptake of cervical cancer services and attitudes towards adopting new interventions in Peru.” Prev Med Rep 20 (December 2020): 101212. https://doi.org/10.1016/j.pmedr.2020.101212.
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  - Nakalembe, Miriam, Philippa Makanga, Andrew Kambugu, Miriam Laker-Oketta, Megan J. Huchko, and Jeffrey Martin. “A public health approach to cervical cancer screening in Africa through community-based self-administered HPV testing and mobile treatment provision.” Cancer Med 9, no. 22 (November 2020): 8701–12. https://doi.org/10.1002/cam4.3468.
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  - Olwanda, Easter Elizabeth, James G. Kahn, Yujung Choi, Jessica Yasmine Islam, and Megan Huchko. “Comparison of the costs of HPV testing through community health campaigns versus home-based testing in rural Western Kenya: a microcosting study.” Bmj Open 10, no. 10 (October 27, 2020): e033979. https://doi.org/10.1136/bmjopen-2019-033979.
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  - Asiedu, Mercy N., Júlia S. Agudogo, Mary E. Dotson, Erica Skerrett, Marlee S. Krieger, Christopher T. Lam, Doris Agyei, et al. “A novel speculum-free imaging strategy for visualization of the internal female lower reproductive system.” Scientific Reports 10, no. 1 (October 2020): 16570. https://doi.org/10.1038/s41598-020-72219-9.
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  - Rossman, Andrea H., Hadley W. Reid, Michelle M. Pieters, Cecelia Mizelle, Megan von Isenburg, Nimmi Ramanujam, Megan J. Huchko, and Lavanya Vasudevan. “Digital Health Strategies for Cervical Cancer Control in Low- and Middle-Income Countries: Systematic Review of Current Implementations and Gaps in Research (Preprint),” August 17, 2020. https://doi.org/10.2196/preprints.23350.
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  - Mungo, Chemtai, Cirilus Ogollah Osongo, Jeniffer Ambaka, Magdalene A. Randa, Jackton Omoto, Craig R. Cohen, and Megan Huchko. “Safety and Acceptability of Thermal Ablation for Treatment of Human Papillomavirus Among Women Living With HIV in Western Kenya.” Jco Glob Oncol 6 (July 2020): 1024–33. https://doi.org/10.1200/GO.20.00035.
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  - Silverberg, Michael J., Wendy A. Leyden, Jennifer O. Lam, Chun R. Chao, Steven E. Gregorich, Megan J. Huchko, Shalini Kulasingam, Miriam Kuppermann, Karen K. Smith-McCune, and George F. Sawaya. “Effectiveness of 'catch-up' human papillomavirus vaccination to prevent cervical neoplasia in immunosuppressed and non-immunosuppressed women.” Vaccine 38, no. 29 (June 15, 2020): 4520–23. https://doi.org/10.1016/j.vaccine.2020.05.004.
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  - Zhang, Dongyu, Shailesh Advani, Jo Waller, Ana-Paula Cupertino, Alejandra Hurtado-de-Mendoza, Anthony Chicaiza, Peter J. Rohloff, et al. “Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries: A Systematic Review.” Jco Glob Oncol 6 (April 2020): 617–27. https://doi.org/10.1200/JGO.19.00201.
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  - Huchko, Megan J., Easter Olwanda, Yujung Choi, and James G. Kahn. “HPV-based cervical cancer screening in low-resource settings: Maximizing the efficiency of community-based strategies in rural Kenya.” Int J Gynaecol Obstet 148, no. 3 (March 2020): 386–91. https://doi.org/10.1002/ijgo.13090.
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  - Premkumar, Ashish, Jennifer Kerns, and Megan J. Huchko. “"A Résumé for the Baby": Biosocial Precarity and Care of Substance-Using, Pregnant Women in San Francisco.” Cult Med Psychiatry 44, no. 1 (March 2020): 35–55. https://doi.org/10.1007/s11013-019-09634-9.
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  - Choi, Yujung, Sandra Y. Oketch, Konyin Adewumi, Elizabeth Bukusi, and Megan J. Huchko. “A Qualitative Exploration of Women's Experiences with a Community Health Volunteer-Led Cervical Cancer Educational Module in Migori County, Kenya.” J Cancer Educ 35, no. 1 (February 2020): 36–43. https://doi.org/10.1007/s13187-018-1437-2.
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  - Zhang, Dongyu, Shailesh Advani, Megan Huchko, and Dejana Braithwaite. “Impact of healthcare access and HIV testing on utilisation of cervical cancer screening among US women at high risk of HIV infection: cross-sectional analysis of 2016 BRFSS data.” Bmj Open 10, no. 1 (January 6, 2020): e031823. https://doi.org/10.1136/bmjopen-2019-031823.
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  - Holt, Hunter K., Shalini Kulasingam, Erinn C. Sanstead, Fernando Alarid-Escudero, Karen Smith-McCune, Steven E. Gregorich, Michael J. Silverberg, Megan J. Huchko, Miriam Kuppermann, and George F. Sawaya. “Discussing Cervical Cancer Screening Options: Outcomes to Guide Conversations Between Patients and Providers.” Mdm Policy Pract 5, no. 2 (2020): 2381468320952409. https://doi.org/10.1177/2381468320952409.
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  - Page, Charlotte M., Saduma Ibrahim, Lawrence P. Park, and Megan J. Huchko. “Systems-level barriers to treatment in a cervical cancer prevention program in Kenya: Several observational studies.” Plos One 15, no. 7 (2020): e0235264. https://doi.org/10.1371/journal.pone.0235264.
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  - Finnegan, Amy, Saumya S. Sao, and Megan J. Huchko. “Using a Chord Diagram to Visualize Dynamics in Contraceptive Use: Bringing Data into Practice.” Glob Health Sci Pract 7, no. 4 (December 23, 2019): 598–605. https://doi.org/10.9745/GHSP-D-19-00205.
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  - Adewumi, Konyin, Sandra Y. Oketch, Yujung Choi, and Megan J. Huchko. “Female perspectives on male involvement in a human-papillomavirus-based cervical cancer-screening program in western Kenya.” Bmc Womens Health 19, no. 1 (August 8, 2019): 107. https://doi.org/10.1186/s12905-019-0804-4.
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  - Huchko, Megan, Konyin Adewumi, Sandra Oketch, Ibrahim Saduma, and Elizabeth Bukusi. “'I'm here to save my life': a qualitative study of experiences navigating a cryotherapy referral system for human papillomavirus-positive women in western Kenya.” Bmj Open 9, no. 7 (July 24, 2019): e028669. https://doi.org/10.1136/bmjopen-2018-028669.
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  - Sawaya, George F., Erinn Sanstead, Fernando Alarid-Escudero, Karen Smith-McCune, Steven E. Gregorich, Michael J. Silverberg, Wendy Leyden, Megan J. Huchko, Miriam Kuppermann, and Shalini Kulasingam. “Estimated Quality of Life and Economic Outcomes Associated With 12 Cervical Cancer Screening Strategies: A Cost-effectiveness Analysis.” Jama Intern Med 179, no. 7 (July 1, 2019): 867–78. https://doi.org/10.1001/jamainternmed.2019.0299.
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  - Oketch, Sandra Y., Zachary Kwena, Yujung Choi, Konyin Adewumi, Michelle Moghadassi, Elizabeth A. Bukusi, and Megan J. Huchko. “Perspectives of women participating in a cervical cancer screening campaign with community-based HPV self-sampling in rural western Kenya: a qualitative study.” Bmc Womens Health 19, no. 1 (June 13, 2019): 75. https://doi.org/10.1186/s12905-019-0778-2.
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  - Huchko, Megan J., Ibrahim Saduma, Cinthia Blat, Sandra Oketch, and Elizabeth A. Bukusi. “How Providing Cervical Cancer Screening Results via Cell Phone Affects Patient Follow-Up Rates in Western Kenya.” J Glob Oncol 5 (June 2019): 1–8. https://doi.org/10.1200/JGO.18.00264.
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  - Huchko, M. J. “Help HIV-positive women reach reproductive goals: Strong findings suggest that HIV-positive women have safe options for achieving pregnancy without use of assisted reproduction.” Contemporary Ob/Gyn 64, no. 4 (April 1, 2019): 12–16.
  - Moscicki, Anna-Barbara, Lisa Flowers, Megan J. Huchko, Margaret E. Long, Kathy L. MacLaughlin, Jeanne Murphy, Lisa Beth Spiryda, and Michael A. Gold. “Guidelines for Cervical Cancer Screening in Immunosuppressed Women Without HIV Infection.” J Low Genit Tract Dis 23, no. 2 (April 2019): 87–101. https://doi.org/10.1097/LGT.0000000000000468.
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  - Asiedu, Mercy, Júlia Agudogo, Mary Elizabeth Dotson, Marlee Krieger, John Schmitt, Megan Huchko, Gita Suneja, et al. “A Novel, Versatile Speculum-free Callascope for Clinical Examination and Self-Visualization of the Cervix,” 2019. https://doi.org/10.1101/618348.
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  - Nakalembe, Miriam, Philippa Makanga, Frank Mubiru, Megan Swanson, Jeffrey Martin, and Megan Huchko. “Prevalence, correlates, and predictive value of high-risk human papillomavirus mRNA detection in a community-based cervical cancer screening program in western Uganda.” Infect Agent Cancer 14 (2019): 14. https://doi.org/10.1186/s13027-019-0230-0.
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  - Page, Charlotte M., Saduma Ibrahim, Lawrence P. Park, and Megan J. Huchko. “Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study.” Plos One 14, no. 9 (2019): e0222750. https://doi.org/10.1371/journal.pone.0222750.
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  - Silverberg, Michael J., Wendy A. Leyden, Jennifer O. Lam, Steven E. Gregorich, Megan J. Huchko, Shalini Kulasingam, Miriam Kuppermann, Karen K. Smith-McCune, and George F. Sawaya. “Effectiveness of catch-up human papillomavirus vaccination on incident cervical neoplasia in a US health-care setting: a population-based case-control study.” Lancet Child Adolesc Health 2, no. 10 (October 2018): 707–14. https://doi.org/10.1016/S2352-4642(18)30220-7.
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  - Swanson, M., S. Ueda, L. M. Chen, M. J. Huchko, C. Nakisige, and J. Namugga. “Evidence-Based Improvisation: Facing the Challenges of Cervical Cancer Care in Uganda.” Obstetrical and Gynecological Survey 73, no. 10 (October 1, 2018): 578–79. https://doi.org/10.1097/01.ogx.0000546213.05954.80.
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  - Swanson, Megan, Peter Gimei, and Megan Huchko. “Rethinking the ASCO Resource-Stratified Cervical Cancer Screening Guidelines in the Context of Existing Health Infrastructure in Basic Settings.” J Glob Oncol 4 (September 2018): 1–3. https://doi.org/10.1200/JGO.17.00025.
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  - Swanson, Megan, Saduma Ibrahim, Cinthia Blat, Sandra Oketch, Easter Olwanda, May Maloba, and Megan J. Huchko. “Evaluating a community-based cervical cancer screening strategy in Western Kenya: a descriptive study.” Bmc Womens Health 18, no. 1 (July 3, 2018): 116. https://doi.org/10.1186/s12905-018-0586-0.
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  - Vorkoper, Susan, Linda E. Kupfer, Nalini Anand, Pragna Patel, Blythe Beecroft, William M. Tierney, Robert Ferris, Wafaa M. El-Sadr, and Wafaa M. HIV/NCD Project. “Building on the HIV chronic care platform to address noncommunicable diseases in sub-Saharan Africa: a research agenda.” Aids 32 Suppl 1, no. Suppl 1 (July 1, 2018): S107–13. https://doi.org/10.1097/QAD.0000000000001898.
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  - Shen, Jennifer, Easter Olwanda, James G. Kahn, and Megan J. Huchko. “Cost of HPV screening at community health campaigns (CHCs) and health clinics in rural Kenya.” Bmc Health Serv Res 18, no. 1 (May 25, 2018): 378. https://doi.org/10.1186/s12913-018-3195-6.
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  - Swanson, Megan, Stefanie Ueda, Lee-May Chen, Megan J. Huchko, Carol Nakisige, and Jane Namugga. “Evidence-based improvisation: Facing the challenges of cervical cancer care in Uganda.” Gynecol Oncol Rep 24 (May 2018): 30–35. https://doi.org/10.1016/j.gore.2017.12.005.
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  - Huchko, Megan J., Saduma Ibrahim, Cinthia Blat, Craig R. Cohen, Jennifer S. Smith, Robert A. Hiatt, and Elizabeth Bukusi. “Cervical cancer screening through human papillomavirus testing in community health campaigns versus health facilities in rural western Kenya.” Int J Gynaecol Obstet 141, no. 1 (April 2018): 63–69. https://doi.org/10.1002/ijgo.12415.
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  - Olwanda, Easter, Jennifer Shen, James G. Kahn, Katelyn Bryant-Comstock, and Megan J. Huchko. “Comparison of patient flow and provider efficiency of two delivery strategies for HPV-based cervical cancer screening in Western Kenya: a time and motion study.” Glob Health Action 11, no. 1 (2018): 1451455. https://doi.org/10.1080/16549716.2018.1451455.
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  - Silverberg, Michael J., Wendy A. Leyden, Aileen Chi, Steven Gregorich, Megan J. Huchko, Shalini Kulasingam, Miriam Kuppermann, Anna Seto, Karen K. Smith-McCune, and George F. Sawaya. “Human Immunodeficiency Virus (HIV)- and Non-HIV-Associated Immunosuppression and Risk of Cervical Neoplasia.” Obstet Gynecol 131, no. 1 (January 2018): 47–55. https://doi.org/10.1097/AOG.0000000000002371.
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  - Huchko, Megan J., James G. Kahn, Jennifer S. Smith, Robert A. Hiatt, Craig R. Cohen, and Elizabeth Bukusi. “Study protocol for a cluster-randomized trial to compare human papillomavirus based cervical cancer screening in community-health campaigns versus health facilities in western Kenya.” Bmc Cancer 17, no. 1 (December 6, 2017): 826. https://doi.org/10.1186/s12885-017-3818-z.
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  - Prata, Ndola, Ashley Fraser, Megan J. Huchko, Jessica D. Gipson, Mellissa Withers, Shayna Lewis, Erica J. Ciaraldi, and Ushma D. Upadhyay. “WOMEN'S EMPOWERMENT AND FAMILY PLANNING: A REVIEW OF THE LITERATURE.” J Biosoc Sci 49, no. 6 (November 2017): 713–43. https://doi.org/10.1017/S0021932016000663.
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  - Sawaya, George F., and Megan J. Huchko. “Cervical Cancer Screening.” Med Clin North Am 101, no. 4 (July 2017): 743–53. https://doi.org/10.1016/j.mcna.2017.03.006.
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  - Wu, Tara J., Karen Smith-McCune, Miriam Reuschenbach, Magnus von Knebel Doeberitz, May Maloba, and Megan J. Huchko. “Performance of p16INK4a ELISA as a primary cervical cancer screening test among a large cohort of HIV-infected women in western Kenya: a 2-year cross-sectional study.” Bmj Open 6, no. 9 (September 13, 2016): e012547. https://doi.org/10.1136/bmjopen-2016-012547.
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  - Rosser, Joelle I., Betty Njoroge, and Megan J. Huchko. “Cervical Cancer Stigma in Rural Kenya: What Does HIV Have to Do with It?” J Cancer Educ 31, no. 2 (June 2016): 413–18. https://doi.org/10.1007/s13187-015-0843-y.
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  - Rosser, Joelle I., Betty Njoroge, and Megan J. Huchko. “Cervical Cancer Screening Knowledge and Behavior among Women Attending an Urban HIV Clinic in Western Kenya.” J Cancer Educ 30, no. 3 (September 2015): 567–72. https://doi.org/10.1007/s13187-014-0787-7.
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  - Jackson, Rebecca A., Sigrid Gardner, Leah N. Torres, Megan J. Huchko, Marya G. Zlatnik, and Joan C. Williams. “My Obstetrician Got Me Fired: How Work Notes Can Harm Pregnant Patients and What to Do About It.” Obstet Gynecol 126, no. 2 (August 2015): 250–54. https://doi.org/10.1097/AOG.0000000000000971.
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  - Rosser, Joelle I., Sabina Hamisi, Betty Njoroge, and Megan J. Huchko. “Barriers to Cervical Cancer Screening in Rural Kenya: Perspectives from a Provider Survey.” J Community Health 40, no. 4 (August 2015): 756–61. https://doi.org/10.1007/s10900-015-9996-1.
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  - Rosser, Joelle I., Betty Njoroge, and Megan J. Huchko. “Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya.” Patient Educ Couns 98, no. 7 (July 2015): 884–89. https://doi.org/10.1016/j.pec.2015.03.017.
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  - Huchko, Megan J., Hannah Leslie, May Maloba, Jennifer Zakaras, Elizabeth Bukusi, and Craig R. Cohen. “Outcomes Up to 12 Months After Treatment With Loop Electrosurgical Excision Procedure for Cervical Intraepithelial Neoplasia Among HIV-Infected Women.” J Acquir Immune Defic Syndr 69, no. 2 (June 1, 2015): 200–205. https://doi.org/10.1097/QAI.0000000000000565.
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  - Rosser, Joelle I., Betty Njoroge, and Megan J. Huchko. “Knowledge about cervical cancer screening and perception of risk among women attending outpatient clinics in rural Kenya.” Int J Gynaecol Obstet 128, no. 3 (March 2015): 211–15. https://doi.org/10.1016/j.ijgo.2014.09.006.
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  - Huchko, Megan J., Jennifer Sneden, George Sawaya, Karen Smith-McCune, May Maloba, Naila Abdulrahim, Elizabeth A. Bukusi, and Craig R. Cohen. “Accuracy of visual inspection with acetic acid to detect cervical cancer precursors among HIV-infected women in Kenya.” Int J Cancer 136, no. 2 (January 15, 2015): 392–98. https://doi.org/10.1002/ijc.28996.
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  - Adamson, Paul C., Megan J. Huchko, Alison M. Moss, Hans F. Kinkel, and Andrew Medina-Marino. “Acceptability and Accuracy of Cervical Cancer Screening Using a Self-Collected Tampon for HPV Messenger-RNA Testing among HIV-Infected Women in South Africa.” Plos One 10, no. 9 (2015): e0137299. https://doi.org/10.1371/journal.pone.0137299.
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  - Huchko, Megan J., Jennifer Sneden, Jennifer M. Zakaras, Karen Smith-McCune, George Sawaya, May Maloba, Elizabeth Ann Bukusi, and Craig R. Cohen. “A randomized trial comparing the diagnostic accuracy of visual inspection with acetic acid to Visual Inspection with Lugol's Iodine for cervical cancer screening in HIV-infected women.” Plos One 10, no. 4 (2015): e0118568. https://doi.org/10.1371/journal.pone.0118568.
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  - Huchko, Megan J., May Maloba, Miriam Nakalembe, and Craig R. Cohen. “The time has come to make cervical cancer prevention an essential part of comprehensive sexual and reproductive health services for HIV-positive women in low-income countries.” J Int Aids Soc 18, no. Suppl 5 (2015): 20282. https://doi.org/10.7448/IAS.18.6.20282.
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  - Rosser, Joelle I., Jennifer M. Zakaras, Sabina Hamisi, and Megan J. Huchko. “Men's knowledge and attitudes about cervical cancer screening in Kenya.” Bmc Womens Health 14 (November 22, 2014): 138. https://doi.org/10.1186/s12905-014-0138-1.
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  - Upadhyay, Ushma D., Jessica D. Gipson, Mellissa Withers, Shayna Lewis, Erica J. Ciaraldi, Ashley Fraser, Megan J. Huchko, and Ndola Prata. “Women's empowerment and fertility: a review of the literature.” Soc Sci Med 115 (August 2014): 111–20. https://doi.org/10.1016/j.socscimed.2014.06.014.
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  - Huchko, Megan J., Hannah Leslie, May Maloba, Elizabeth A. Bukusi, and Craig R. Cohen. “Factors associated with recurrence of cervical intraepithelial neoplasia 2+ after treatment among HIV-infected women in Western Kenya.” J Acquir Immune Defic Syndr 66, no. 2 (June 1, 2014): 188–92. https://doi.org/10.1097/QAI.0000000000000130.
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  - Owiti, Patrick O., Jeremy Penner, Arbogast Oyanga, Megan Huchko, Frankline M. Onchiri, Craig Cohen, and Elizabeth A. Bukusi. “World Health Organization's stage 4 conditions among adults accessing outpatient HIV care: a retrospective cohort study in Kisumu, Kenya.” J Acquir Immune Defic Syndr 65, no. 4 (April 1, 2014): e152–55. https://doi.org/10.1097/QAI.0000000000000020.
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  - Huchko, Megan J., Jennifer Sneden, Hannah H. Leslie, Naila Abdulrahim, May Maloba, Elizabeth Bukusi, and Craig R. Cohen. “A comparison of two visual inspection methods for cervical cancer screening among HIV-infected women in Kenya.” Bull World Health Organ 92, no. 3 (March 1, 2014): 195–203. https://doi.org/10.2471/BLT.13.122051.
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  - Huchko, M. J., H. H. Leslie, and K. Smith-McCune. “Authors' reply: Impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on HIV-1 genital shedding: a prospective cohort study: population and statistical queries.” Bjog 121, no. 3 (February 2014): 372. https://doi.org/10.1111/1471-0528.12520.
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  - Huchko, Megan J., Hannah Leslie, Jennifer Sneden, May Maloba, Naila Abdulrahim, Elizabeth A. Bukusi, and Craig R. Cohen. “Risk factors for cervical precancer detection among previously unscreened HIV-infected women in Western Kenya.” Int J Cancer 134, no. 3 (February 1, 2014): 740–45. https://doi.org/10.1002/ijc.28401.
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  - Leslie, Hannah H., Deborah A. Karasek, Laura F. Harris, Emily Chang, Naila Abdulrahim, May Maloba, and Megan J. Huchko. “Cervical cancer precursors and hormonal contraceptive use in HIV-positive women: application of a causal model and semi-parametric estimation methods.” Plos One 9, no. 6 (2014): e101090. https://doi.org/10.1371/journal.pone.0101090.
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  - Mungo, Chemtai, Craig R. Cohen, May Maloba, Elizabeth A. Bukusi, and Megan J. Huchko. “Prevalence, characteristics, and outcomes of HIV-positive women diagnosed with invasive cancer of the cervix in Kenya.” Int J Gynaecol Obstet 123, no. 3 (December 2013): 231–35. https://doi.org/10.1016/j.ijgo.2013.07.010.
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  - Huchko, M. J., V. G. Woo, T. Liegler, H. Leslie, K. Smith-McCune, G. F. Sawaya, E. A. Bukusi, and C. R. Cohen. “Impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on HIV-1 genital shedding: a prospective cohort study.” Bjog 120, no. 10 (September 2013): 1233–39. https://doi.org/10.1111/1471-0528.12258.
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  - Singhrao, Ruby, Megan Huchko, and Gavin Yamey. “Reproductive and maternal health in the post-2015 era: cervical cancer must be a priority.” Plos Med 10, no. 8 (August 2013): e1001499. https://doi.org/10.1371/journal.pmed.1001499.
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  - Huchko, Megan Justine, Victoria Woo, Teri Liegler, Anna Leddy, Karen Smith-McCune, George F. Sawaya, Elizabeth A. Bukusi, and Craig R. Cohen. “Is there an association between HIV-1 genital shedding and cervical intraepithelial neoplasia 2/3 among women on antiretroviral therapy?” J Low Genit Tract Dis 17, no. 3 (July 2013): 354–60. https://doi.org/10.1097/LGT.0b013e3182712286.
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  - Woo, Victoria G., Teri Liegler, Craig R. Cohen, George F. Sawaya, Karen Smith-McCune, Elizabeth A. Bukusi, and Megan J. Huchko. “Association of cervical biopsy with HIV type 1 genital shedding among women on highly active antiretroviral therapy.” Aids Res Hum Retroviruses 29, no. 7 (July 2013): 1000–1005. https://doi.org/10.1089/aid.2012.0341.
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  - Patanwala, Insiyyah Y., Heidi M. Bauer, Justin Miyamoto, Ina U. Park, Megan J. Huchko, and Karen K. Smith-McCune. “A systematic review of randomized trials assessing human papillomavirus testing in cervical cancer screening.” Am J Obstet Gynecol 208, no. 5 (May 2013): 343–53. https://doi.org/10.1016/j.ajog.2012.11.013.
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  - Woo, Victoria Gah Hay, Craig R. Cohen, Elizabeth A. Bukusi, and Megan J. Huchko. “Direct questioning is more effective than patient-initiated report for the detection of sexually transmitted infections in a primary care HIV clinic in Western Kenya.” Sex Transm Dis 40, no. 2 (February 2013): 158–61. https://doi.org/10.1097/OLQ.0b013e318278bf97.
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  - Woo, Victoria G., Craig R. Cohen, Elizabeth A. Bukusi, and Megan J. Huchko. “Loop electrosurgical excision procedure: safety and tolerability among human immunodeficiency virus-positive Kenyan women.” Obstet Gynecol 118, no. 3 (September 2011): 554–59. https://doi.org/10.1097/AOG.0b013e31822b0991.
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  - Huchko, Megan J., Elizabeth A. Bukusi, and Craig R. Cohen. “Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya.” Int J Gynaecol Obstet 114, no. 2 (August 2011): 106–10. https://doi.org/10.1016/j.ijgo.2011.02.009.
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  - Woo, V., C. R. Cohen, E. A. Bukusi, and M. J. Huchko. “P3-S1.08 Are there acceptable alternatives to syndromic management for the diagnosis of sexually transmitted infections in HIV positive Kenyan women?” Sexually Transmitted Infections 87, no. Suppl 1 (July 1, 2011): A269–A269. https://doi.org/10.1136/sextrans-2011-050108.408.
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  - Huchko, Megan J., Michele Montandon, Rosemary Nguti, Elizabeth A. Bukusi, and Craig R. Cohen. “The association of HIV counseling and testing with HIV risk behaviors in a random population-based survey in Kisumu, Kenya.” Aids Behav 15, no. 4 (May 2011): 718–24. https://doi.org/10.1007/s10461-009-9649-4.
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  - Huchko, Megan J., May Maloba, and Elizabeth A. Bukusi. “Safety of the loop electrosurgical excision procedure performed by clinical officers in an HIV primary care setting.” Int J Gynaecol Obstet 111, no. 1 (October 2010): 89–90. https://doi.org/10.1016/j.ijgo.2010.05.014.
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  - Wang, Jeff G., Megan J. Huchko, Suzanne Kavic, and Mark V. Sauer. “Rectus sheath hematoma after transvaginal follicle aspiration: a rare complication of in vitro fertilization.” Fertil Steril 84, no. 1 (July 2005): 217. https://doi.org/10.1016/j.fertnstert.2005.01.116.
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- Book Sections
  - Huchko, M. J. “Cervical cancer prevention in East Africa: Moving from evidence to implementation.” In Global Perspectives on Women’s Sexual and Reproductive Health Across the Lifecourse, 367–90, 2017. https://doi.org/10.1007/978-3-319-60417-6_21.
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- Conference Papers
  - Huchko, Megan, John Gallis, Yujung Choi, Joao Ricardo Nickenig Vissoci, and Sandra Oketch. “Developing a tool to measure intersectional stigma related to HIV and cervical cancer.” In International Journal of Behavioral Medicine, 28:S211–S211, 2021.
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  - Holt, Hunter K., Shalini Kulasingam, Erinn C. Sanstead, Fernando Alarid-Escudero, Karen Smith-McCune, Steven Gregorich, Michael Silverberg, et al. “DISCUSSING CERVICAL CANCER SCREENING OPTIONS: OUTCOMES TO GUIDE CONVERSATIONS BETWEEN PATIENTS AND PROVIDERS.” In Journal of General Internal Medicine, 35:S88–S88, 2020.
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  - Huchko, Megan. “S10.3 Cervical cancer prevention in LMICs: are we on the path to elimination?” In Symposia Presentations. BMJ Publishing Group Ltd, 2019. https://doi.org/10.1136/sextrans-2019-sti.51.
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  - Swanson, M., M. Nakalembe, L. M. Chen, S. M. Ueda, J. Namugga, and M. J. Huchko. “Addressing pain along the continuum of cervical cancer care among women ultimately presenting at mulago national referral hospital and the Uganda cancer institute.” In Gynecologic Oncology, 154:278–278. Elsevier BV, 2019. https://doi.org/10.1016/j.ygyno.2019.04.655.
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  - Swanson, M., M. Nakalembe, L. M. Chen, S. M. Ueda, J. Namugga, and M. J. Huchko. “Surgical candidacy among women presenting at Mulago National Referral Hospital and the Uganda Cancer Institute with new diagnoses of cervical cancer.” In Gynecologic Oncology, 149:244–244. Elsevier BV, 2018. https://doi.org/10.1016/j.ygyno.2018.04.550.
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  - Swanson, M., M. Nakalembe, and M. Huchko. “HPV positivity among women in Central Uganda participating in a Community Health Campaign offering self-collected HPV-based cervical cancer screening.” In Gynecologic Oncology, 147:230–230. Elsevier BV, 2017. https://doi.org/10.1016/j.ygyno.2017.07.103.
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  - Leslie, Hannah, Deborah Karasek, Laura F. Harris, Emily Chang, Naila Abdulrahim, May Maloba, and Megan Huchko. “HORMONAL CONTRACEPTION AND CERVICAL INTRAEPITHELIAL NEOPLASIA AMONG KENYAN WOMEN WITH HIV.” In American Journal of Epidemiology, 177:S59–S59. OXFORD UNIV PRESS INC, 2013.
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  - Huchko, Megan J., Geeta Sharma, and Andrew Healy. “Antenatal steroid use and predictors of preterm labor.” In Obstetrics and Gynecology, 109:92S-92S. LIPPINCOTT WILLIAMS & WILKINS, 2007.
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- Preprints
  - Reid, Hadley Woodruff, Rae Jean Proeschold-Bell, Christina Makarushka, Katherine Dayllan Melgar Vega, Megan Huchko, Jose Jeronimo, and Lavanya Vasudevan. “Using the Consolidated Framework for Implementation Research to Inform the Design of the Mobile Inspección Visual con Ácido Acético System: Mixed Methods Case Study (Preprint).” JMIR Publications Inc., August 5, 2021. https://doi.org/10.2196/preprints.32577.
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