Cancer
Conditions
Interventions
Enhanced usual care
Nurse navigation plus enhanced usual care
App navigation plus enhanced usual care
Nurse navigation plus app navigation plus enhanced usual care
Sponsors
Queens University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: The inclusion criteria for participants is the following: - Gender: person with an intact cervix - Age: 25 (if HIV positive) and/or age 30 to 49 years old at the time of enrollment as reported verbally - Residence in the study-defined catchment area - Language: able to speak/understand English (preferred) or Kiswahili (if the participant cannot read the consent will be read to her and a thumbprint will suffice for consent) The inclusion criteria for the CHWs is the following: - Women - Physically fit/ambulatory - Secondary school completion (preferred) - Can read and write in Kiswahili and ‘basic’ English - Experience using Android smartphone/tablets (preferred) - Can be trained to perform informed consent process The inclusion criteria for the providers is the following: - CECAP provider of a CECAP site in the Kilimanjaro region - Participated in previous SEVIA training (familiar with cervical images and review process) - Can read and write in Kiswahili and English - Experience using technology/tablets (preferred)
Exclusion criteria
Exclusion criteria: The exclusion criteria for the women is the following: - Current pregnancy (if verbally reported as currently pregnant or possibly pregnant) - History of cervical cancer - History of hysterectomy - Unwilling to collect vaginal specimen for any reason (note that menstrual bleeding is not a contraindication if women are willing to collect the specimen while bleeding) - Apparent inability to give informed consent - Unwillingness to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is women attending VIA within 6 weeks of receiving a positive HPV result. Women will be randomized at the time they receive a phone call to tell them that their result has been processed. | — |
Secondary
| Measure | Time frame |
|---|---|
| The proportion of navigation checkpoints that each woman completes in their unique care/treatment pathway (e.g., completion of thermal ablation), 6 months after attending VIA. | — |
Countries
Tanzania
Contacts
Public ContactGaudensia Olomi
Regional Nursing Officer and Local Program Manager
Outcome results
None listed