RecruitingNot ApplicableNCT05544084

Adaptation and Implementation of a Patient Navigation Program for Cervical Cancer Screening Across Contexts in Senegal

Sponsor

University of Illinois at Chicago

Enrollment

901 participants

Start Date

Aug 1, 2023

Study Type

INTERVENTIONAL

Conditions

Cervical Cancer Behavior

Summary

The goal of this project is to prevent unnecessary deaths due to cervical cancer in Senegal. This mixed methods research responds to identified intrapersonal- and community-level barriers to early cervical cancer screening uptake, follow-up, and treatment among women there. Investigators will apply the Dynamic Adaptation Process (DAP) as integrated into the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to study the adaptation of an evidence-based cervical cancer patient navigation program in urban and rural contexts in Senegal, measure the intervention effectiveness, and evaluate programmatic implementation outcomes. By studying the process of adaptation of a patient navigation program in a low- and middle-income country (LMIC), investigators will build new knowledge while addressing an important public health issue. The project demonstrates innovation by advancing both adaptation and implementation process knowledge of an evidence-based patient navigation intervention in various contexts within a LMIC with a particular focus on how the adaptation responds to cancer-related stigma, misinformation, and women's autonomy in healthcare decision-making. Investigators will build knowledge through local learning which will further the long-term goal to inform the national cervical cancer prevention and control programs in two areas of Senegal and other similar LMICs.

Eligibility

Min Age: 25 YearsMax Age: 69 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a patient navigation program designed to help more people in Senegal get screened for cervical cancer. It involves healthcare workers, community health educators, and community members working together to improve access to screening. **You may be eligible if...** - You are a Senegal citizen between the ages of 25 and 69 - You are willing to participate in surveys - You are a woman living in the community, a healthcare worker at a participating facility, or a health policy/program advisor - Women in the community: you live with a male partner who also agrees to participate **You may NOT be eligible if...** - You are not a citizen of Senegal - You are outside the 25–69 age range - You are unwilling to participate in survey assessments - For some sub-groups: you cannot read or write in French Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALPatient Navigator Approach

Patient navigators in collaboration with community health workers will work with women eligible for cervical cancer screening to overcome intrapersonal and community level barriers to screening in order to engage early with the health system for cervical cancer screening and follow-up of positive screens. Their support can help patients get the cancer screenings and follow-up care they need, while addressing prevalent gender inequities and community-level stigma associated with cancer within the Senegal context.