Implementation of Screen, Treat, and Triage for Women Living With HIV in La Romana (iSTAR)

This study, called iSTAR, is implementing a cervical cancer screening and treatment program for women living with HIV in La Romana, Dominican Republic. It is testing a same-day "screen and treat" approach where precancerous cervical cells can be identified and treated in one visit, which is especially important in settings where follow-up care is difficult to access. **You may be eligible if...** - You are a woman assigned female sex at birth (any gender identity), 25 years of age or older - You are HIV-positive - You have had precancerous cervical lesions removed more than 6 months ago - You speak Spanish **You may NOT be eligible if...** - You are currently pregnant, less than 6 weeks postpartum, or pregnancy cannot be ruled out - You had a LEEP procedure (cervical loop excision) within the past 6 months - You have had a hysterectomy (surgical removal of the uterus) - You have a previous diagnosis of gynecological cancer or cancer of the anogenital area - You are unable or unwilling to provide informed consent Talk to your doctor to see if this trial is right for you.