|
Integration of healthcare services
|
Through the process of implementation, healthcare providers and implementers decide on modifications to existing systems, structures, or tasks to offer women the possibility of having an HPV test at the primary healthcare center
|
Continuum of care for sexual and reproductive health services [11,12,13]
|
Integrating HPV testing within primary care enhances both cervical cancer screening and sexual/reproductive health services uptake
|
|
Education of healthcare providers
|
Off-site training of healthcare providers to update their knowledge, persuade them to change their practices, and maintain their competence
|
Cognitive and learning theories [14]
|
Education favors the integration of new practices in healthcare settings and improves the quality of cervical cancer screening
|
|
Outreach educational visits
|
A trained supervisor visits each target provider at participating facilities to explore problems, identify possible local solutions, and discuss their concerns
|
Health promotion, innovation, and social marketing theories [15]
|
Regular supervisory visits to healthcare providers to help maintain their skills and performance
|
|
Patient counseling
|
Midwives deliver counseling to women at various steps of the screening process: before HPV testing, after the results, after triage and after appropriate treatment if relevant
|
Women empowerment [16]
|
Counseling by a trained midwife benefits woman by facilitating a process of informed participation in the context of improved knowledge
|
