Trial registration
CERVICAL CANCER
ClinicalTrials.gov, NCT03514459. Registered on April 19, 2018.
This rigorous cluster randomized trial tested an implementation strategy to improve cervical cancer screening in family planning clinics in Mombasa, Kenya.The COVID-19 pandemic, a healthcare worker go-slow, and months-long strike disrupted FP clinic operations, likely impacting the results of the primary intent-to-treat analysis.While the primary intent-to-treat analysis did not show an effect, data from the entire study period suggest that SAIA could be a useful strategy to improve cervical cancer screening in family planning clinics.Data on the specific micro-interventions used by FP clinics highlight context-specific solutions to address bottlenecks in the cervical cancer screening care cascade.