Recruitment and eligibility criteria
Following an awareness campaign from September 2020 to February 2021, enrolment lists were made available at the three PHCCs, where women had four months to express their interest in participating in the study. Women in the study area were contacted and invited to the PHCCs for a gynaecological consultation on a first-come, first-served basis, and the first 500 registered women were enrolled in the study. In order to assess overall adherence to the service, all women who expressed an interest in participating were registered. Eligibility criteria were: (i) aged between 18 and 49 years; (ii) fluent in French or Malagasy; and (iii) voluntary written informed consent. Exclusion criteria for the study was pregnancy.