Introduction
human immunodeficiency virus (HIV) infection
CERVICAL CANCER, HPV INFECTION
The burden of cervical cancer is particularly high in sub-Saharan Africa, where the high prevalence of human immunodeficiency virus (HIV) infection contributes to cervical cancer incidence and severity [Family planning clinics are a logical site to offer screening for reproductive-aged women who are presenting for family planning services, as they are sexually active and at risk for HPV infection, the leading cause of cervical cancer [Given the implementation gap between the proven effectiveness of cervical cancer screening and the integration of this evidenced-based intervention into routine care, this cluster randomized trial aimed to test whether a specific implementation strategy, the Systems Analysis and Improvement Approach (SAIA), was effective at increasing cervical cancer screening in FP clinics in Mombasa County, Kenya. SAIA is a multicomponent implementation strategy that uses plan-do-study-act cycles with a cascade analysis tool, sequential process flow mapping, and small tests of change (micro-interventions) to improve care cascades [