Table 4 Adherence to core component of EMA strategy: indicators and source of data
Adherence | Sub-dimensions | Indicators | Source of data |
|---|---|---|---|
Content: core components of the strategy | |||
Training | Training | Number of planned workshops implemented | Training registries |
Inclusion of experts’ presentations, role playing and discussions in small groups | Training material | ||
Participation in training | % of health promoters that participated in the workshops | Training registries | |
Level of knowledge about the strategy among health promoters | % of health promoters with adequate knowledge about EMA strategy | Self-administered questionnaires after training | |
Offer of HPV self-collection | Place of offering SC | % of self-collection offered during home visit | Checklist |
Identification of target population | |||
Age | % of self-collection offers in which health promoter asked the woman’s age | Checklist | |
Pregnancy | % of self-collection offers which HPs asked if the woman was pregnant | Checklist | |
Previous screening | % of SC offers in which HPs asked if the woman had had a previous HPV test | Checklist | |
Key information during SC offer | |||
Information about HPV test | % of SC offers in which HPs mentioned information about HPV test | Checklist | |
Information about cervical cancer prevention | % of SC offers in which HPs mentioned information about cervical cancer prevention | Checklist | |
Information about HPV self-collection | % of SC offers in which HPs mentioned information about self-collection | Checklist | |
Information about self-collection is painless | % of SC offers in which HPs mentioned that self-collection was painless | Checklist | |
Information about possible results (HPV positive/negative) | % of SC offers in which HPs mentioned information about possible HPV results | Checklist | |
Information about results delivery date | % of SC offers in which HPs mentioned information about results delivery date | Checklist | |
Information about results delivery methods | % of SC offers in which HPs mentioned information about results delivery methods | Checklist | |
Explanation on how to perform self-collection | |||
Private place to perform SC | % of SC offers in which HPs suggested a private place to perform self-collection | Checklist | |
Information about different positions to perform self-collection | % of SC offers in which HPs mentioned different positions in which to perform SC. | Checklist | |
Warning about the liquid inside the tube | % of SC offers in which HPs warned the woman to be careful with the liquid inside the tube | Checklist | |
Explanation about how to insert the brush | % of SC offers in which HPs explained the woman that she had to insert the brush into her vagina until it reached the top | Checklist | |
Explanation about how to rotate the brush 3 times | % of SC offers in which HPs explained the woman that she had to rotate the brush 3 times. | Checklist | |
Use of communication support material | % of SC offers in which HPs used communication support material | Checklist | |
Sample handling and transportation | Sampling handling and transportation protocol (among women who accept SC, n=50) | ||
To check that the tube was correctly closed | % of SC offers in which HPs checked that the tube was correctly closed | Checklist | |
To transport the tube in vertical position | % of SC offers in which HPs transported the tube in vertical position | Checklist | |
To label collectors | % of SC offers in which HPs labeled collectors | Checklist | |
To fill the HPV form | % of SC offers in which HPs filled the HPV form | Checklist | |
Follow-up and treatment | Adherence to triage | % of HPV-positive women with triage Pap in 120 days | SITAM |
Adherence to diagnosis | % of HPV-positive/abnormal Pap women with colposcopy | SITAM | |
Adherence to treatment | % of women with CIN2+ with treatment | SITAM | |
Dose | |||
Duration | Duration of SC offers | Mean duration of SC offers | Checklist |
Coverage | |||
Coverage | Acceptability | % of eligible women who accepted to perform self-collection | Checklist |