Adherence | Level of adherence (% range of adherence) | Moderating factors that affect level of adherence (+ positive / − negative) |
---|---|---|
Content: core components of the strategy | ||
Training | 92–100% | Context: Stakeholder engagement, Political will (+) |
Political will (+) Participant responsiveness: motivation of health promoters, active participation of local stakeholders during planning and implementation of training (pre-implementation phase) (+) | ||
Offer of HPV self-collection | 54% | Context: urban insecurity (−) / reduction of number of health promoters that were involved in cervical cancer prevention (−) Previous experience in community work allowed changes in the place of the offer (+) |
22–70% | Context: less time to do the offer (−) /reduction of information during the offer Intervention complexity: several pieces of information (-) | |
27–82% | ||
36–90% | ||
Sample handling and transportation | 96–98% | Facilitator strategies: feedback and supervision in different levels of the health system: health care centers—HPV lab—second-level hospitals (+) |
Participant responsiveness: motivation and active participation of health promoters, supervisors, and local stakeholders (+) | ||
Follow-up and treatment | Triage: 38% (318/830) | Intervention complexity: different levels of health system involved in screening—triage—diagnosis and treatment (−) |
Diagnosis: 64% (34/49) | ||
Treatment: 100% (13/13) | ||
Dose | ||
Duration (mean) | 8 min | |
Coverage | ||
Coverage (% of women who accepted SC) | 79% |