Kupewa: Optimizing Implementation Strategies for Cervical Cancer Prevention
ConditionCervical Cancer Prevention
Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age9+
SponsorNew York University
About this trial
The goal of this clinical trial is identify an effective and implementable set of implementation strategies to increase cervical cancer prevention in Malawi. The main questions it aims to answer are:
1. Which implementation strategies produce the greatest increase in provider recommendation for, and uptake of, cervical cancer prevention tools among people receiving HIV care. 2. What is the acceptability, appropriateness, feasibility, and cost of these implementation strategies. 3. What is the sustained effect of these implementation strategies. The implementation strategies will be conducted with health workers (clinical officers, nurses, and medical assistants): training, coaching, and a reminder system.
Eligibility criteria
Qualifiers
Health workers: People who provide medical care and counseling (typically medical assistants, clinical officers, and nurses), and interact with adolescent girls and young women aged 9-24 and/or their parents/caregivers.
Clients: Non-pregnant females aged 9-24 (for those aged 9-17, their male or female parent/guardian will also be eligible for participation) who present for HIV care at a participating health facility during the study period.
Disqualifiers
Health workers: Less than 18 years of age, or not an active and regular provider of medical care or counseling at the facility, or unable or unwilling to provide informed consent.
Clients: <9 or >24 years old, or pregnancy, or unable or unwilling to provide informed consent.
Trial design
Treatments tested in this trial
- In-person training
- Virtual training
- Coaching
- Prompts
Treatment groups
7,000 Participants
are divided into 8 treatment groups8
Treatment groupsSee each treatment group below.
Sponsors and collaborators
New York University
Lead sponsor
National Cancer Institute (NCI)
Collaborator
University of California, Los Angeles
Collaborator
Partners in Hope, Inc.
Collaborator
Source ClinicalTrials.gov