Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06640075
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-10-10
Brief Title:
Community Co-produced Action for Improved Access to Cervical Cancer Screening in Cameroon
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Co-produced Community Action for Improved Access to Cervical Cancer Screening Act4CC a Mixed-methods Study in Rural Areas of the Mifi Health District
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
Act4CC
Brief Summary:
Background - The burden of cervical cancer is unequally distributed globally with over 90 of deaths occurring in low- and middle-income countries LMICs mainly due to insufficient uptake of preventive measures such as screening In 2020 the World Health Organization launched a global initiative for the worldwide elimination of cervical cancer as a public health issue setting a target of 70 of women screened with a high-performance test In Cameroon this target is far from being reached and rural communities are disproportionately affected by low uptake of screening services Recently a new cervical cancer screening program has launched in the Bafoussam Regional Hospital in the capital of the Mifi Health District as part of a larger research project To develop a context-specific strategy improving access to screening for women living in rural areas of the district the active participation of community members for the co-development and implementation of local strategies for cervical cancer screening may be key to improving population screening coverage
Objective - The aim of this study is to evaluate the use of community co-produced action CCA for the development and implementation of HPV-based cervical cancer screening strategies compared to a traditional hospital-based approach in rural areas of the Mifi Health District in Cameroon
Methods - Using a cluster-randomized study design participatory workshops with community members will be led in 7 rural health areas assigned to the intervention arm with the aim of codeveloping local strategies for HPV-based cervical cancer screening adapted to the setting The co-produced strategies may include raising awareness among eligible women aged 30-49 years or 25-49 years if HIV-positive as well as facilitating access to screening tests results and follow-up Women living in one of the 7 health areas assigned to the control arm will be invited by community health workers to undergo screening at the Bafoussam Regional Hospital In both study arms screened women will be included in the GENOVA study a cervical cancer screening trial offering free-of- charge HPV testing followed by triage by visual inspection or genotyping for HPV-positive women and free treatment according to triage results CCA will be evaluated by assessing its effectiveness for screening uptake Screening coverage among eligible women will be estimated during one year after implementation of screening strategies in both study arms based on population statistics provided by the Mifi health district for each health area
Expected results - Developing context-sensitive solutions to cervical cancer screening through a community-based participatory approach in rural areas of the Mifi health district is expected to improve screening participation rate
Objective - The aim of this study is to evaluate the use of community co-produced action CCA for the development and implementation of HPV-based cervical cancer screening strategies compared to a traditional hospital-based approach in rural areas of the Mifi Health District in Cameroon
Methods - Using a cluster-randomized study design participatory workshops with community members will be led in 7 rural health areas assigned to the intervention arm with the aim of codeveloping local strategies for HPV-based cervical cancer screening adapted to the setting The co-produced strategies may include raising awareness among eligible women aged 30-49 years or 25-49 years if HIV-positive as well as facilitating access to screening tests results and follow-up Women living in one of the 7 health areas assigned to the control arm will be invited by community health workers to undergo screening at the Bafoussam Regional Hospital In both study arms screened women will be included in the GENOVA study a cervical cancer screening trial offering free-of- charge HPV testing followed by triage by visual inspection or genotyping for HPV-positive women and free treatment according to triage results CCA will be evaluated by assessing its effectiveness for screening uptake Screening coverage among eligible women will be estimated during one year after implementation of screening strategies in both study arms based on population statistics provided by the Mifi health district for each health area
Expected results - Developing context-sensitive solutions to cervical cancer screening through a community-based participatory approach in rural areas of the Mifi health district is expected to improve screening participation rate
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None