Actively Recruiting
Adaptation and Implementation of a Patient Navigation Program for Cervical Cancer Screening Across Contexts in Senegal
Led by University of Illinois at Chicago · Updated on 2026-05-08
901
Participants Needed
1
Research Sites
21 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to prevent unnecessary deaths from cervical cancer in Senegal by addressing barriers to early screening, follow-up, and treatment among women. The study applies the Dynamic Adaptation Process within the Exploration, Preparation, Implementation, Sustainment EPIS framework to adapt an evidence-based cervical cancer patient navigation program in both urban and rural settings. It evaluates the programs effectiveness and implementation outcomes, focusing on how adaptations address stigma, misinformation, and womens autonomy in healthcare decisions. The study involves adapting the Chicago Chinatown Patient Navigation Program to fit the contexts of Kedougou and Dakar regions in Senegal. It uses a stepped-wedge randomized pragmatic trial across six districts, where clusters transition from standard care to the adapted navigation program. Patient navigators work with community health workers to help women overcome personal and community barriers to screening and follow-up care. The study also measures implementation factors such as feasibility, acceptability, fidelity, sustainability, and costs. Participants will complete surveys and medical record reviews at baseline and every 12 months for three years to assess screening uptake, time to treatment, stigma, decision-making autonomy, awareness, knowledge, and communication about cervical cancer. The research collects data from women and men involved in cervical cancer prevention services and evaluates the adapted programs success throughout exploration, preparation, implementation, and sustainment phases. The total study duration spans multiple years with repeated assessments to understand both health and community impacts.
CONDITIONS
Brief Title
Adaptation and Implementation of a Patient Navigation Program for Cervical Cancer Screening Across Contexts in Senegal
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Senegal citizen between 25 and 69 years old
- Willing to participate in survey assessments
- Able to read and write in French (for some participant groups)
- Women living with a male partner who agrees to participate
- Men living in a household with at least one woman eligible for cervical cancer prevention services
- Employed by the state at a health facility as a patient navigator, clinician, or community health worker (for specific samples)
- Invited member of the study National Advisory Board or Regional Implementation Resource Teams (for specific samples)
You will not qualify if you...
- No additional exclusion criteria exist
Research Team
J
Jon A Dykens, MD, MPH
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