Role of gender in perspectives of discrimination, stigma, and attitudes relative to cervical cancer in rural Sénégal.
Natalia Ongtengco, Hamidou Thiam, Zola Collins...
https://pubmed.ncbi.nlm.nih.gov/32343755Actively Recruiting
Phase Not Applicable
Age: 25Years - 69Years
All Genders
Healthy Volunteers
ID05544084
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 program's effectiveness and implementation outcomes, focusing on how adaptations address stigma, misinformation, and women's 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 program's 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
Age: 25Years - 69Years
All Genders
Healthy Volunteers
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
AI-Screening
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Up to 36 months
Participants receive support from patient navigators and community health workers to overcome barriers to cervical cancer screening and follow-up care.
Assessments every 12 months through 36 months
Long-term Monitoring
Duration - Up to 36 months
Participants are monitored for changes in screening uptake, treatment initiation, and barriers related to cervical cancer over the duration of the study.
Assessments every 12 months through 36 months
Trial Site Locations
Total: 1 location
1
University of Cheikh Anta Diop, Institute of Health and Development
Dakar, Senegal
Actively Recruiting
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Research Team
J
Jon A Dykens, MD, MPH
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
SCREENING
Number of Arms
2
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Published Research Related To This Trial
Implementing visual cervical cancer screening in Senegal: a cross-sectional study of risk factors and prevalence highlighting service utilization barriers.
J Andrew Dykens, Annē M Linn, Tracy Irwin...
https://pubmed.ncbi.nlm.nih.gov/28184171The Chinatown Patient Navigation Program: Adaptation and Implementation of Breast and Cervical Cancer Patient Navigation in Chicago's Chinatown.
Melissa A Simon, Laura S Tom, Ivy Leung...
https://pubmed.ncbi.nlm.nih.gov/31037032