Home-Based Education and Cervical Cancer Screening Program for HIV-Positive Women in Nigeria Using the MoMent Peer Support Model

What this Trial Is About

This research aims to improve cervical cancer screening and follow-up care for women living with HIV WLWH in Nigeria. It focuses on adapting and implementing a home-based screening program using the MoMent peer support model to better reach and support this high-risk group. The study evaluates how well the program works, how widely it is adopted, and its long-term sustainability. The study will adapt the MoMent program, which pairs experienced WLWH called Mentor Mothers with newly diagnosed women, to include home-based HPV screening using the GeneXpert HPV test. Women who test positive for high-risk HPV types receive follow-up care, including visual inspection with acetic acid VIA and treatment such as thermal ablation or excision if needed. Those testing negative are invited for retesting after one year. The programs reach, effectiveness, adoption, and fidelity will be assessed over 18 months. Participants will self-collect vaginal samples at home, and Mentor Mothers will assist in notifying and scheduling follow-up care for those with positive results. The study includes questionnaires and process evaluations to identify barriers and facilitators. The main outcomes measured are program reach, effectiveness, adoption, and fidelity at baseline, 6 months, and 18 months. The study runs from December 2024 to June 2026 and focuses on women aged 25 to 50 living with HIV.

Community, Home-based Education, Screening Services Strategy to Increase Cervical Cancer Control Access for HIV-Positive Women in Nigeria