Uptake of cervical cancer screening
Difference in uptake of cervical cancer screening between 2 arms. Based on the number of cervical cancer screening tests that are processed and have available results.
Time frame: 3 months
Colposcopy referrals
Difference in colposcopy referrals between 2 arms. Based on the number of colposcopy referrals made to the tertiary hospital for abnormal cervical cancer screening test results in either arm.
Time frame: 2 years
Detection of cervical intraepithelial neoplasia (CIN) 2, CIN 3 and cervical cancers
Difference in detection of CIN 2, CIN 3 and cervical cancers between both arms.
Time frame: 2 years
Treatments for CIN 2, CIN 3 and cervical cancers
Difference in treated CIN 2, CIN 3 and cervical cancers between both arms. Based on the number of participants with CIN 2, CIN 3 and cervical cancers that have undergone treatments by a gynecologist in either arm.
Time frame: 2 years
Cost-effectiveness of cervical cancer screening
Difference in cost-effectiveness of offering cervical cancer screening between both arms. This includes the cost of screening and follow-up visits in primary care, the cost of further investigations in primary and tertiary care and the cost of treatment for CIN and cervical cancer in tertiary care.
Time frame: 2 years
Facilitators and barriers of uptake of cervical cancer screening
Assessing the factors associated with uptake of cervical cancer screening. These factors include demographics of participants (age, ethnicity, education level, marital status, housing type, employment status), Body Mass Index, obstetrics-related factors (menopausal status, pregnancies, previous cervical cancer screening tests, use of tampons or menstrual cups, previous HPV vaccinations) as well as beliefs and attitudes towards cervical cancer screening. These variables will be collected from questionnaires.
Time frame: 1 year
Feasibility of self-sampling cervical cancer screening
Assessing the preferences for next screening and the experience of the sampling procedure (ease of conducting, comfort, anxiety, embarrassment, unpleasantness and trusting of results) from questionnaires.
Time frame: 1 year
Risk factors for cervical cancer and CIN
Assessing the factors associated with cervical cancer and CIN. These factors include demographics of participants, family history of cervical cancer, smoking status, use of contraceptives, immunosuppressive conditions and sexual history and obstetrics-related factors. These variables will be collected from questionnaires.
Time frame: 2 years