Clinic vs Clinic+Community Outreach HPV Self-Collection to Increase Cervical Screening in Women With HIV

Inclusion Criteria

• •Are living with Human Immunodeficiency Virus (HIV)
• •Are 25-49 years of age, or as recommended by the Uganda's Ministry of Health Cervical Cancer Prevention and Control Guidelines
• •Live in the catchment areas of or attend a study-eligible clinic
• •Are eligible for Human Papillomavirus (HPV)-based cervico vaginal testing either because:
• •* They have never undergone cervical cancer screening before, or
• •* They have never undergone HPV-based testing before and are now due for Acetic Acid (VIA), per national guidelines, or
• •* They have previously undergone HPV-based testing, and are now due for follow-up HPV-based testing per national guidelines, and /or
• •* They underwent ablative or excisional treatment for presumed or confirmed cervical dysplasia \>1 year ago and have not had any follow-up cervical cancer screening since treatment.
• •Clinics selected for inclusion will include those clinics that provide Human Immunodeficiency Virus (HIV) care and distribute antiretroviral therapy (ART) to Women living with Human Immunodeficiency Virus (WLWH).
• •These clinics should also have the ability to collect their own data.
• •Such clinics could be supported by national programs and bilateral donor-funded initiatives