Table 1. Site-specific primary triage and treatment protocols Biopsy and treatment protocols.
| Site | Primary Screening Test | Triage method | Staff taking biopsies | Biopsy Instrument | Treatment threshold | Primary Treatment |
|---|---|---|---|---|---|---|
| Dominican Republic | ScreenFire HPV, Cytology | Colposcopy | Gynecologists | Biopsy forceps | CIN2+ +biopsy | Ablation or LLETZ |
| Malawi | ScreenFire HPV | VIA | Nurses | Softbrush | VIA-positive | Ablation or LLETZ |
| Nigeria | ScreenFire HPV | Colposcopy | General Doctors, Gynecologists, GYN oncologists |
Biopsy forceps | HPV-positive | Ablation or LLETZ |
| Brazil | ScreenFire HPV | Conventional cytology, liquid-based cytology, and colposcopy | Gynecologists | Biopsy forceps | CIN2 + biopsy or high-grade colpo impression | LLETZ |
| Cambodia | ScreenFire HPV | Colposcopy (mobile colposcope) | Nurse midwives, General Doctors, Gynecologists |
Softbrush | VIA-positive or HPV16,18/45 positive |
Ablation or LLETZ |
| Eswatini | ScreenFire HPV & VIA | VIA | Nurse midwives | Softbrush | VIA-positive | Ablation |
| El Salvador | ScreenFire HPV, Cytology, CareHPV | Colposcopy and VAT | General Doctors | Biopsy forceps | HPV-positive | Ablation |
| Tanzania | ScreenFire HPV | VIA | Gynecologists, nurses, nurse midwives | Biopsy forceps, Softbrush | VIA-positive | Ablation |
| Honduras | ScreenFire HPV | Colposcopy and VAT | Nurse midwives, General Doctors, | Biopsy forceps | VIA-positive | Ablation |