Table 1.

Domains assessed at the hospitals during the study.

Domain	Items assessed
Hospital demographics	Name
	Sub-county
	County
	Level as per the Kenya Essential Package for Health (KEPH): level two (dispensary), three (health centre), four (sub-county hospital), five (county referral hospital) and six (national referral hospitals)
	Ownership: public, private, faith-based
	Catchment population
Service availability	Screening using visual inspection with acetic acid (VIA)
	Screening using human papillomavirus (HPV): sample collection
	Screening using HPV testing: sample processing
	Screening using cytology: sample collection
	Screening using cytology: sample processing
	Treatment: cryotherapy, thermal ablation, large loop excision of the transformation zone (LLETZ)
	Biopsy, endocervical curettage, colposcopy, histopathology Health products and supplies: acetic acid, cryotherapy gas, HPV, and pap smear kits
Service provision sites	Maternal and child health clinic
	Comprehensive care centres for HIV
	Outpatient department
	Gynaecologic clinic
	Theatre clinic
	Laboratory
Human resources for health	Number of healthcare workers per cadre, trained and/or deployed at cervical cancer screening and treatment service points
Minimum equipment for cervical cancer screening and treatment and commodities	White light source
	Examination room
	Examination couch
	HPV, cytology kits
	Acetic acid
	Applicator sticks
Infection prevention	Waste disposal bins
Awareness and advocacy	Methods used and frequency
Health information system	Electronic medical records systems (EMR), screening registers
Laboratory	Availability of a GeneXpert machine
	Sample referral mechanisms
	Backlogs
	Commodity stock outs