Table 1. Type of integration and cervical cancer services provided.
The table shows the integration models described in the included studies.
| Integration model | CaCx Services | CaCx methods | Setting | Author and Country |
|---|---|---|---|---|
| Within clinic integration using internal staff | CaCx screening | VIA | HIV clinics | • Morgan 2014 [Guyana] |
| PAP | HIV / ID clinics | • Sirivongrangson 2007* [Thailand] | ||
| GUM clinic | • Ibrahim 2013 [England] | |||
| CaCx ‘screen and treat’ minor lesions | VIA + Cryotherapy | HIV clinics | • Ekong 2013 [Uganda] | |
| Family planning clinics | • Moon 2012 [Mozambique] | |||
| Mobile HIV clinics | • Mulenga 2012 [Zambia] | |||
| CaCx ‘screen and treat’ larger lesions | VIA + Cryotherapy + LEEP | HIV clinics and RCH clinics | • Anderson 2015 [Côte d’Ivoire, Guyana, and Tanzania] • Martin 2014 [Guyana]^ |
|
| HIV clinics | • Huchko 2011 [Kenya] | |||
| Coordination between co-located clinics/specialists | CaCx screening | VIA | HIV clinic and RCH clinic | • Odafe 2013 [Nigeria] |
| ART and blood giving clinics | • Horo 2012 [Côte d’Ivoire]** | |||
| PAP+ colposcopy | HIV/ID clinic | • Fink 2012 [Argentina] | ||
| CaCx ‘screen and treat’ minor lesions | VIA + Cryotherapy |
Cervical Cancer Prevention Program clinics in HIV clinics | • Mwanahamuntu 2013 [Zambia]*** • Ramogola-Masire 2012 [Botswana] |
|
| Public health clinics | • Parham 2010 [Zambia]*** | |||
| CaCx ‘screen and treat’ larger lesions | ||||
| Complex program of integration and coordination | CaCx screening | PAP | HIV / ID clinics | • McCree-Hale 2011 [Tanzania] |
| CaCx ‘screen and treat’ minor lesions | VIA + Cryotherapy | Family planning, and child and maternal health clinics | • Khozaim 2014 (Kenya) • Plotkin 2014 [Tanzania] |
|
| CaCx ‘screen and treat’ larger lesions | VIA + Cryotherapy + LEEP | HIV clinics and/or Public health clinics | • Mungo 2013 [Kenya] • Pfaendler [Zambia] • Shiferaw,2016 [Ethiopia]^^ |
^LEEP available in two of the 18 sites
^^LEEP available at some of the sites or by referral
*PAP and HPV testing
**VIA and VILI
***VIA and digital camera
CaCx: cervical cancer, VIA: visual inspection with acetic acid, PAP: Papanicolaou test, ID: infectious diseases, GUM: genitourinary medicine, LEEP: loop electrosurgical excision procedure, RCH: reproductive and child health.