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. 2021 Jul 19;2:697607. doi: 10.3389/fgwh.2021.697607

Table 1.

Description of study characteristics of included articles.

References Population Country Study setting Study design Purpose of the study Comment on use of community engagement strategies Results
Abril et al. (18) 76 women Senegal Rural Qualitative Evaluate the communication infrastructure, knowledge, and attitudes of cervical cancer in Senegalese women. Not described. Overall, women had minimal knowledge of cervical cancer. Women preferred that health information be communicated in face-to-face interactions. Friends and male physicians were seen to be reliable sources of information.
Aja et al. (19) 30 women aged 26–51+ years Nigeria Urban Cohort study Describe ways to engage church-based women's groups as a vehicle for developing and delivering culturally relevant women's health information, including cervical cancer prevention. Churches were viewed as a resource within the local communities because they can serve as a venue for delivery of health information. 30 faith leaders from 15 churches participated in the 2-day health workshop. Thirteen churches submitted requests to their leadership to implement the workshop in their local congregations. At 3 months follow-up, three churches had hosted a workshop for their local congregation.
Awua et al. (20) 410 women aged 15–65 years Ghana Rural Cross-sectional study Describe the development of a community-based cervical cancer screening program in response to low uptake of the current clinic-based screening strategy. Screening was conducted in the community compared to screening based in the clinical setting. Researchers had a 96.1% response rate to the community-based screening strategy. Some women preferred self-specimen collection method because of pain from and/or fear of sample collection by a health professional. Others preferred health personnel specimen collection because health professionals were more knowledgeable and experienced.
Chigbu et al. (21) 2,313 women aged 31–60 years Nigeria Rural Cross-sectional study Assess the motivations and preferences of cervical cancer screening by visual inspection with acetic acid (VIA) among Nigerian women. Community engagement strategies were utilized to improve utilization of cervical cancer screening services among women. Participants identified that the common motivational factors for cervical cancer screenings were support from their husbands, and support from community leaders. Most women expected immediate results from screening tests and immediate treatment for any irregularities.
Huchko et al. (22) 4,944 Women aged 25–65 years Kenya Rural Cluster randomized trial Compare utilization of HPV-based cervical cancer screening when they were offered in community health campaigns to screening in government clinics Community health campaigns are a high impact and low-cost method of delivering community-based healthcare. Community health campaigns reached more women for cervical cancer screenings than clinic-based campaigns. This was particularly true for those in hard-to-reach rural areas.
Kapambwe et al. (23) 8,399 women Zambia Rural Cross-sectional study To assess the role of traditional chiefs in promoting village-based cervical cancer screenings. Zambia has 244 Chiefdoms that are officially recognized in the country's Constitution. Chiefs have a heavy influence on their constituents and on the activities that take place in their territories. 83.9% of women who attended community events promoted by local chiefs were screened for cancer. Of those who tested positive, 65.8% received same-day treatment.
Mosavel et al. (24) 181 youth, mothers, educators, support staff, community stakeholders South Africa Urban Cross-sectional study Evaluate the feasibility of an adolescent focused cervical cancer prevention program. The political history of South Africa has cultivated an environment of community engagement, and therefore this project is a natural fit for the use of CBPR. There was an ethical concern of focusing only on young girls when older women have a higher risk of cervical cancer in South Africa. Health interventions need to account for cultural, historical, and economic conditions of the country, all of which inform health-seeking behaviors.
Podolak et al. (25) 107 women, men, community health volunteers, local leaders, and professionals Kenya Rural & Urban Qualitative Understand the decision-making process of local leaders in implementing a cervical cancer screening program. Researchers utilized participatory action research methodology to engage local experts. Self-sampling was socially acceptable among women. Local leaders identified that paying for cancer screenings is a barrier to the majority of women.
Swanson et al. (26) 255 women aged 25–65 years Kenya Rural Cross-sectional study Evaluate the uptake and acceptability of community health campaigns as a method of providing cancer screening and to report cancer prevalence and completion of treatment. Utilizing community health campaigns helps overcome barriers associated with clinic-based screening. There was a positive response to self-collection cervical cancer screening among community members. Most women preferred to receive their results by text. Half of the women who tested positive for HPV received treatment within a month.