Table 4.
Reach, Effectiveness, Implementation Adoption and Maintenance measurements.
| REAIM dimension | Definition | Result |
|---|---|---|
| REACH | % of eligible women who accepted to participate in the trial. | 99·3% (n=5351/5389) |
| EFFECTIVENESS | % of HPV-positive women with triage at 120 days in the intervention group vs. control group % of HPV-positive women with triage at 60 days in the intervention group vs. control group |
70·5% vs 55·1% 53·9% vs. 33·4% |
| IMPLEMENTATION1 |
% of randomized CHWs in the intervention group that participated in training | 89·1% (n=139/156) |
| % of randomized CHWs that participated in trainings and enrolled at least one eligible woman to the intervention group | 94·9 % (n=132/139) | |
| % of SMS messages that reached a HPV-positive womens´ valid phone number2 | 94·2% (419/445) | |
| % of SMS messages that reached a CHWs´ valid phone number | 96·2% (227/2373) | |
| Receipt of SMS messages reported by women4: | ||
| ▪ % of women who received at least one SMS message | 78·1% (289/370) | |
| ▪ % of phone number wrongly registered | 7·0% (26/370) | |
| ▪ % of women not having received or not remembering having received the SMS message | 14·8% (55/370) | |
| Acceptability5: % of women who agreed with the statement “An SMS message is a good communication channel to be informed that the HPV self-collection result is available at the health centre” | 97·2% (278/286) | |
| ADOPTION |
Adoption: % of CHWs that visited at least one HPV-positive woman after receiving the SMS message. | 90·8% (89/98) |
| Acceptability: % of CHWs that agreed with programmatic incorporation of the mHealth intervention | 86·9% (n=106/122) | |
| MAINTENANCE | Programmatic incorporation of the intervention (qualitative data) | Collaborative work with the Argentinean NCI to plan the scaling-up of the ATICA strategy began in November 2021, its implementation is planned for 2022 |
CHWs: community health workers. HPV: Human Papillomavirus.
1
Percentages in the Implementation section refer to CHWs and HPV-positive women from the Intervention Group.
2
Phone numbers were considered valid if they did not kick back the error notification.
3
This figure includes 34 HPV-positive women who had their triage Pap registered in SITAM after day 60.
4
Number of women included in the denominator corresponds to women who answered the survey.
5
Number of women included in the denominator corresponds to women who answered the acceptability section of the survey.