Trial reportBMJ open2019
'I'm here to save my life': a qualitative study of experiences navigating a cryotherapy referral system for human papillomavirus-positive women in western Kenya.
Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02124252 (Evaluation of a Community-Driven Cervical Cancer Prevention Strategy in Western Kenya), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of a Community-Driven Cervical Cancer Prevention Strategy in Western Kenya
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The value of qualitative research in randomized controlled trials involving drugs and medical devices: a systematic mapping review.International journal of technology assessment in health care · 2026Pooled it
- Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review.Health policy and planning · 2023Pooled it
- Optimizing people's movement across the health system: a scoping review of referral systems within a primary health care approach.Primary health care research & development · 2025Article
- lncRNA HIF1A-AS2 acts as an oncogene to regulate malignant phenotypes in cervical cancer.Frontiers in oncology · 2025Article
- Cancer health literacy in Kenya - A scoping review on evidence, concept and a situational analysis of interventions.Frontiers in public health · 2025Article
- Challenges associated with follow-up care after implementation of an HPV screen-and-treat program with ablative therapy for cervical cancer prevention.BMC public health · 2024Article
- Review
- Piloting a systems level intervention to improve cervical cancer screening, treatment and follow up in Kenya.Frontiers in medicine · 2022Article
- Perceived Supportive Paradox After Diagnosing Human Papillomavirus: A Qualitative Content Analysis.International journal of community based nursing and midwifery · 2021Article
- Understanding HPV-positive women's needs and experiences in relation to patient-provider communication issues: a qualitative study.BMC health services research · 2021Article
- Health care workers' experiences with implementation of "screen and treat" for cervical cancer prevention in Malawi: A qualitative study.Implementation science communications · 2020Article
- "It is big because it's ruining the lives of many people in Malawi": Women's attitudes and beliefs about cervical cancer.Preventive medicine reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundWe sought to understand the beliefs, social norms and logistical factors that affect human papillomavirus (HPV)-positive women's uptake of cryotherapy treatment as part of a two-part cervical cancer screening strategy in rural Kenya.
methodsIn-depth interviews within a parent cluster-randomised trial.
settingGovernment-run county hospital in western Kenya.
participants273 of 372 (73.4%) HPV-positive women who underwent cryotherapy
resultsMany women feared that an HPV infection meant they would develop cancer. Almost all women reported initial fear of the treatment procedure, followed by a more positive experience than anticipated. Lacking funds for transportation to the treatment site was the most common barrier. Women felt that decentralised treatment would be the most important facilitator of greater access. Spousal encouragement and financial support were key facilitators of treatment access, however many women felt that other husbands in the community would not be supportive. Women described successfully acquiring treatment as empowering, and almost all would recommend seeking cryotherapy to other women who test HPV-positive. Most felt eager to share their own experiences with others to encourage treatment.
conclusionsThe main facilitators of treatment access were understanding of the health risks and sense of empowerment. A decentralised treatment model or transportation support may facilitate access, along with improved health messaging about HPV infection, cancer and the treatment process. Focusing on women's personal feelings of empowerment may further improve uptake and satisfaction. These data will be used to design a strategy to improve linkage to treatment.
trial registrationNCT02124252.
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