The Cancer Tracking System to Improve Cervical Cancer Screening, Referral and Treatment of Women in Kenya, The CATSystem Trial

PRIMARY OBJECTIVES:

I. Implement and evaluate the efficacy of the CATSystem to improve guideline adherent CC screening, treatment, referral, and follow-up.

II. Assess the feasibility and acceptability of CATSystem implementation in government hospitals.

III. Calculate costs and cost-effectiveness of the CATSystem to improve quality-adjusted life years gained.

OUTLINE:

AIM 1: Hospitals are randomized to 1 of 2 arms. Patients are assigned to 1 of 2 arms based on hospital assignment.

ARM I (INTERVENTION HOSPITALS): Hospital providers receive access to CATSystem dashboard. Patients undergo standard of care CC screening, and those with abnormal results may receive referral and treatment per standard of care for the facility. Patients also receive text message reminders to return to the hospital for appointments. Providers receive alerts if patients miss an appointment.

ARM II (CONTROL HOSPITALS): Hospital staff collect standard paper CC screening and treatment uptake data, and study staff enter data into a parallel ‘look-alike CATSystem’ on study. Patients with abnormal CC screening results may receive referral and treatment per standard of care for the facility.

AIM 2: Providers and participants with positive screening results participate in focus groups over 30-45 minutes on study.