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Brief Title: Evaluation of the Cancer Tracking System (CATSystem)
Official Title: Implementing and Evaluating the Cancer Tracking System (CATSystem): A Systems Level Intervention to Improve Cervical Cancer Screening, Treatment Referral and Follow up in Kenya
Study ID: NCT06286462
Brief Summary: Cervical cancer contributes to significant preventable mortality in Kenya where less than 20% of women are screened. The Cancer Tracking System (CATSystem) is a web-based, algorithm generated tool to promote guideline adherent cervical cancer screening and retention through treatment. The goal of this project is to rigorously evaluate the efficacy, implementation, and cost-effectiveness of the CATSystem to improve rates of screening, treatment, referral, and follow-up care in a matched, cluster randomized controlled trial in 10 Kenyan government hospitals (5 intervention, 5 standard of care).
Detailed Description: To help address system level barriers to cervical cancer screening, treatment, and follow-up in Kenya, investigators worked with end-users (providers and patients) to develop the Cancer Tracking System (CATSystem), a web-based, algorithm generated tool to promote guideline adherent cervical cancer screening and retention through treatment. The goal of this project is to rigorously evaluate the efficacy, implementation, and cost-effectiveness of the CATSystem to improve rates of screening, treatment, referral, and follow-up care in a matched, cluster randomized controlled trial in 10 Kenyan government hospitals (5 intervention, 5 standard of care). Specific aims (SA) of the study are to (1) Implement and evaluate the efficacy of CATSystem to improve guideline adherent cervical cancer screening, treatment, referral and follow up, (2) Assess feasibility and acceptability of implementation of CATSystem in government run facilities using a human centered design approach, and (3) Calculate the costs and cost-effectiveness of the CATSystem to increase quality adjusted life years gained. Cervical cancer deaths can be prevented with early detection and treatment. This study will evaluate the public health impact of the CATSystem in improving cervical cancer screening, treatment, referral, follow-up, and the feasibility of scale up to other low resource settings.
Minimum Age: 16 Years
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: Yes
Akala Health Center, Akala, , Kenya
Bondo Referral Hospital, Bondo, , Kenya
Alupe Sub-County Hospital, Busia, , Kenya
Busia County Referral Hospital, Busia, , Kenya
Khunyangu Sub-County Hospital, Busia, , Kenya
Matayos Health Center, Busia, , Kenya
Port Victoria Sub-County Hospital, Busia, , Kenya
Nambale Sub-County Hospital, Siaya, , Kenya
Yala Sub-County Hospital, Siaya, , Kenya
Ukwala Sub-County Hospital, Ukwala, , Kenya
Name: Sarah Finocchario-Kessler, PhD
Affiliation: Univer
Role: PRINCIPAL_INVESTIGATOR
Name: Natabhona Mabachi, PhD
Affiliation: DARTNet Institute
Role: PRINCIPAL_INVESTIGATOR