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Table 3 Categorization of micro-interventions in SAIA clinics

From: Results of a cluster randomized trial testing the Systems Analysis and Improvement Approach to increase cervical cancer screening in family planning clinics in Mombasa County, Kenya

Types of micro-interventions

Proportion of SAIA cycles that addressed this micro-intervention (n = 129)

Examples of specific micro-interventions

Notes

Client level

 Sensitization of clients

72 (56)

Health talks

Client sensitization on importance of cervical cancer screening led one clinic to screen all eligible clients in one month

 Mobilizing clients

4 (3)

Using community health volunteers to mobilize clients to come in for screening

One clinic mobilized clients for screening and in 1 month screened all eligible clients

Clinic level

 Addressing lack of commodities for screening

34 (26)

Outsource commodities

One clinic was able to meet with management to procure screening supplies

 Training for cervical cancer screening

10 (8)

Cervical cancer training conducted by study staff

In one clinic, following cervical cancer screening training, 34 of 83 eligible clients in a month were screened

 Clinic flow restructuring

2 (2)

Conduct cervical cancer screening with FP services on days when clinic is not usually busy

One clinic was providing FP clinic in a building constructed from a shipping container that became very warm throughout the day. The clinic restructured to have FP clinic in the morning before temperatures in the building was too warm

 Improve documentation

2 (2)

Ensure completeness of register

One clinic provided feedback about register documentation and also performed data cleaning to improve quality of documentation

 Clinic building renovation

2 (2)

Moving FP clinic into a container onsite

Extra space for cervical cancer screening was made available in a clinic undergoing building renovation

 Addressing cost of cervical cancer screening

1 (1)

Subsidize cost of cervical cancer screening

Clinic subsidized cost of screening and proportion of eligible FP clients screened went from 3 to 13%

 Missing data on specific micro-interventions

2 (2)

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