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Table 2 Study characteristics

From: Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa: a systematic review

  Number of studies (n) Percentage of total studies (%)
Sub-Saharan region
 South 16 30.2
 West 16 30.2
 East 14 26.4
 Middle 7 13.2
Country
 South Africa 14 26.4
 Nigeria 10 18.9
 Cameroon 7 13.2
 Kenya 5 9.4
 Uganda 4 7.5
 Ghana 3 5.7
 Botswana 2 3.8
 Tanzania 1 1.9
 Cote d’Ivoire 1 1.9
 Zambia 1 1.9
 Gambia 1 1.9
 Mozambique 1 1.9
 Malawi 1 1.9
 Madagascar 1 1.9
 Mali 1 1.9
Publication date
 1996–2000 1 1.9
 2001–2005 2 3.8
 2006–2010 8 15.1
 2011–2017 42 79.2
Study design
 Cross-sectional 34 64.2
 Pre-post test 10 18.9
 Randomized control trial 8 15.1
 Nonrandomized control trial 1 1.9
Prevention tool
 VIA 19 35.8
 HPV DNA or RNA test 15 28.3
 Pap smear 13 24.5
 HPV vaccine 9 17.0
 Digital imaging 9 17.0
 VILI 9 17.0
 Colposcopy 7 13.2
 Cryotherapy 5 9.4
 LEEP 5 9.4
 Biopsy 5 9.4
 Unspecified screening 5 9.4
Implementation strategy
 Educate 38 71.7
 Restructure 26 49.1
 Quality 13 24.5
 Finance 5 9.4
 Plan 1 1.9
 Attend to policy context 0 0.0
Implementation outcome
 Penetration 33 62.3
 Acceptability 15 28.3
 Fidelity 14 26.4
 Feasibility 8 15.1
 Adoption 6 11.3
 Sustainability 2 3.8
 Cost 1 1.9
 Appropriateness 0 0.0
Quality assessment
 Poor 20 37.7
 Fair 22 41.5
 Good 11 20.8