Expanding Access to Cervical Cancer Screening Through Primary HR-HPV Testing and Self-sampling: a Multicomponent Intervention for Safety Net Health Systems

Inclusion Criteria:

Populations involved in the research are:

1. stakeholder advisory board members;
2. patients eligible for cervical cancer screening participating in the cluster randomized stepped-wedge trial;
3. patients and community members participating in formative research activities;
4. providers, clinic staff, and other health system stakeholders from partnering health systems;
5. Project ECHO Participants (providers, clinic staff, and other health system stakeholders from partner and non-partner institutions);
6. Other Clinical Networks (providers, clinic staff and other health system stakeholders from partner and non-partner institutions)

The eligibility criteria for each are:

Patients eligible for cervical cancer screening:

* Currently a resident in the state of Texas
* Attend for care at a partner clinic enrolled in the study
* Women and persons with a cervix
* Age 25-65
* Due or past due for cervical cancer screening

Patients and community members participating in formative research activities:

• Purposively identified as a stakeholder for formative research by research staff

Providers, clinic staff, and other health system stakeholders from partnering health systems:

* Employed at least part-time by a partnering health system
* Age 18+

Project ECHO Participants:

* Participate in at least one Project ECHO session
* Age 18+

Other Clinical Networks:

* Participate in at least one clinical network session
* Age 18+

Exclusion Criteria:

Patients eligible for cervical cancer screening:

* Report being currently pregnant
* History of total hysterectomy
* History of cervical cancer

Other study populations:

• Unable to communicate in English or Spanish

Vulnerable Populations Participants/samples belonging to vulnerable populations (children, pregnant women, cognitively impaired adults, or prisoners) will be prohibited from participation.