{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T04:14:01Z","timestamp":1770437641366,"version":"3.49.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["K08CA228761"],"award-info":[{"award-number":["K08CA228761"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["D43TW010905"],"award-info":[{"award-number":["D43TW010905"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Implement Sci Commun"],"DOI":"10.1186\/s43058-025-00852-4","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T02:14:54Z","timestamp":1767924894000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A mixed-methods assessment of individual client-level and clinic-level factors associated with uptake of cervical cancer screening (CCS) services in family planning (FP) clinics receiving an intervention to support these services in Mombasa County, Kenya"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4593-0056","authenticated-orcid":false,"given":"Brenda","family":"Oyaro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Wanje","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbra A.","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marleen","family":"Temmerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Scott","family":"McClelland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"McKenna","family":"Eastment","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"issue":"3","key":"852_CR1","first-page":"209","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209\u201349.","journal-title":"CA Cancer J Clin"},{"issue":"26 Suppl 10","key":"852_CR2","doi-asserted-by":"publisher","first-page":"K1","DOI":"10.1016\/j.vaccine.2008.05.064","volume":"19","author":"FX Bosch","year":"2008","unstructured":"Bosch FX, Burchell AN, Schiffman M, Giuliano AR, de Sanjose S, Bruni L, et al. Epidemiology and natural history of human papillomavirus infections and type-specific implications in cervical neoplasia. Vaccine. 2008;19(26 Suppl 10):K1-16.","journal-title":"Vaccine"},{"issue":"6","key":"852_CR3","first-page":"394","volume":"68","author":"F Bray","year":"2018","unstructured":"Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394\u2013424.","journal-title":"CA Cancer J Clin"},{"key":"852_CR4","unstructured":"Statistics KNB of, Health\/Kenya M of, Council\/Kenya NAC, Institute KMR, Development\/Kenya NC for P and. Kenya Demographic and Health Survey 2014. 2015. Available from: https:\/\/www.dhsprogram.com\/publications\/publication-fr308-dhs-final-reports.cfm. Cited 2023 Jun 30."},{"key":"852_CR5","unstructured":"Kenya Cancer Policy 2020.pdf. Available from: https:\/\/www.ncikenya.or.ke\/documents\/Kenya%20Cancer%20Policy%202020.pdf. Cited 2023 Jul 5."},{"issue":"4","key":"852_CR6","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1007\/s10900-015-9996-1","volume":"40","author":"JI Rosser","year":"2015","unstructured":"Rosser JI, Hamisi S, Njoroge B, Huchko MJ. Barriers to cervical cancer screening in rural Kenya: perspectives from a provider survey. J Community Health. 2015;40(4):756\u201361.","journal-title":"J Community Health"},{"key":"852_CR7","unstructured":"Cervical cancer Kenya 2021 country profile. Available from: https:\/\/www.who.int\/publications\/m\/item\/cervical-cancer-ken-country-profile-2021. Cited 2023 Jun 30."},{"key":"852_CR8","unstructured":"National-Cancer-Screening-Guidelines-2018.pdf. Available from: https:\/\/arua-ncd.org\/wp-content\/uploads\/2022\/10\/National-Cancer-Screening-Guidelines-2018.pdf. Cited 2025 Nov 11."},{"key":"852_CR9","unstructured":"SAIA. 2023. Cervical cancer. Available from: https:\/\/www.saia-strategy.com\/saia-cervical-cancer. Cited 2025 Nov 11."},{"issue":"1","key":"852_CR10","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50","volume":"4","author":"LJ Damschroder","year":"2009","unstructured":"Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(1):50.","journal-title":"Implement Sci"},{"issue":"9","key":"852_CR11","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","volume":"15","author":"HF Hsieh","year":"2005","unstructured":"Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277\u201388.","journal-title":"Qual Health Res"},{"key":"852_CR12","unstructured":"2020\u20130193_GRAMMS_checklist.pdf. Available from: https:\/\/www.cmajopen.ca\/content\/cmajo\/suppl\/2021\/11\/26\/9.4.E1097.DC1\/2020-0193_GRAMMS_checklist.pdf. Cited 2025 Nov 11."},{"key":"852_CR13","doi-asserted-by":"crossref","unstructured":"Lim JNW, Ojo AA. Barriers to utilisation of cervical cancer screening in Sub Sahara Africa: a systematic review. Eur J Cancer Care (Engl). 2017;26(1):e12444.","DOI":"10.1111\/ecc.12444"},{"issue":"24","key":"852_CR14","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1186\/s12889-024-17842-1","volume":"20","author":"F Mantula","year":"2024","unstructured":"Mantula F, Toefy Y, Sewram V. Barriers to cervical cancer screening in Africa: a systematic review. BMC Public Health. 2024;20(24):525.","journal-title":"BMC Public Health"},{"issue":"4","key":"852_CR15","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1007\/s13187-020-01928-6","volume":"37","author":"K Adewumi","year":"2022","unstructured":"Adewumi K, Nishimura H, Oketch SY, Adsul P, Huchko M. Barriers and facilitators to cervical cancer screening in Western Kenya: a qualitative study. J Cancer Educ. 2022;37(4):1122\u20138.","journal-title":"J Cancer Educ"},{"issue":"22","key":"852_CR16","doi-asserted-by":"publisher","first-page":"2144","DOI":"10.1186\/s12889-022-14601-y","volume":"22","author":"B Vega Crespo","year":"2022","unstructured":"Vega Crespo B, Neira VA, Ort\u00edz Segarra J, Andrade A, Guerra G, Ortiz S, et al. Barriers and facilitators to cervical cancer screening among under-screened women in Cuenca, Ecuador: the perspectives of women and health professionals. BMC Public Health. 2022;22(22):2144.","journal-title":"BMC Public Health"},{"issue":"3","key":"852_CR17","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1080\/08870446.2021.1918690","volume":"37","author":"G Stuart","year":"2022","unstructured":"Stuart G, D\u2019Lima D. Perceived barriers and facilitators to attendance for cervical cancer screening in EU member states: a systematic review and synthesis using the Theoretical Domains Framework. Psychol Health. 2022;37(3):279\u2013330.","journal-title":"Psychol Health"},{"issue":"1","key":"852_CR18","doi-asserted-by":"publisher","first-page":"1577","DOI":"10.1186\/s12913-022-08984-2","volume":"22","author":"MC Eastment","year":"2022","unstructured":"Eastment MC, Wanje G, Richardson BA, Mwaringa E, Patta S, Sherr K, et al. A cross-sectional study of the prevalence, barriers, and facilitators of cervical cancer screening in family planning clinics in Mombasa County, Kenya. BMC Health Serv Res. 2022;22(1):1577.","journal-title":"BMC Health Serv Res"},{"issue":"9","key":"852_CR19","doi-asserted-by":"publisher","first-page":"4586","DOI":"10.3390\/ijerph18094586","volume":"18","author":"B Chua","year":"2021","unstructured":"Chua B, Ma V, Asjes C, Lim A, Mohseni M, Wee HL. Barriers to and facilitators of cervical cancer screening among women in Southeast Asia: a systematic review. Int J Environ Res Public Health. 2021;18(9):4586.","journal-title":"Int J Environ Res Public Health"},{"issue":"8","key":"852_CR20","first-page":"647","volume":"34","author":"A Mittal","year":"2023","unstructured":"Mittal A, Neibart SS, Kulkarni A, Anderson T, Hudson SV, Beer NL, et al. Barriers and facilitators to effective cervical cancer screening in Belize: a qualitative analysis. Cancer Causes Control. 2023;34(8):647\u201356.","journal-title":"Cancer Causes Control"},{"key":"852_CR21","doi-asserted-by":"crossref","unstructured":"Mingo AM, Panozzo CA, DiAngi YT, Smith JS, Steenhoff AP, Ramogola-Masire D, et al. Cervical cancer awareness and screening in Botswana. Int J Gynecol Cancer. 2012;22(4). Available from: https:\/\/ijgc.bmj.com\/content\/22\/4\/638. Cited 2024 Apr 29.","DOI":"10.1097\/IGC.0b013e318249470a"},{"issue":"8","key":"852_CR22","doi-asserted-by":"publisher","first-page":"754","DOI":"10.3109\/01443610903225323","volume":"29","author":"CC Dim","year":"2009","unstructured":"Dim CC, Nwagha UI, Ezegwui HU, Dim NR. The need to incorporate routine cervical cancer counselling and screening in the management of women at the outpatient clinics in Nigeria. J Obstet Gynaecol. 2009;29(8):754\u20136.","journal-title":"J Obstet Gynaecol"},{"issue":"3","key":"852_CR23","doi-asserted-by":"publisher","first-page":"e0149908","DOI":"10.1371\/journal.pone.0149908","volume":"11","author":"H Bayu","year":"2016","unstructured":"Bayu H, Berhe Y, Mulat A, Alemu A. Cervical cancer screening service uptake and associated factors among age eligible women in Mekelle Zone, Northern Ethiopia, 2015: a community based study using health belief model. PLoS ONE. 2016;11(3):e0149908.","journal-title":"PLoS ONE"},{"issue":"4","key":"852_CR24","doi-asserted-by":"publisher","first-page":"429.e1","DOI":"10.1016\/j.ajog.2017.12.209","volume":"218","author":"TA Becerra-Culqui","year":"2018","unstructured":"Becerra-Culqui TA, Lonky NM, Chen Q, Chao CR. Patterns and correlates of cervical cancer screening initiation in a large integrated health care system. Am J Obstet Gynecol. 2018;218(4):429.e1-429.e9.","journal-title":"Am J Obstet Gynecol"},{"key":"852_CR25","doi-asserted-by":"crossref","unstructured":"Nilima, Puranik A, Shreenidhi SM, Rai SN. Spatial evaluation of prevalence, pattern and predictors of cervical cancer screening in India. Public Health. 2020;178:124\u201336.","DOI":"10.1016\/j.puhe.2019.09.008"},{"issue":"7","key":"852_CR26","doi-asserted-by":"publisher","first-page":"e0270821","DOI":"10.1371\/journal.pone.0270821","volume":"17","author":"D Lemma","year":"2022","unstructured":"Lemma D, Aboma M, Girma T, Dechesa A. Determinants of utilization of cervical cancer screening among women in the age group of 30\u201349 years in Ambo Town, Central Ethiopia: a case-control study. PLoS ONE. 2022;17(7):e0270821.","journal-title":"PLoS ONE"},{"issue":"23","key":"852_CR27","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1186\/s12905-023-02504-y","volume":"26","author":"MR Muthuramalingam","year":"2023","unstructured":"Muthuramalingam MR, Muraleedharan VR. Patterns in the prevalence and wealth-based inequality of cervical cancer screening in India. BMC Womens Health. 2023;26(23):337.","journal-title":"BMC Womens Health"},{"key":"852_CR28","doi-asserted-by":"publisher","first-page":"101930","DOI":"10.1016\/j.canep.2021.101930","volume":"72","author":"DM Ba","year":"2021","unstructured":"Ba DM, Ssentongo P, Musa J, Agbese E, Diakite B, Traore CB, et al. Prevalence and determinants of cervical cancer screening in five sub-Saharan African countries: a population-based study. Cancer Epidemiol. 2021;72:101930.","journal-title":"Cancer Epidemiol"}],"container-title":["Implementation Science Communications"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43058-025-00852-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43058-025-00852-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43058-025-00852-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T14:42:13Z","timestamp":1770388933000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s43058-025-00852-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["852"],"URL":"https:\/\/doi.org\/10.1186\/s43058-025-00852-4","relation":{},"ISSN":["2662-2211"],"issn-type":[{"value":"2662-2211","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"assertion":[{"value":"28 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study received ethical approval from the Kenyatta National Hospital\u2014University of Nairobi Ethics and Research Committee and the University of Washington Human Subjects Research Committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors do not have any competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"21"}}