{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:20:07Z","timestamp":1787678407150,"version":"build-2784847793"},"reference-count":28,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"accepted":{"date-parts":[[2026,5,7]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Four government-run sexually transmitted infection\/reproductive tract infection (STI\/RTI) clinics at secondary and tertiary care hospitals in Nagpur district, Maharashtra, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To assess readiness and provider knowledge for Papanicolaou (Pap) smear\u2013based cervical cancer screening (CCS), and to explore willingness, enablers, and barriers to CCS and integrating CCS into STI\/RTI clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>This was a convergent parallel mixed-methods study. Facility readiness and provider knowledge were assessed quantitatively. In-depth interviews explored implementation perspectives among purposively selected women clients, providers, and programme managers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Three out of four clinics met readiness standards, but only one clinic scored well in provider knowledge. Of 28 female clients, 27 (96%) were willing for CCS after counselling. Key enablers for clients to undergo CCS were respectful communication, and female-friendly and affordable services. Barriers included fear, embarrassment, low awareness, and poor family support. Providers (n = 9) highlighted well-equipped facilities, female staff availability, and permission from authorities to be key enablers for integration. They identified high workload and lack of training, staff, and programme-level support as constraints. The two programme managers perceived integration to be of less value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>STI\/RTI clinics could serve as a complementary platform for opportunistic CCS among high-risk women, provided human resources, training, awareness generation, and programme-level engagement are strengthened.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/pha.26.0036","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:23:46Z","timestamp":1787675026000},"page":"202-208","source":"Crossref","is-referenced-by-count":0,"title":["Leveraging sexually transmitted infection clinics for cervical cancer screening: evidence from India"],"prefix":"10.5588","volume":"16","author":[{"given":"P.","family":"Yadav","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.A.","family":"Alwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.D.","family":"Harries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.R.","family":"Deshmukh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.P.","family":"Tripathy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.B.","family":"Kuravatti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Dani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Pawar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Vijayageetha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Gavali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Seshachalam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"issue":"1","key":"2026082509230707000_16.3.202.1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12978-024-01837-7","article-title":"Burden of cervical cancer in India: estimates of years of life lost, years lived with disability and disability adjusted life years at national and subnational levels using the National Cancer Registry Programme data","volume":"21","author":"Ramamoorthy","year":"2024","journal-title":"Reprod Health"},{"key":"2026082509230707000_16.3.202.2","unstructured":"International Agency for Research on Cancer . 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