Quantitative Metric
Qualitative Metric
reach-icon-Impact-Summary
Comparison of the number of women screened using VIA (Visual Inspection using Acetic Acid) and Pap smears pre-implementation to the number of women receiving HPV molecular testing post-implementation 
Goal:
70%of women screened over 5 years
Focus group interviews and key informant interviews of women screened and not screened
Knowledge and practices associated with cervical cancer and its prevention through a survey of their knowledge, attitudes, and behaviors. 
effectiveness-icon-Impact-Summary
Pre-Implementation:
Percent of screen-positive women who receive colposcopy and/or biopsy
Percent of women with CIN2+ who receive treatment
Post-Implementation:
Percent of ablation-eligible, screen-positive women who receive thermal ablation
Percent of ablation-ineligible women who receive colposcopy and excisional or other treatment
Goal:
90%of the women who test HPV positive get a final resolution by completing the continuum of care
Observation checklist of obstetras counseling skills
Time and motion studies to determine length of time required for each step
Focus group and key informant interviews of women completing or not completing continuum of care and of staff delivering the program
Interviews with women receiving immediate treatment vs. referral, if women are triaged
Assess acceptability of self sample vs. clinician taken sample and lack of visual exam at primary screen
adoption-icon-Impact-Summary
Percentage of obstetras who are screening women aged 30 to 49 years by HPV testing
Goal:
100%of obstetras screening by HPV testing for women ages 30 to 49 years in health facilities in the first 3 months after implementation
Comparison of the percent of non-pregnant women 30 to 49 years screened with HPV tests versus VIA or Pap tests
Goal:
100%of women who test HPV positive are referred directly to TVT-TA
Focus groups and key informant interviews with high and low adopters of HPV testing
implementation-icon-Impact-Summary
Time from sample collection to result delivery to patient to treatment resolution to follow up visit
Goal:

Decrease the average time from 2-3 months to less than

2 weeks

Time and motion studies measuring the length of time for each part of the process including time for: 
Testing duration
Time of result delivery to patient to follow up visit
maintenance-icon-Impact-Summary
Quarterly change in reach and effectiveness measures over time
For example: behavior change over time, after our technical support and transition 
Major events that influence time trends including:
Health Strikes
Flooding
Transportation strikes
Supply chain disruption
Political turnover
Assess unexplained changes (both increases and decreases) in both reach and effectiveness measures