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August 14, 2026Global Implementation Research and ApplicationsOpen Access

Community-Led Operationalization of a Champion Implementation Strategy for Anal Cancer Prevention in Nigeria

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Authors

MMMegan E. MansfieldKMKareshma MohantyJCJohn Chama

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Overview

Mixed-methods implementation study demonstrates the feasibility of a community-adapted champion model for anal cancer prevention in an HIV clinic, highlighting effective local operationalization.

Key Points

  • To describe a systematic, community-engaged mixed-methods approach for adapting and monitoring a champion implementation strategy to promote anal cancer prevention procedures at an HIV clinic.
  • In Study 1, an implementation team of eight Nigerian stakeholders adapted a champion implementation model by ranking key strategy attributes and achieving consensus through structured discussion.
  • In Study 2, implementation by a single champion was monitored across 36 days (6 weeks) using daily checklists, weekly reflections, and thematic analysis.
  • Stakeholders determined that the champion needed high reliability and procedure confidence, focusing on mentorship, coordination, and awareness raising.
  • The champion participated in strategy-related activities during 75% of the 36-day period, primarily coordinating activities (42%) and securing clinical resources (17%).
  • Thematic analysis identified four core activity themes: tool development and procedural changes, capacity building, relationship development, and sustainability efforts.

Cite This Study

Mansfield et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec78db70b84ec8b913f56https://doi.org/10.1007/s43477-026-00247-0
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