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September 7, 2026Implementation Science CommunicationsOpen Access

Applying the INSPIRE framework to the CBIG-SCREEN study: selection of tailored strategies for increasing cervical cancer screening participation among vulnerable populations in Estonia, Portugal and Romania

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Authors

ARArianis Tatiana RamírezKMKeitly MensahATAnna Tisler

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Overview

Implementation study demonstrates context-specific strategies to overcome cervical screening barriers among vulnerable women, suggesting tailored community interventions enhance participation.

Key Points

  • To identify context-specific barriers to cervical cancer screening and co-design tailored implementation strategies for vulnerable populations in Estonia, Portugal, and Romania using the INSPIRE framework.
  • Applied Phases I and II of the Integrative Systems Praxis for Implementation Research (INSPIRE) framework across Estonia, Portugal, and Romania within the CBIG-SCREEN project.
  • Conducted a scoping review of barriers and facilitators, structured national screening capacity assessments, and deliberative dialogues with local stakeholders to co-design interventions.
  • Identified prominent barriers across settings, including social stigma, ineffective invitation communications, complex appointment scheduling, remote transportation difficulties, and time limitations.
  • Co-designed prioritized interventions tailored by country: clear-language invitations and mailed HPV self-sampling kits in Estonia and Portugal, dedicated patient navigation helplines in Portugal, and pharmacy-distributed self-collection kits in Romania.

Cite This Study

Ramírez et al. (2026) studied this question.

synapsesocial.com/papers/6a9e8559c3034f961570d8e0https://doi.org/10.1186/s43058-026-01091-x
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