Table 1 Methodological framework employed in this study

Sample

n = 18

n = 7

Inclusion criteria

Women between 35–64 years of age;

Having been referred to CAPASAM from a health facility pertaining to Morelos Health Jurisdiction I for diagnostic confirmation, treatment and follow-up after receiving a positive result from PCR for HR-HPV and an abnormal LBC;

Signing an informed consent form

Having worked at CAPASAM for at least one year;

Working in either the morning or evening shift;

Signing an informed consent form

Quantitative data

Secondary analysis of SICAM data regarding the sociodemographic characteristics of CAPASAM users and waiting times

Questionnaire based on a validated instrument adapted for this study to explore the following dimensions: socioeconomic condition, perceptions, attitudes and emotions, experiences with CAPASAM health personnel, and level of knowledge about early-detection tests regarding adherence [18]. The dimension concerning knowledge about the disease was investigated via the Battle Test [19]

Secondary analysis of sociodemographic and work-related data from CAPASAM administrative records;

Checklist for compliance with the official NOM 014-SSA2-1994 (2007) standard for women’s care process [20]

Qualitative data

Semi-structured interviews based on an interview guide designed to identify barriers and facilitators for adherence to follow-up on the part of HR-HPV-positive women with premalignant cervical lesions

Semi-structured interviews based on an interview guide designed to identify barriers and facilitators for adherence to follow-up on the part of HR-HPV-positive women with premalignant cervical lesions;

Hazard analysis and critical control point system adapted for this study to identify specific risks and their effects at each stage of the care process [21];

A nominal group of five healthcare personnel selected by convenience from the CAPASAM morning shift to identify actions that can strengthen the Early Detection Program