WP1 – Project Coordination and Management
WP1 ensures that the project meets its objectives through effective coordination and management. The coordination team has closely monitored progress, organising two annual and three-monthly Executive Committee meetings, as well as a meeting with the independent Ethics Advisory Board.
WP2 – Stakeholder engagement
WP2 maps existing cervical cancer screening (CCS) policies, particularly those aiming to broaden coverage among vulnerable women (VW). It also identifies key stakeholders and their views on barriers and potential solutions. An online survey across all EU countries revealed that few have policies dedicated to increasing CCS participation among VW. An interactive stakeholder map was developed, and Collaborative User Boards (CUBs) – including VW, healthcare professionals, and decision-makers – were set up in seven partner countries.
In total, 120 stakeholders participated in these discussions to tailor interventions for the project. Three scientific papers on CUB findings have been published.
WP3 – Co-creating tailored interventions to improve cervical screening access for vulnerable groups
WP3 aims to improve CCS access for VW through evidence-based and feasible measures. A conceptual model from the EU-TOPIA project was adapted to identify barriers faced by VW. The literature review on barriers and facilitators to CCS participation among VW groups in Europe has been completed.
Co-creation activities took place in Romania (Think Aloud study), Estonia (prioritization exercise), and Bulgaria (digital storytelling). These provided valuable insights to inform WP6 pilot interventions, policy dialogues, and publications. WP3 has fully achieved its objectives and delivered outputs with lasting impact.
WP4 – PBehavioural determinants and societal issues in targeted CCS programmes
WP4 supports the design of targeted CC prevention policies by analysing VW preferences and identifying societal implications of their implementation. Using a Discrete Choice Experiment, WP4 highlighted heterogeneity in preferences, particularly for self-sampling, confirming the need for tailored approaches.
Societal issues and ethical dimensions were documented through analyses of normative frameworks and a typology of European targeted interventions. A decision tree now summarises the key steps for designing effective, equitable interventions.
WP5 – Model development and cost effectiveness assessments
WP5 evaluates the cost-effectiveness of tailored CCS strategies to increase participation among VW. A systematic review of economic evaluations revealed limited evidence for specific vulnerable groups. WP5 has begun costing exercises and model conceptualisation, laying the groundwork for robust economic assessments of future interventions.
WP6 – Pilot testing of the co-created tailored CCS strategies in real-life settings
WP6 supports the co-creation, implementation, and evaluation of tailored CCS strategies in Estonia, Portugal, and Romania. After assessing national screening capacities, protocols and data collection tools for Phases I and II were developed. Phase I has been completed in all three countries; Phase II has finished recruitment in Estonia, and is ongoing in Portugal and Romania.
WP7 – Maximising Impact
WP7 promotes CBIG-SCREEN and maximises the dissemination of its findings to a broad audience. Activities included regular social media updates (transitioning from X to BlueSky), publication of the second CBIG-SCREEN newsletter, and organisation of a second roundtable at the European Parliament in collaboration with other H2020 projects.
CBIG-SCREEN hosted the roundtable, where policy recommendations and an intervention toolkit were presented. Several scientific articles have also been submitted and/or accepted for publication.
