Expanding Access to Cervical Cancer Screening Through Primary HR-HPV Testing and Self-sampling: a Multicomponent Intervention for Safety Net Health Systems

Inclusion Criteria: Populations involved in the research are: 1. stakeholder advisory board members; 2. patients eligible for cervical cancer screening participating in the cluster randomized stepped-wedge trial; 3. patients and community members participating in formative research activities; 4. providers, clinic staff, and other health system stakeholders from partnering health systems; 5. Project ECHO Participants (providers, clinic staff, and other health system stakeholders from partner and non-partner institutions); 6. Other Clinical Networks (providers, clinic staff and other health system stakeholders from partner and non-partner institutions) The eligibility criteria for each are: Patients eligible for cervical cancer screening: * Currently a resident in the state of Texas * Attend for care at a partner clinic enrolled in the study * Women and persons with a cervix * Age 25-65 * Due or past due for cervical cancer screening Patients and community members participating in formative research activities: • Purposively identified as a stakeholder for formative research by research staff Providers, clinic staff, and other health system stakeholders from partnering health systems: * Employed at least part-time by a partnering health system * Age 18+ Project ECHO Participants: * Participate in at least one Project ECHO session * Age 18+ Other Clinical Networks: * Participate in at least one clinical network session * Age 18+ Exclusion Criteria: Patients eligible for cervical cancer screening: * Report being currently pregnant * History of total hysterectomy * History of cervical cancer Other study populations: • Unable to communicate in English or Spanish Vulnerable Populations Participants/samples belonging to vulnerable populations (children, pregnant women, cognitively impaired adults, or prisoners) will be prohibited from participation.