8382 eligible women, ages 35 to 59, in 130 rural communities participated. The screening was organized
by the local government administration and conducted by the community leaders (CLs). The model used
was progressively designed through detailed assessment of key elements at 6 decision points in 26 workshops
that were used to train the CLs and the local promoters. The communities were able to accurately conduct the
screening; in the final model a local medical worker conducted a 50-minute workshop featuring instructional
posters and structured role-play. A manual and a workshop DVDwere created for distribution to and implementation
by local governments. The average callback rate was 84.3%, without involvement of the local doctors in the
management of the positives.