在尼日利亚，宫颈癌对妇女构成了巨大的负担，特别是HIV感染的妇女。然而，在尼日利亚，宫颈癌筛查和治疗的提供和接受仍然有限。了解实施的决定因素对于将基于证据的干预有效地转化为实践至关重要，特别是在资源有限的环境中。COVID-19大流行使在线合作成为必要，尽管这在某些方面使实施映射变得具有挑战性，但也提供了简化的机会。在本研究中，我们描述了在尼日利亚现有的HIV基础设施中实施基于证据的宫颈癌筛查和治疗的实施映射（步骤1-3）的虚拟在线方法的使用。本研究采用了混合方法研究设计，采用与实施映射步骤1-3相一致的虚拟修正名义群体技术（NGT）流程。11名利益相关者（6名项目工作人员和5名医疗服务提供者和管理员）参与了虚拟NGT流程，该流程分为两个阶段进行。第一阶段采用在线调查，第二阶段采用NGT和实施映射流程。利用“探索、准备、实施和维持”（EPIS）框架来 elicitation 讨论有关决定因素和策略，涉及外部环境（即国家和地区），现有HIV基础设施的内部组织环境，与双向影响相关的“桥梁”因素，以及要实施的健康创新（在本例中为宫颈癌筛查和治疗）。在NGT过程中，群体对实施障碍进行了排名，并使用Mentimeter对实施策略进行了投票。将宫颈癌筛查和治疗整合到现有的综合HIV计划中的18个决定因素与人力资源能力、宫颈癌服务的获取、物流管理、诊所和客户相关因素有关。前3个决定因素包括人力资源能力的差距、宫颈癌服务获取困难以及由于对疾病和服务缺乏意识而导致的服务需求不足。确定了一组核心实施策略和两项增强实施策略。快速实施映射是在低收入国家和地区（LMICs）中识别和阐述复杂卫生保健干预实施的决定因素、机制和策略的可行和可接受的方法。

Cervical cancer constitutes a huge burden among women in Nigeria, particularly HIV-infected women. However, the provision and uptake of cervical cancer screening and treatment is limited in Nigeria. Understanding implementation determinants is essential for the effective translation of such evidence-based interventions into practice, particularly in low-resource settings. COVID-19 pandemic necessitated online collaboration making implementation mapping challenging in some ways, while providing streamlining opportunities. In this study, we describe the use of a virtual online approach for implementation mapping (steps 1-3) to identify implementation determinants, mechanisms, and strategies to implement evidence-based cervical cancer screening and treatment in existing HIV infrastructure in Nigeria.This study used a mixed methods study design with a virtual modified nominal group technique (NGT) process aligning with Implementation Mapping steps 1-3. Eleven stakeholders (six program staff and five healthcare providers and administrators) participated in a virtual NGT process which occurred in two phases. The first phase utilized online surveys, and the second phase utilized an NGT and implementation mapping process. The Exploration, Preparation, Implementation and Sustainment (EPIS) framework was used to elicit discussion around determinants and strategies from the outer context (i.e., country and regions), inner organizational context of existing HIV infrastructure, bridging factors that relate to bi-directional influences, and the health innovation to be implemented (in this case cervical cancer screening and treatment). During the NGT, the group ranked implementation barriers and voted on implementation strategies using Mentimeter.Eighteen determinants to integrating cervical cancer screening and treatment into existing comprehensive HIV programs were related to human resources capacity, access to cervical cancer services, logistics management, clinic, and client-related factors. The top 3 determinants included gaps in human resources capacity, poor access to cervical cancer services, and lack of demand for services resulting from lack of awareness about the disease and servicesA set of six core implementation strategies and two enhanced implementation strategies were identified.Rapid Implementation Mapping is a feasible and acceptable approach for identifying and articulating implementation determinants, mechanisms, and strategies for complex healthcare interventions in LMICs.Copyright © 2023 Itanyi, Viglione, Rositch, Olawepo, Olakunde, Ikpeazu, Nwokwu, Lasebikan, Ezeanolue and Aarons.