Table 1 Details of the training program

Attitude

1. Feeling embarrassed.

2. Having incorrect beliefs such as: affliction with the disease is related to the fate and cannot be prevented.

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1. Presence of a midwifery expert in WhatsApp group.

2. Holding 1 session of survey

3. Emphasis on vaginal examination and Pap smear screening as a must along with the effectiveness of early diagnosis of the disease for treatment.

(2 training sessions via sending video clips and texts)

4. Investigating the consequences of negligence and failure to perform examinations in the incidence of disease and treatment.

(1 training session via sending video clips and pamphlets)

5. Description of vaginal examination and how to perform Pap smear test.

(1 training session via sending video clips and pamphlets)

6. Ensuring that the place of examination is private without the presence of a third party.

(1 training session via sending video clips)

7. Explaining the things that a person should do before the examination (such as hygiene, etc.), use of clean sheets during the examination to eliminate the sense of embarrassment.

(2 training sessions via video clips and pamphlets)

Enablers

1-Values and beliefs causing not to go for a Pap smear screening test

1. Lack of sufficient skills of health care providers to do examinations and conduct the screening test

2.The high cost of the screening test

3. No health insurance coverage.

4. Crowded comprehensive health care centers.

5- Long distance from healthcare centers and laboratories for the sample testing.

6. Too much work and lack of time

1. Necessary explanations regarding the area covered by each comprehensive health service center and its subdivisions, which provide faster access.

(1 training session via sending text files and sending images)

2. Ensuring the level of skills and literacy of health care providers.

(2 training sessions via sending voice messages)

3. Description of payment for Pap smear and laboratory test costs.

(1 training session via sending video clips)

4. Description of insurance booklets coverage of total expenses.

(2 training sessions via sending text files)

5. Teach time management skills and division of tasks.

(3 training sessions via sending text files and video clips)

6. 1 session for Q&As

Nurturers

1. Husband’s disapproval

2. Disapproval of the husband’s family

3. Disapproval of the participant’s family

4. Mass media

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1. Providing educational content for husbands, family members and spouse’s family.

(1 training session via sending pamphlets)

2. Educating and empowering people to access reliable sources about cervical cancer and Pap smear test.

(4 training sessions via sending video clips, voice messages and text files)

3. Forming a WhatsApp group to provide educational intervention and membership of health care providers in this group and use their experiences.