The study is a feasibility pilot trial testing 2 types of training protocols on a single physician. The first training protocol is the current standard and was developed in high-income settings. The second training protocol will be developed so tailored to the Nigerian setting. Investigators will test if the physician performs differently in their ability to conduct anal cancer screening and treatment between the 2 training protocols.
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Change in HSIL detection
Timeframe: 12 months and 30 months
Change in HSIL treatment
Timeframe: 12 months and 30 months