The ROSE program (Removing Obstacles to Cervical Screening) in Malaysia addresses persistently low Pap smear uptake despite decades of free screening. It introduces self-sampling HPV testing, laboratory processing, and mobile-based results to improve convenience and privacy. Barriers identified include stigma, limited awareness, poor clinic environments, and fragmented health sectors. Community engagement leverages local champions, religious leaders, and spouses to normalize screening and build trust. The program’s mobile platform ensures linkage-to-care, achieving 90% treatment rates among HPV-positive women. Outcomes show high acceptability, scalability to remote and indigenous populations, and alignment with WHO elimination targets.