The Kenya cancer research and control stakeholder program: Evaluating a bilateral partnership to strengthen national cancer efforts

Morgan, Chris; Cira, Mishka K.; Karagu, Alfred; Asirwa, Fredrick Chite; Brand, Nathan; Lunsford, Natasha Buchanan; Dawsey, Sanford M.; Galassi, Annette; Korir, Anne; Kupfer, Linda; Loehrer, Patrick J.; Makumi, David; Muchiri, Lucy; Sayed, Shahin; Topazian, Hillary M.; Welch, Jack; Williams, Makeda; Duncan, Kalina

doi:10.1016/j.jcpo.2017.03.012

Cited by 12 publications

(9 citation statements)

References 4 publications

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“…About Collaborative Programs and their effective results, we endorse the editorial recently published in JGO journal by Bishal Gyawali and Gilberto Lopes in which they refer about non-formal cancer education: “It is still an open question if these investments actually lead to better outcomes … we need to create measures and performance indicators that reflect positive changes and improvements in cancer control efforts “[23]. Kenya, for instance, to solve similar problems, evaluated with their cancer research and control stakeholder program and their national program together in order to strengthen the national cancer control plan [24]. We believe that, in addition to non-formal training, the formal and specific training of cancer education is the key and should involve local universities, colleges of surgery and scientific societies.…”

Section: Discussionmentioning

confidence: 99%

Understanding the bricks to build better surgical oncology unit at Maputo Central Hospital: prevalent surgical cancers and residents knowledge

et al. 2019

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Introduction Cancer is a growing concern in Mozambique. However, the country has limited facilities and few oncologists. Surgical oncologists are an unmet need. The aim of this study was to assess residents' knowledge in prevalent cancer domains and to identify and characterize prevalent cancers treated by surgery at Maputo Central Hospital, the largest hospital in Mozambique. The expectations were that the findings shall inform the development of a comprehensive curriculum in surgical oncology fellowship fit for the Hospital. Methods To identify and characterize prevalent cancers, we performed a retrospective analysis of individual cancer patient registries of Maputo Central Hospital (MCH), Mozambique. Information was recorded into data collection sheets and analyzed with SPSS ® 21. To assess MCH residents oncologic knowledge, we invited Twenty-six junior residents (49% of all residents) of different specialties to take a 30 item multiple choice written test used elsewhere in previous studies. The test focused on the domains of Basis of oncology, Radiotherapy, Pathology, Chemotherapy, Pain management, Surgical oncology and Clinical Pathway. The test was administered anonymously and without prior notice. We analyzed the overall test and topic performance of residents. Results The study covered a period of 3 years and 203 patients. The most prevalent malignant tumors treated by general and thoracic surgery in MCH cancer registry were esophageal (7%), female breast (6.5%) and colorectal cancer (2.8%). Globally these malignancies were diagnosed at an advanced stage of the disease and required a multimodal treatment. The mean percent correct score of residents was 37.3%. The dimension with the highest percent correct score were clinical management (46%) and surgical oncology (28%) showed the lowest correct score. Conclusion In Maputo, Mozambique esophageal, breast and colorectal cancer were the most prevalent malignancies treated, with surgery, by thoracic or general surgery in MCH. The test scores suggest that, among residents, the knowledge in oncology needs to be improved, rendering support to the need of a surgical oncology training tailored to suit the local needs. Specific training should take into account local cancer prevalence, resources, their quality and the support of surgical oncology services with volume and experience.

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Section: Discussionmentioning

confidence: 99%

Understanding the bricks to build better surgical oncology unit at Maputo Central Hospital: prevalent surgical cancers and residents knowledge

et al. 2019

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“…The study used purposive technique to select Kiambu County, and simple random sampling in the selection of tea firms and study participants. Kiambu County was purposively selected for the study due to the fact that it has a high mortality related to cervical cancer (Morgan, 2018), has low cervical cancer screening coverage (cervical cancer screening is below 2.6%) and due t Selection of Tea estates was Random. A list of all tea estate was obtained from the County crop officer to act as sampling frame.…”

Section: Methodsmentioning

confidence: 99%

Narrative Persuasion: Moderating effects of character identification on relationship between message format and intention to screen for cervical cancer among women in agricultural sector in Kiambu County, Kenya.

Muchiri¹,

Mberia²,

Nyambane³

2021

J. Dev and Commun Stud

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There is evidence that use of narrative messages is effective in the context of health behavior change. There is however no explanation as to what aspect of narrative leads to high level of persuasion. We evaluated the moderating effects of character identification on the three elements of narrative message (narrative message frame, narrative rationality and narrator’s perspective) in regard to the uptake of cervical cancer screening among women in the agricultural sector in Kiambu county, Kenya. A randomised experimental design was used. Narrative Message frame (gain frame vs. loss frame), narrative perspective (first vs third person), and narrative rationality, were manipulated. The messages were presented via a brief narrative video on cervical cancer and cervical screening. A uniform pretest questionnaire on cervical cancer and cervical cancer screening (T1) was completed by respondents before watching a narrative video. After watching a narrative video on cervical cancer screening, participants responded to the post test questionnaire (T2). Data from 378 (100 per cent) respondents for the pretest and 344 (91 per cent) for posttest was analysed and included in the study findings for the baseline and posttest respectively. Multiple hierarchical regression analysis was used. The study found that the majority of respondents were aged above 41 years of age at 32 per cent majority 249 (65.9 per cent) of the respondents were married, and majority 210 (55 per cent) of the respondents had 1 to 3 children followed by 4 to 5 at 91 (24 per cent). After running multiple hierarchical regression analysis, the study found that identification with story character moderated for all the independent variables. The study concluded that while using narrative messages to promote health behaviour, use of story characters which the target audience can identify with, may help in increasing adoption of advocated health behaviour.

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“…Data for this study was collected through (1) a systematic review of Kenya's cancer policies and guidelines; (2) an analysis a key informant survey focused on the policy opinions of seven clinical oncologists and seven cancer patient support and advocacy group leaders in Kenya; and (3) a stakeholder analysis that identified key groups in Kenya's policy development and implementation process and also informed by research and consultations during the proposal development phase of this study in 2014-2015, information obtained from the Kenya Cancer Research and Control National Stakeholder Meeting Brief held in May 2014 in Kenya, and Guidelines for Conducting a Stakeholder Analysis [11]. The analysis included understanding their roles, levels of influence and interest in the policy development and implementation process with the aim of proposing a communication and engagement strategy that would enhance each stakeholder group's support of the proposed policy actions.…”

Section: Methodsmentioning

confidence: 99%

“…In 2014, the MoH, with support from the United States National Cancer Institute (NCI-US) Center for Global Health, convened the Kenya Cancer Research and Control Stakeholder Meeting. The objective was to provide guidance on setting priorities for Kenya's cancer sector and invite participants to the national cancer policy revision process [2][3][4]. This and other stakeholder efforts resulted in the development of Kenya's National Cancer Control Strategy (NCCS): 2017-2022 in 2017.…”

Section: Introductionmentioning

confidence: 99%

A review of Kenya’s cancer policies to improve access to cancer testing and treatment in the country

Makau-Barasa

Greene

Othieno-Abinya

et al. 2020

Health Res Policy Sys

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Background: Cancer is the third-leading cause of mortality in Kenya, resulting in unique challenges to the country's health system. An increase in the number of cancer cases in Kenya over the past decade resulted in legislative actions and policies to guide delivery of cancer services. Kenya's new national cancer control strategy and past policy efforts provide an opportunity to synergise information and enhance understanding to improve cancer diagnosis and treatment in the country. The objectives of this study are to (1) document policy-modifiable factors based on a review of policy documents and results of a key informant survey and (2) develop recommendations to improve policies affecting cancer testing and treatment services in Kenya. This study builds upon our previous study Improving Access to Cancer Testing and Treatment in Kenya (Makau Barasa et al. J Global Oncol 2(216), 2017). Methods: The study applied an in-depth systematic review of Kenya's cancer policies and guidelines, a qualitative analysis of results from a section of a semi-structured key informant survey focused on the opinions of clinicians delivering cancer services as well as cancer support groups and advocacy leaders, and a stakeholder analysis identifying key policy-makers and implementers. Details of the complete key informant survey were published in our previous study. Results: Kenya's cancer policies have guided progress made in providing the legal and implementation frameworks for the development and delivery of cancer services at the national and county levels. Some policy implementation gaps are noted. These include inadequate financing for cancer services, limited research and data to support policy formulation, and the concentration of cancer services in urban areas. The key informant survey identified policymodifiable actions that can address some of the gaps and improve the delivery of and access to cancer testing and treatment services in the country. Some of these include addressing the financial barriers affecting cancer testing and treatment services; increasing stakeholder engagement in training health personnel to deliver cancer testing and treatment services; decentralising cancer services and improving cancer surveillance and research; and increasing education and awareness about cancer symptoms, screening procedures and treatment options. A set of priority policy actions were selected from the study findings and used to develop recommendations for Kenya's policy-makers and stakeholders.

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The Kenya cancer research and control stakeholder program: Evaluating a bilateral partnership to strengthen national cancer efforts

Cited by 12 publications

References 4 publications

Understanding the bricks to build better surgical oncology unit at Maputo Central Hospital: prevalent surgical cancers and residents knowledge

Understanding the bricks to build better surgical oncology unit at Maputo Central Hospital: prevalent surgical cancers and residents knowledge

Narrative Persuasion: Moderating effects of character identification on relationship between message format and intention to screen for cervical cancer among women in agricultural sector in Kiambu County, Kenya.

A review of Kenya’s cancer policies to improve access to cancer testing and treatment in the country

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