Health system delays to cancer care in sub-Saharan Africa Cancer
Conditions
Interventions
We will develop a compound intervention consisting of educational, clinic-strengthening, and navigation support components. We will implement the intervention in 25 clinics in each site (Kenya, Ibada
Sponsors
University of Birmingham
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Health professionals: All clinical staff working in primary care facilities who see patients for a primary care consultation. This includes all relevant cadres of clinical staff (doctors, nurses, clinical officers (Kenya), community health extension workers (Nigeria)) Patients: 1. Patients aged above 18 years who have been referred to secondary care with symptoms consistent with cancer 2. Patients referred from the participating clinics a clinic providing primary care services
Exclusion criteria
Exclusion criteria: Health professionals: Does not see patients in a clinical setting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Education component: 1. Attendance at educational sessions is measured using session attendance logs at each session during the intervention period 2. Delivery process and learner engagement is measured using structured observation checklists at randomly selected educational sessions during the intervention period 3. Learner response to the education and suggestions for improvement is measured using a feedback questionnaire at the end of each educational session Clinic strengthening and navigation assistance: 4. Quality of referral record-keeping is measured using retrospective review of referral records at baseline (first few weeks of implementation) and prospective monitoring throughout the intervention period 5. Clinic staff and navigation support team engagement in implementation is measured using structured observation notes during clinic strengthening visits and navigation support meetings throughout the intervention period 6. Ability to normalise the intervention into practice is measured using the NOMAD questionnaire at first and final encounters with the implementation team 7. Patient engagement with navigator support is measured using navigator supporters’ work logs throughout the intervention period 8. Level of patient need is measured using navigator supporters’ assessment forms throughout the intervention period 9. Activities undertaken with each patient is measured using navigator supporters’ work logs (including description and duration) throughout the intervention period | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
Kenya, Nigeria
Contacts
Public ContactJennifer Knight
Outcome results
None listed