Healthcare Disparity, HIV, Neoplasms
Conditions
Brief summary
Diagnostic and treatment delays contribute substantially to disparities in cancer morbidity and mortality between low- and middle- income countries (LMICs) and high-income countries. Individuals present with advanced stage disease resulting in minimal chance for cure or long-term survival. The Potlako project will implement and evaluate a multifaceted intervention to test the hypothesis that a package of enhanced coordination of care including an electronic messaging, transportation support, and training targeted at generalist clinicians at primary and secondary level facilities, can reduce time to diagnosis and stage at diagnosis for HIV-infected individuals with cancer.
Interventions
OTHERPotlako intervention
Multicomponent intervention including: * provider training on early detection and diagnostic approaches to cancer * patient education on importance of obtaining timely cancer diagnosis * provision of a patient navigator to facilitate diagnosis and entry into care * provision of transportation support to vulnerable patients
Sponsors
Brigham and Women's Hospital
Botswana Harvard AIDS Institute Partnership
Botswana Ministry of Health
Dana-Farber Cancer Institute
Harvard School of Public Health (HSPH)
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Citizen of Botswana * Suspected or diagnosed cancer
Exclusion criteria
* Involuntary incarceration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cancer stage | 1 day visit |
| Time from initial clinic visit with cancer symptom/sign to entry into oncology care | 1 day visit |
Countries
Botswana
Outcome results
None listed