Cira Mishka Kohli, Zujewski Jo Anne, Dvaladze Allison, Brand Nathan R, Vogel Amanda L
Clinical Monitoring Research Program Directorate, Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute, Frederick, MD.
Leidos Biomedical Research, National Cancer Institute Campus at Frederick, Frederick, MD.
J Glob Oncol. 2019 Jan;5:1-6. doi: 10.1200/JGO.18.00119.
Comprehensive breast cancer control programs are needed to decrease breast cancer mortality, but few tools exist to assist stakeholders in limited-resource settings. The Knowledge Summaries for Comprehensive Breast Cancer Control (KSBCs) are a series of evidence-based publications intended to support cancer control planning at various resource levels. The goals of this evaluation research study were to learn about the extent to which the KSBCs could be useful to policymakers, health care providers, and breast cancer advocates in Kenya, and whether introducing the KSBCs led to their uptake, and if so, how they were used.
This study used one-on-one interviews, focus groups, and self-administered online surveys. Policymakers were recruited from the Ministry of Health. Providers were recruited from four hospitals in two cities, Nairobi and Eldoret, and one rural municipality, Kijabe. Advocates were recruited from cancer advocacy organizations.
Twenty individuals participated in the research. They found the KSBCs to be educational reference tools that create a shared planning-related knowledge base among diverse stakeholders. The KSBCs were seen to be applicable to a variety of contexts and stakeholders.
This study found that the KSBCs can be useful as both an educational tool and a convening tool for multistakeholder engagement in breast cancer prevention and control in a variety of settings. Additional engagement with users of the KSBCs can provide more knowledge about how the KSBCs are used and how they contribute to building collaborations across stakeholder groups to strengthen breast cancer prevention and control in low-resource settings.
需要全面的乳腺癌控制项目来降低乳腺癌死亡率，但在资源有限的环境中，几乎没有工具可协助利益相关者。《综合乳腺癌控制知识摘要》（KSBCs）是一系列基于证据的出版物，旨在支持不同资源水平下的癌症控制规划。这项评估研究的目的是了解KSBCs对肯尼亚政策制定者、医疗服务提供者和乳腺癌倡导者的有用程度，以及引入KSBCs是否导致其被采用，如果是，它们是如何被使用的。
本研究采用一对一访谈、焦点小组和自我管理的在线调查。政策制定者从卫生部招募。医疗服务提供者从内罗毕和埃尔多雷特两个城市的四家医院以及基贾贝一个农村市镇招募。倡导者从癌症倡导组织招募。
20人参与了研究。他们发现KSBCs是教育参考工具，能在不同利益相关者之间建立与规划相关的共享知识库。KSBCs被认为适用于各种情况和利益相关者。
本研究发现，KSBCs既可以作为教育工具，也可以作为召集工具，用于在各种环境中促进多利益相关者参与乳腺癌预防和控制。与KSBCs的用户进行更多互动，可以提供更多关于KSBCs如何被使用以及它们如何有助于在低资源环境中建立利益相关者群体之间的合作以加强乳腺癌预防和控制的知识。
