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动员利益相关者推动肯尼亚消除宫颈癌议程:2022年全国宫颈癌利益相关者论坛

Mobilizing stakeholders to drive the cervical cancer elimination agenda in Kenya: The national cervical cancer stakeholders' forum 2022.

作者信息

Mwenda Valerian, Bor Joan-Paula, Nyangasi Mary, Temmerman Marleen

机构信息

National Cancer Control Program, Ministry of Health, Nairobi, Kenya.

Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Nairobi, Kenya.

出版信息

Dialogues Health. 2022 Oct 30;1:100066. doi: 10.1016/j.dialog.2022.100066. eCollection 2022 Dec.

DOI:10.1016/j.dialog.2022.100066
PMID:38515876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10953883/
Abstract

BACKGROUND

Kenya is among the nineteen countries in Sub-Saharan Africa with the highest burden of cervical cancer globally. The high burden of cervical cancer in developing countries reflects the absence of effective cervical cancer prevention programs with limited resources invested to provide comprehensive services.

OBJECTIVE

We aimed to engage stakeholders in a structured consultative forum, to gain insights and forge effective partnerships to drive the cervical cancer elimination agenda in Kenya.

METHODS

The National Cervical Cancer Stakeholders Consultative Forum was organized as a part of activities to commemorate the National Cervical Cancer Awareness Month on 19th January 2022 in Nairobi, Kenya. The overall goal of the meeting was to provide a forum to sensitize stakeholders on the National Cervical Cancer Prevention and Control Program (NCCP) with a view to strengthen partnerships, increase coordination for improved service delivery and to provide a forum for resource mobilisation and alignment of key stakeholders towards elimination of cervical cancer in Kenya. Nominal group technique was adopted for structured discussions, and the findings analysed to derive key themes.

FINDINGS

Key challenges to primary and secondary prevention of cervical cancer were identified as low awareness, stigma and misinformation, high unmet need for treatment of early lesions, few health care providers with capacity to screen and treat, inadequate supplies, inefficient health information systems and poor referral pathways. Championing integration of cervical cancer screening and treatment services into routine health programs, strengthening policy implementation and robust monitoring and evaluation were identified as critical interventions.

CONCLUSION

The National Cervical Cancer Stakeholders Forum 2022 provided insights for enabling Kenya to progress on the 2030 elimination targets Such forums can be useful in bringing all actors together to evaluate achievements and identify opportunities for more effective national cervical cancer prevention and control programs.

摘要

背景

肯尼亚是撒哈拉以南非洲地区19个宫颈癌负担全球最高的国家之一。发展中国家宫颈癌负担沉重,反映出缺乏有效的宫颈癌预防项目,且用于提供全面服务的资源有限。

目的

我们旨在让利益相关者参与一个结构化的协商论坛,以获取见解并建立有效的伙伴关系,推动肯尼亚的宫颈癌消除议程。

方法

2022年1月19日在肯尼亚内罗毕举办了全国宫颈癌利益相关者协商论坛,作为纪念全国宫颈癌宣传月活动的一部分。会议的总体目标是提供一个论坛,提高利益相关者对国家宫颈癌预防和控制项目(NCCP)的认识,以加强伙伴关系、增强协调以改善服务提供,并提供一个资源调动论坛,使关键利益相关者朝着在肯尼亚消除宫颈癌的目标保持一致。采用名义群体技术进行结构化讨论,并对结果进行分析以得出关键主题。

结果

宫颈癌一级和二级预防的关键挑战被确定为认识不足、耻辱感和错误信息、早期病变治疗的未满足需求高、具备筛查和治疗能力的医疗保健提供者少、供应不足、卫生信息系统效率低下以及转诊途径不佳。将宫颈癌筛查和治疗服务纳入常规卫生项目、加强政策实施以及强有力的监测和评估被确定为关键干预措施。

结论

2022年全国宫颈癌利益相关者论坛为肯尼亚在2030年消除目标方面取得进展提供了见解。此类论坛有助于将所有行为者聚集在一起,评估成就并确定更有效的国家宫颈癌预防和控制项目的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c872/10953883/8fbb597f0a26/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c872/10953883/8fbb597f0a26/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c872/10953883/8fbb597f0a26/gr1.jpg

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