肯尼亚邦戈马县儿童癌症宣传计划。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Larissa Klootwijk, Lilian Apadet Osamong, Sandra Langat, Festus Njuguna, Sally Kimaiyo, Terry A Vik, Gertjan Kaspers, Saskia Mostert
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引用次数: 0

摘要

背景:在低收入和中等收入国家,儿童癌症意识可在减少诊断不足和加快转诊方面发挥关键作用,并最终改善治疗效果。本研究介绍了在肯尼亚邦戈马县实施的儿童癌症认知计划,该计划包括五个部分:(1) 对初级医疗保健设施进行基线数据收集;(2) 为医疗保健提供者(HCP)提供现场培训课程;(3) 张贴早期预警信号海报;(4) 为医疗保健提供者提供在线短信课程;(5) 开展广播宣传活动:本研究于 2023 年 1 月至 6 月间进行。实地小组访问了邦戈马县的所有 144 家初级医疗保健机构(2 级和 3 级医疗保健机构):所有 125 家二级医疗机构(87%)和 19 家三级医疗机构(13%)均参与了此次研究。国家医疗保险基金(NHIF)未能覆盖 37 家(26%)医疗机构的服务。据报告,三级医疗机构(89%)的保健人员缺席率高于二级医疗机构(64%)(P = 0.034)。超过 2000 名保健医生参加了 144 场现场培训课程。分发 144 张早期预警信号海报后,接到了 50 个疑似儿童癌症病例的电话。后来有 16 名儿童被确诊为儿童癌症并接受了治疗。890 名保健医生完成了在线短信学习。在测试前(7.1 分)和测试后(8.1 分;P)之间,知识平均得分有所提高:本研究介绍了肯尼亚实施的一项儿童癌症认知计划,该计划同时涉及保健医生和公众。该计划提高了保健医生的知识水平,并增加了癌症儿童的转诊数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Childhood Cancer Awareness Program in Bungoma County, Kenya.

Childhood Cancer Awareness Program in Bungoma County, Kenya.

Background: Awareness could play a key role in reducing underdiagnosis and accelerating referral of childhood cancer in low- and middle-income countries and ultimately improve outcomes. This study describes the implementation of a childhood cancer awareness program in Bungoma County in Kenya, containing five components: (1) baseline data collection of primary healthcare facilities; (2) live training session for healthcare providers (HCP); (3) early warning signs posters; (4) online SMS course for HCP; and (5) radio campaign.

Methods: This study was conducted between January and June 2023. All 144 primary healthcare facilities (level 2 and 3 health facilities) within Bungoma County were visited by the field team.

Results: All 125 level 2 (87%) and 19 level 3 (13%) facilities participated in the study. National Health Insurance Fund (NHIF) failed to cover services in 37 (26%) facilities. HCP were more often reported absent at level 3 (89%) than level 2 (64%) facilities (P = 0.034). The 144 live training sessions were attended by over 2000 HCP. Distribution of 144 early warning signs posters resulted in 50 phone calls about suspected childhood cancer cases. Sixteen children were later confirmed with childhood cancer and treated. Online SMS learning was completed by 890 HCP. Knowledge mean scores improved between pre-test (7.1) and post-test (8.1; P < 0.001). Finally, 540 radio messages about childhood cancer and a live question-and-answer session were broadcasted.

Conclusion: This study described the implementation of a childhood cancer awareness program in Kenya involving both HCP and the general public. The program improved HCP's knowledge and increased the number of referrals for children with cancer.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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