Mobile cancer prevention and early detection outreach in Uganda: Partnering with communities toward bridging the cancer health disparities through “asset‐based community development model”

Jatho, Alfred; Mugisha, Noleb M.; Kafeero, James; Holoya, George; Okuku, Fred; Niyonzima, Nixon

doi:10.1002/cam4.3387

Cited by 11 publications

(15 citation statements)

References 36 publications

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“…and the mobile service varied between the studies depending on existing infrastructure and the type of community being targeted (rural versus urban). Ashorobi et al [ 26 ] began the project in static centres before moving onto a mobile service, while Jatho et al [ 27 ] ran simultaneous hospital and mobile-based screening services, with comparisons between the two showing a significantly higher detection rate of prostate cancer in the mobile screening setting (8.2% vs. 7.1%, chi-squared test: p < 0.05).…”

Section: Resultsmentioning

confidence: 99%

Mobile Health Solutions for Prostate Cancer Diagnostics—A Systematic Review

Moghul,

Cazzaniga,

Croft

et al. 2023

Clinics and Practice

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Prostate cancer, the most common cause of cancer in men in the UK and one of the most common around the world to date, has no consensus on screening. Multiple large-scale trials from around the world have produced conflicting outcomes in cancer-specific and overall mortality. A main part of the issue is the PSA test, which has a high degree of variability, making it challenging to set PSA thresholds, as well as limited specificity. Prostate cancer has a predisposition in men from black backgrounds, and outcomes are worse in men of lower socioeconomic groups. Mobile targeted case finding, focusing on high-risk groups, may be a solution to help those that most need it. The aim of this systematic review was to review the evidence for mobile testing for prostate cancer. A review of all mobile screening studies for prostate cancer was performed in accordance with the Cochrane guidelines and the PRISMA statement. Of the 629 unique studies screened, 6 were found to be eligible for the review. The studies dated from 1973 to 2017 and came from four different continents, with around 30,275 men being screened for prostate cancer. Detection rates varied from 0.6% in the earliest study to 8.2% in the latest study. The challenge of early diagnosis of potentially lethal prostate cancer remains an issue for developed and low- and middle-income countries alike. Although further studies are needed, mobile screening of a targeted population with streamlined investigation and referral pathways combined with raising awareness in those communities may help make the case for screening for prostate cancer.

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Section: Resultsmentioning

confidence: 99%

Mobile Health Solutions for Prostate Cancer Diagnostics—A Systematic Review

Moghul,

Cazzaniga,

Croft

et al. 2023

Clinics and Practice

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“…The programme aims to reduce cancer risk by increasing access to cancer prevention services through mass media for cancer awareness and outreach. In addition, hospital-based health education on cancer risk factors, prevention, early detection measures, and screening for the leading cancers, including cervical, breast, and prostate cancers, were also conducted 32. However, there is limited funding for this programme, so some remote and hard-to-reach areas are not reached.…”

Section: Discussionmentioning

confidence: 99%

Infection-related and lifestyle-related cancer burden in Kampala, Uganda: projection of the future cancer incidence up to 2030

et al. 2022

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ObjectivesIn Uganda, infection-related cancers have made the greatest contribution to cancer burden in the past; however, burden from lifestyle-related cancers has increased recently. Using the Kampala Cancer Registry data, we projected incidence of top five cancers, namely, Kaposi sarcoma (KS), cervical, breast and prostate cancer, and non-Hodgkin’s lymphoma (NHL) in Uganda.DesignTrend analysis of cancer registry data.SettingKampala Cancer Registry, Uganda.Main outcome measureCancer incidence data from 2001 to 2015 were used and projected to 2030. Population data were obtained from the Uganda Bureau of Statistics. Age-standardised incidence rates (ASRs) and their trends over the observed and projected period were calculated. Percentage change in cancer incidence was calculated to determine whether cancer incidence changes were attributable to cancer risk changes or population changes.ResultsIt was projected that the incidence rates of KS and NHL continue to decrease by 22.6% and 37.3%, respectively. The ASR of KS was expected to decline from 29.6 per 100 000 population to 10.4, while ASR of NHL was expected to decrease from 7.6 to 3.2. In contrast, cervical, breast and prostate cancer incidence were projected to increase by 35.3%, 57.7% and 33.4%, respectively. The ASRs of cervical and breast were projected to increase up to 66.1 and 48.4 per 100 000 women. The ASR of prostate cancer was estimated to increase from 41.6 to 60.5 per 100 000 men. These changes were due to changes in risk factors and population growth.ConclusionOur results suggest a rapid shift in the profile of common cancers in Uganda, reflecting a new trend emerging in low/middle-income countries. This change in cancer spectrum, from infection-related to lifestyle-related, yields another challenge to cancer control programmes in resource-limited countries. Forthcoming cancer control programmes should include a substantial focus on lifestyle-related cancers, while infectious disease control programmes should be maintained.

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“…Also, the leverage from community‐based assets should be considered in supporting cancer control interventions that are applicable at PHC facilities and communities. It is possible to tap from the community‐based assets to support primary prevention and early detection of cancer in the communities where applicable 25 . Taking advantage of community social centers, places of worships, schools, women (mother) unions, social gatherings, community radios in public markets and urban centers to disseminate key cancer messages to the community is feasible.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible to tap from the community-based assets to support primary prevention and early detection of cancer in the communities where applicable. 25 Taking advantage of community social centers, places of worships, schools, women (mother) unions, social gatherings, community radios in public markets and urban centers to disseminate key cancer messages to the community is feasible. For example, some district health workers reported conducting cancer awareness talk shows using free airtime provided by the resident district commissioners.…”

Section: Discussionmentioning

confidence: 99%

Capacity building for cancer prevention and early detection in the Ugandan primary healthcare facilities: Working toward reducing the unmet needs of cancer control services

et al. 2020

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Background In 2018, approximately 60,000 Ugandans were estimated to be suffering from cancer. It was also reported that only 5% of cancer patients access cancer care and 77% present with late‐stage cancer coupled with low level of cancer health literacy in the population despite a wide coverage of primary healthcare facilities in Uganda. We aimed to contribute to reducing the unmet needs of cancer prevention and early detection services in Uganda through capacity building. Methods In 2017, we conducted two national and six regional cancer control stakeholders’ consultative meetings. In 2017 and 2018, we trained district primary healthcare teams on cancer prevention and early detection. We also developed cancer information materials for health workers and communities and conducted a follow‐up after the training. Results A total of 488 primary healthcare workers from 118 districts were trained. Forty‐six health workers in the pilot East‐central subregion were further trained in cervical, breast, and prostate cancer early detection (screening and early diagnosis) techniques. A total of 32,800 cancer information, education and communication materials; breast, cervical, prostate childhood and general cancer information booklets; health education guide, community cancer information flipcharts for village health teams and referral guidelines for suspected cancer were developed and distributed to 122 districts. Also, 16 public and private‐not‐for‐profit regional hospitals, and one training institution received these materials. Audiovisual clips on breast, cervical, and prostate cancer were developed for mass and social media dissemination. A follow‐up after six months to one year indicated that 75% of the districts had implemented at least one of the agreed actions proposed during the training. Conclusions In Uganda, the unmet needs for cancer control services are enormous. However, building the capacity of primary healthcare workers to integrate prevention and early detection of cancer into primary health care based on low‐cost options for low‐income countries could contribute to reducing the unmet needs of cancer prevention and early detection in Uganda.

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Mobile cancer prevention and early detection outreach in Uganda: Partnering with communities toward bridging the cancer health disparities through “asset‐based community development model”

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 11 publications

References 36 publications

Mobile Health Solutions for Prostate Cancer Diagnostics—A Systematic Review

Mobile Health Solutions for Prostate Cancer Diagnostics—A Systematic Review

Infection-related and lifestyle-related cancer burden in Kampala, Uganda: projection of the future cancer incidence up to 2030

Capacity building for cancer prevention and early detection in the Ugandan primary healthcare facilities: Working toward reducing the unmet needs of cancer control services

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