Pursuing equity in cancer care: Implementation, challenges and preliminary findings of a public cancer referral center in rural Rwanda

BMC Cancer

Volumn 16, Issue 1, 2016, Pages

  Tapela, Neo M ^a,c,d,j   Mpunga, Tharcisse ^e   Hedt Gauthier, Bethany ^b,c,d   Moore, Molly ^g   Mpanumusingo, Egide ^e   Xu, Mary Jue ^d   Nzayisenga, Ignace ^b   Hategekimana, Vedaste ^e   Umuhizi, Denis Gilbert ^e   Pace, Lydia E ^d   Bigirimana, Jean Bosco ^b   Wang, JingJing ^b   Driscoll, Caitlin ^h   Uwizeye, Frank R ^b   Drobac, Peter C ^b,c,d   Ngoga, Gedeon ^b   Shyirambere, Cyprien ^b   Muhayimana, Clemence ^e   Lehmann, Leslie ^b,c,d,f   Shulman, Lawrence N ^b,c,i  

^a Department of HIV AIDS Prevention and Care   (Botswana)

^b PARTNERS IN HEALTH   (United States)

^c Dana Farber Brigham and Women's Cancer Center   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e Rwanda Ministry of Health   (Rwanda)

^f BOSTON CHILDREN S HOSPITAL   (United States)

^g UNIVERSITY OF VERMONT COLLEGE OF MEDICINE   (United States)

^h MOUNT SINAI SCHOOL OF MEDICINE   (United States)

ⁱ UNIVERSITY OF PENNSYLVANIA   (United States)

^j BRIGHAM AND WOMEN S HOSPITAL   (United States)

more..

Author keywords

Cancer; Capacity building; Implementation; Resource limited setting; Rwanda; Task shifting; Twinning

Indexed keywords

ADULT; ARTICLE; CANCER CENTER; CANCER MORTALITY; CHILD; FEMALE; HEALTH CARE DELIVERY; HUMAN; LEADERSHIP; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MIDDLE AGED; PATIENT REFERRAL; RESOURCE ALLOCATION; RURAL AREA; RWANDA; SEX RATIO; VULNERABLE POPULATION; YOUNG ADULT; ADOLESCENT; AGED; ELECTRONIC HEALTH RECORD; NEOPLASMS; PATHOLOGY; PATIENT ATTITUDE; RURAL POPULATION; SOCIOECONOMICS;

ADOLESCENT; ADULT; AGED; DELIVERY OF HEALTH CARE; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; MALE; MIDDLE AGED; NEOPLASMS; PATIENT ACCEPTANCE OF HEALTH CARE; RURAL POPULATION; RWANDA; SOCIOECONOMIC FACTORS;

EID: 84961762775     PISSN: None     EISSN: 14712407     Source Type: Journal    
DOI: 10.1186/s12885-016-2256-7     Document Type: Article

References (21)

1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer incidence and mortality worldwide: IARC CancerBase No. 11 [Internet]. Lyon: International Agency for Research on Cancer; 2013. Available: http://globocan.iarc.fr. Accessed 15 July 2014.
2. Farmer P, Frenk J, Knaul FM, Shulman LN, Alleyne G, Armstrong A, et al. Expansion of cancer care and control in countries of low and middle income: A call to action. Lancet. 2010;376(9747):1186-93.
3. Binagwaho A, Ngabo F, Wagner CM, Mugeni C, Gatera M, Nutt CT, et al. Integration of comprehensive women's health programmes into health systems: cervical cancer prevention, care and control in Rwanda. Bull World Health Organ. 2013;91:697-703.
4. Knaul FM, Farmer P. Overview. In: Knaul FM, Gralow JR, Atun R, Bhadelia A, editors. Closing the cancer Divide: an Equity Imperative. Cambridge: Harvard Global Equity Initiative/Harvard University Press; 2012. p. 3-28.
5. Stefan DC, Elzawawy AM, Khaled HM, Ntaganda F, Asiimwe A, Addai BW, et al. Developing cancer control plans in Africa: Examples from five countries. Lancet Oncol. 2013;14:e189-95.
6. Strother RM, Asirwa FC, Busakhala NB, Njiru E, Orang'o E, Njuguna F, et al. The evolution of comprehensive cancer care in Western Kenya. J Cancer Policy. 2013;1:e25-30.
7. Shulman LN, Mpunga T, Tapela N, Wagner CM, Fadelu T, Binagwaho A. Bringing cancer care to the poor: Experiences from Rwanda. Nat Rev Cancer. 2014;142(4):541-5.
8. Stulac S, Binagwaho A, Tapela NM, Wagner CM, Muhimpundu MA, Ngado F, et al. Capacity building for oncology programs in sub-Saharan Africa: the Rwanda experience. Lancet Oncol. 2015;16(8):e405-13.
9. Binagwaho A, Farmer PE, Nsanzimana S, Karema C, Gasana M, de Dieu Ngirabega J, et al. Rwanda 20 years on: investing in life. Lancet. 2014;384(9940):371-5.
10. Binagwaho A, Wagner CM, Gatera M, Karema C, Nutt CT, Ngabo F. Achieving high coverage in Rwanda's national human papillomavirus vaccination programme. Bull World Health Organ. 2012;90:623-8.
11. Rich ML, Miller AC, Niyigena P, Franke MF, Niyonzima JB, Socci A, et al. Excellent clinical outcomes and high retention in care among adults in a community-based HIV treatment program in rural Rwanda. J Acquir Immune Defic Syndr. 2012;59(3):e35-42.
12. Government of Rwanda, Northern Province Burera District: Burera District Health Strategic Plan 2012-2018. Republic of Rwanda. May 2013. Print.
13. Mpunga T, Tapela N, Hedt-Gauthier BL, Milner D, Nshimiyimana I, Muvugabigwi G, et al. Diagnosis of cancer in rural Rwanda: Early outcomes of a phased approach to implement anatomic pathology services in resource-limited settings. Am J Clin Pathol. 2014;142:541-5.
14. Mubiligi JM, Hedt-Gauthier B, Mpunga T, Tapela N, Okao P, Harries AD, et al. Caring for patients with surgically resectable cancers: experience from a specialized center in rural Rwanda. Public Health Action. 2014;4(2):128-32.
15. Tierney WM, Rotich JK, Hannan TJ, Siika AM, Biondich PG, Mamlin BW, et al. The AMPATH medical record system: creating, implementing, and sustaining an electronic medical record system to support HIV/AIDS care in western Kenya. Stud Health Technol Inform. 2007;129:372-6.
16. Amoroso CL, Akimana B, Wise B, Fraser HSF. Using electronic medical records for HIV care in rural Rwanda. Stud Health Technol Inform. 2010;160:337-41.
17. Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5:649-55.
18. Slone JS, Chunda-Liyoka C, Perez M, Mutalima N, Newton R, Chintu C, et al. Pediatric malignancies, treatment outcomes and abandonment of pediatric cancer treatment in Zambia. PLoS One. 2014;9(2):e89102.
19. American Cancer Society. Cancer Facts & Figures 2014. Atlanta: American Cancer Society; 2014.
20. Barton MB, Frommer M, Shafiq J. Role of radiotherapy in cancer control in low-income and middle-income countries. Lancet Oncol. 2006;7:584-95.
21. Lopes Gde L. Cost comparison and economic implications of commonly used originator and generic chemotherapy drugs in India. Ann Oncol. 2013;24 Suppl 5:v13-6.