Zambia cervical cancer control program resource mapping - Leveraging support to achieve the 90-70-90 elimination target
| Autor: | Dorothy Lombe, Memory Samboko, Kennedy Lishimpi, Sharon Kapambwe, Udie Soko, Mbaita Maka, Samuel Sichamba, Paul Kamfwa, David Chanda, Prudence Haimbe, Namwiinga Choobe, Mwate Joseph Chaila, Patrick Banda, Susan Citonje Msadabwe, Maureen Simwenda |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population Stakeholder engagement Uterine Cervical Neoplasms Zambia Cervix Uteri 03 medical and health sciences 0302 clinical medicine Resource (project management) medicine Humans Operations management 030212 general & internal medicine Prospective Studies education Activity-based costing Cervical cancer education.field_of_study business.industry Health Policy Mortality rate Public health Stakeholder medicine.disease Oncology 030220 oncology & carcinogenesis Female business Delivery of Health Care |
| Zdroj: | Journal of cancer policy. 28 |
| ISSN: | 2213-5383 |
| Popis: | Background Zambia has one of the highest incidence and mortality rates of cervical cancer at 65.5 and 43.4 per 100 000 respectively. In line with efforts of the cervical cancer elimination strategy the Zambia national cervical cancer sub-committee undertook a resource mapping exercise of projected spending on the prevention and control program. The aim was to elicit the available resources over a prospective 4-year period and compare it to the projected costs. Materials and methods A 4-step approach was used for this activity. This included creation of tool adapted for the local program, orientation of stakeholders to the tool, population of the tool by stakeholders and collation, comparison and reporting of submitted data. Comparative analysis to the cervical cancer control costing report 2019–2023 was conducted. Results Fifty-nine percent of resources in the stipulated period were allocated to prevention efforts. Isolated with diagnostic, treatment and palliation (14 %) the prevention allocation increased to 81 %. Community and stakeholder engagement was 5 % whilst technical assistance and health information were 12 % and 9 % respectively. The dispensation to research was the lowest at 0.7 %. For health system levels, secondary and primary levels were projected at 40 % and 12 % respectively following the central allotment of 45 %. Community and stakeholder engagement took up 3 %. The secondary prevention to tertiary intervention ratio was 4:1 in the projection compared to approximately 2:1 in the actual budgeted costs for the same period, showing a two-fold discordance. Conclusion To achieve the accelerated elimination of cervical cancer as a public health problem policy cohesiveness is necessary. This can be facilitated with continuous stakeholder involvement in planning, implementation and review. Policy summary In order to accelerate the elimination of cervical cancer as a public health problem policy cohesiveness is vital and this can be achieved by continuous stakeholder involvement in planning, implementation and review. |
| Databáze: | OpenAIRE |
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