A health care professionals training needs assessment for oncology in Uganda
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(2020) 18:62
RESEARCH
Open Access
A health care professionals training needs assessment for oncology in Uganda Josaphat Byamugisha1†, Ian G. Munabi2*† , Aloysius G. Mubuuke3†, Amos D. Mwaka4†, Mike Kagawa1, Isaac Okullo5, Nixon Niyonzima6, Pastan Lusiba7, Peruth Ainembabazi7, Caroline Kankunda7, Dennis D. Muhumuza7, Jackson Orem6, Diana Atwine8 and Charles Ibingira2,7
Abstract Background: Cancer incidence and mortality in sub-Saharan Africa are increasing and do account for significant premature death. The expertise of health care providers is critical to downstaging cancer at diagnosis and improving survival in low- and middle-income countries. We set out to determine the training needs of health care providers for a comprehensive oncology services package in selected hospitals in Uganda, in order to inform capacity development intervention to improve cancer outcomes in the East African region. Methods: This was a cross-sectional survey using the WHO Hennessey-Hicks questionnaire to identify the training needs of health workers involved in cancer care, across 22 hospitals in Uganda. Data were captured in real time using the Open Data Kit platform from which the data was exported to Stata version 15 for analysis using the Wilcoxon signed-rank test and Somers-Delta. Results: There were 199 respondent health professionals who were predominately female (146/199, 73.37%), with an average age of 38.97 years. There were 158/199 (79.40%) nurses, 24/199 (12.06%) medical doctors and 17/199 (8.54%) allied health professionals. Overall, the research and audit domain had the highest ranking for all the health workers (Somers-D = 0.60). The respondent’s level of education had a significant effect on the observed ranking (P value = 0.03). Most of the continuing medical education (CME) topics suggested by the participants were in the clinical task-related category. Conclusion: The “research and audit” domain was identified as the priority area for training interventions to improve oncology services in Uganda. There are opportunities for addressing the identified training needs with an expanded cancer CME programme content, peer support networks and tailored training for the individual health care provider. Keywords: Cancer care facilities, Health care providers, Needs assessment, Sub-Saharan Africa, Training
Background According to the Globocan 2018 data, the global shares of deaths due to cancer in Africa (7.3%) was higher than the global shares of cancer incidence (5.8%). This reverse pattern of higher mortality than the incidence for Africa compared to other parts of the world is thought to be * Correspondence: [email protected] † Josaphat Byamugisha, Ian G. Munabi, Aloysius G. Mubuuke and Amos D. Mwaka participated equally as co-first authors. 2 Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda Full list of author information is available at the end of the article
the result of differences in the distribution of cancer types and higher case fa
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