Potlako: A Programmatic Intervention to Improve Access to Timely Oncology Care
Diagnostic and treatment delays contribute substantially to disparities in cancer morbidity and mortality between low- and middle- income countries (LMICs) and high-income countries. Individuals present with advanced stage disease resulting in minimal chance for cure or long-term survival.
The Potlako project will implement and evaluate a multifaceted intervention to test the hypothesis that a package of enhanced coordination of care including an electronic messaging, transportation support, and training targeted at generalist clinicians at primary and secondary level facilities, can reduce time to diagnosis and stage at diagnosis for HIV-infected individuals with cancer.
|Study Design:||Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
|Official Title:||Potlako: A Programmatic Multi-facility Level Intervention to Improve Access to Timely Oncology Care in Botswana|
- Cancer stage [ Time Frame: 1 day visit ]
- Time from initial clinic visit with cancer symptom/sign to entry into oncology care [ Time Frame: 1 day visit ]
|Study Start Date:||April 2016|
|Estimated Study Completion Date:||April 2019|
|Estimated Primary Completion Date:||April 2019 (Final data collection date for primary outcome measure)|
Experimental: Kweneng East District
Patient presenting with possible cancer symptoms/sign to a clinic or hospital in Kweneng East District during study period.
Other: Potlako intervention
Multicomponent intervention including:
No Intervention: All other districts
Patient presenting with possible cancer symptoms/sign to a clinic or hospital in all other districts of Botswana (or Kweneng East prior to implementation of intervention).
Please refer to this study by its ClinicalTrials.gov identifier: NCT02752061
|Botswana Harvard AIDS Institute|