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Pediatric Cancer Recognition Training in Botswana
Jeremy S Slone1, Elise Ishigami2, Parth S Mehta1
1Texas Children's Cancer and Hematology Centers, Houston, TX, USA; Baylor College of Medicine, Houston, TX, USA.
Insights
Training healthcare workers in Botswana improved recognition and referral of childhood cancers. This initiative in low- and middle-income countries (LMICs) addresses delayed presentation, a key barrier to improving pediatric cancer survival rates.
Area of Science:
- Pediatric Oncology
- Global Health
- Healthcare Worker Training
Background:
- Delayed presentation of childhood cancer significantly hinders survival rates in low- and middle-income countries (LMICs).
- Botswana, with a population of 2 million, has a single pediatric cancer treatment center, Princess Marina Hospital (PMH).
Purpose of the Study:
- To assess the impact of a pediatric cancer recognition training program on healthcare workers in Botswana.
- To identify existing limitations in pediatric cancer knowledge and referral processes.
Main Methods:
- A pediatric cancer recognition training program was implemented, reaching 50% of government hospitals in Botswana.
- 362 healthcare workers were trained on recognizing and referring pediatric cancer cases to PMH.
- Post-workshop evaluations were conducted to assess knowledge improvement.
Main Results:
- The training program identified limitations in current pediatric cancer knowledge among healthcare workers.
- Attendees showed significant improvement in understanding pediatric cancer signs and symptoms.
- Knowledge of the referral process to PMH also improved post-training.
Conclusions:
- Targeted training can enhance healthcare workers' ability to recognize and refer children with cancer in resource-limited settings.
- Improving early detection and referral is crucial for improving pediatric cancer outcomes in LMICs.
- The program demonstrated effectiveness in addressing knowledge gaps and improving the referral pathway.
Abstract:
Delayed presentation of children with cancer is a significant barrier to improving the survival from children's cancer in low- and middle-income countries (LMICs). Botswana, a country of approximately 2 million people in southern Africa, has only 1 pediatric cancer treatment program, based at Princess Marina Hospital (PMH) in the capital of Gaborone. A pediatric cancer recognition training program was developed that reached 50% of the government hospitals in Botswana teaching 362 health care workers how to recognize and refer children with cancer to PMH. Through evaluation of attendees, limitations in pediatric cancer training and general knowledge of pediatric cancer were identified. Attendees demonstrated improvement in their understanding of pediatric cancer and the referral process to PMH following the workshop.
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