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Impact of a Patient Navigation Program on Cancer Treatment in Kenya
Shahid Umar1, Andriy Chybisov1, Erica Krisel1
1American Cancer Society, Inc, Atlanta, GA.
JCO Global Oncology
|April 28, 2025
Summary
Patient navigation programs improve cancer care in low- and middle-income countries by enhancing patient understanding and satisfaction. These programs help patients navigate logistical barriers, ensuring timely and coordinated cancer treatment.
Area of Science:
- Global Health
- Oncology
- Health Services Research
Background:
- Patient navigation (PN) is vital for overcoming cancer care barriers in the US.
- Effectiveness of PN in low- and middle-income countries (LMICs) is understudied.
- Kenyatta National Hospital (KNH) Patient Navigation Program (PNP) offers a case study.
Purpose of the Study:
- Assess the effectiveness of the KNH PNP.
- Evaluate the impact of PN on patient-reported outcomes (PROs) in an LMIC setting.
- Contribute to understanding global cancer patient support.
Main Methods:
- Repeated cross-sectional survey design with 1,126 adult cancer patients.
- Data collected in 2018, 2019, and 2022.
- Qualitative data from patients, caregivers, and program staff.
Main Results:
- Increased navigation encounters correlated with better patient understanding of diagnosis, treatment duration, and satisfaction.
- Significant improvements in patients receiving help with facility navigation in 2019 and 2022 compared to 2018.
- Reduced likelihood of treatment delays observed in 2019 compared to 2018.
Conclusions:
- PNPs can be effective and complementary in LMICs.
- This study adds to the limited evidence on PROs of cancer PNPs in LMICs.
- Supports the expansion of PN to improve cancer care globally.
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