Cancer registration needs assessment at a tertiary medical centre in Kilimanjaro, Tanzania.

Journal Article (Journal Article)

Cancer burden is increasing in Africa more than in any other continent, but population-based tracking of cancer incidence is incomplete. Cancer registries can improve understanding of cancer incidence. To assess organizational readiness to sustain registry development, we conducted a survey assessing change efficacy, resource availability and change commitment at the Kilimanjaro Christian Medical Centre (KCMC), an academic hospital in Moshi, Tanzania. Fifty-two surveys were returned (80% response rate). There was strong reliability among change efficacy and commitment survey items, with Cronbach's alphas of 0.93 and 0.77, respectively. Clinicians, nurses and administrators conveyed similar responses regarding change efficacy. Clinicians had similar responses for change commitment. Echoing opinion in many low- and middle-income countries, approximately one-third of respondents indicated there were no funds to maintain the registry, and funds were not obtainable. For most resources, respondents felt that resources were sufficient or attainable. Respondents were generally confident and committed to registry implementation. Lessons learned at KCMC may be more broadly relevant.

Full Text

Duke Authors

Cited Authors

  • Zullig, LL; Muiruri, C; Abernethy, A; Weiner, BJ; Bartlett, J; Oneko, O; Zafar, SY

Published Date

  • 2013

Published In

Volume / Issue

  • 14 / 2

Start / End Page

  • 12 - 23

PubMed ID

  • 23713208

Pubmed Central ID

  • PMC3684014

International Standard Serial Number (ISSN)

  • 1718-3340

Digital Object Identifier (DOI)

  • 10.12927/whp.2013.23271


  • eng

Conference Location

  • Canada