Potlako: A Programmatic Multi-facility Level Intervention to Improve Access to Timely Oncology Care in Botswana
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 979
- Locations
- 1
- Primary Endpoint
- Cancer stage
Study Overview
Brief Summary
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
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Citizen of Botswana
- •Suspected or diagnosed cancer
Exclusion Criteria
- •Involuntary incarceration
Outcomes
Primary Outcomes
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
Secondary Outcomes
No secondary outcomes reported
Investigators
Scott Dryden-Peterson
Assistant Professor, Research Affiliate
Harvard School of Public Health (HSPH)