{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:54:49Z","timestamp":1790909689175,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In 2018, approximately 60,000 Ugandans were estimated to be suffering from cancer. It was also reported that only 5% of cancer patients access cancer care and 77% present with late\u2010stage cancer coupled with low level of cancer health literacy in the population despite a wide coverage of primary healthcare facilities in Uganda. We aimed to contribute to reducing the unmet needs of cancer prevention and early detection services in Uganda through capacity building.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2017, we conducted two national and six regional cancer control stakeholders\u2019 consultative meetings. In 2017 and 2018, we trained district primary healthcare teams on cancer prevention and early detection. We also developed cancer information materials for health workers and communities and conducted a follow\u2010up after the training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 488 primary healthcare workers from 118 districts were trained. Forty\u2010six health workers in the pilot East\u2010central subregion were further trained in cervical, breast, and prostate cancer early detection (screening and early diagnosis) techniques. A total of 32,800 cancer information, education and communication materials; breast, cervical, prostate childhood and general cancer information booklets; health education guide, community cancer information flipcharts for village health teams and referral guidelines for suspected cancer were developed and distributed to 122 districts. Also, 16 public and private\u2010not\u2010for\u2010profit regional hospitals, and one training institution received these materials. Audiovisual clips on breast, cervical, and prostate cancer were developed for mass and social media dissemination. A follow\u2010up after six months to one year indicated that 75% of the districts had implemented at least one of the agreed actions proposed during the training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In Uganda, the unmet needs for cancer control services are enormous. However, building the capacity of primary healthcare workers to integrate prevention and early detection of cancer into primary health care based on low\u2010cost options for low\u2010income countries could contribute to reducing the unmet needs of cancer prevention and early detection in Uganda.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.3659","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T18:39:20Z","timestamp":1608057560000},"page":"745-756","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Capacity building for cancer prevention and early detection in the Ugandan primary healthcare facilities: Working toward reducing the unmet needs of cancer control services"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5733-2573","authenticated-orcid":false,"given":"Alfred","family":"Jatho","sequence":"first","affiliation":[{"name":"National Cancer Center Graduate School of Cancer Science and Policy Goyang Republic of Korea"},{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noleb M.","family":"Mugisha","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Kafeero","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Holoya","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Okuku","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nixon","family":"Niyonzima","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson","family":"Orem","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"FerlayJ ErvikM LamF et al.Global cancer observatory: cancer today. 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