{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:24:42Z","timestamp":1784291082902,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Although fertility preservation for patients with childhood and adolescent cancer is considered standard of care in the high-resource settings, it is rarely offered in low-resource settings. This study explores the experiences and perspectives of oncology health care professionals in Uganda to identify contextual barriers and facilitators to addressing oncofertility in low-resource settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using ground theory, we conducted in-depth face-to-face interviews of health care professionals managing pediatric patients at the Uganda Cancer Institute (UCI). Using a systematic, semi-structured interview guide, participants were asked open-ended questions about their understanding of fertility preservation and their perspectives on implementing this care at their institution. Although all the eligible health care providers were interviewed, interview transcripts were uploaded into NVivo version 12 and openly coded as per theoretical requirements. Codes were refined into categories and later into structured themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twelve health care professionals were interviewed. Most participants identified as female (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9). Their role in the medical team varied from nurses (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6), medical officers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), pediatric oncologists (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), and pediatric oncology fellow (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Six themes were noted as follows: (1) importance of information, (2) importance of future fertility, (3) inadequate consideration to future fertility, (4) communication barriers, (5) inadequate knowledge, and (6) resource barriers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although health care providers at the UCI face contextual barriers to addressing future fertility among patients with pediatric cancer, they value preserving fertility in this population. Future initiatives that aim to introduce oncofertility care in low-resource settings should prioritize educating providers and building capacity to meet the oncofertility needs in this setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jayao.2024.0011","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T08:34:12Z","timestamp":1712997252000},"page":"637-645","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Future Fertility Among Pediatric Cancer Patients: Experiences and Perspectives of Health Workers in a Low-Resource Setting"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5637-160X","authenticated-orcid":false,"given":"Anthony","family":"Kayiira","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Uganda Martyrs University School of Medicine, Kampala, Uganda."},{"name":"Department of Reproductive Endocrinology and Infertility, Mulago Specialized Women\u2019s and Neonatal Hospital, Kampala, Uganda."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-0728","authenticated-orcid":false,"given":"Jennifer Neda","family":"John","sequence":"additional","affiliation":[{"name":"Stanford University, Stanford, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8314-8603","authenticated-orcid":false,"given":"Daniel","family":"Zaake","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Uganda Martyrs University School of Medicine, Kampala, Uganda."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Xiong","sequence":"additional","affiliation":[{"name":"University of Minnesota School of Public Health, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce Kambugu","family":"Balagadde","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology, Uganda Cancer Institute, Kampala, Uganda."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Gomez-Lobo","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Gynecology, Eunice Kennedy Shriver National Institute of Child Health, and Human Development, Bethesda, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Wabinga","sequence":"additional","affiliation":[{"name":"Kampala Cancer Registry, Makerere University College of Health Sciences, Kampala, Uganda."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahel","family":"Ghebre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women\u2019s Health, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(17)30186-9"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33619"},{"key":"e_1_3_6_4_2","volume-title":"CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives","author":"World Health O","year":"2021","unstructured":"World Health O. 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