Key Result Area Three: Diagnosis, Treatment, Palliative and Survivorship Care of Invasive Cervical Cancer

Operational objective 1: Strengthen infrastructural capacity of comprehensive specialized facilities offering diagnostic, treatment and palliative care for cervical cancer.
Actions
  • Conduct a mapping assessment for cancer diagnostic services (laboratory and imaging), as well as treatment capacity (including service need mapping and HR capacity).
  • Increase timely access to quality and accurate cervical cancer laboratory diagnosis and support within the county Referral Hospitals (CRHs) and Cancer Treatment Centers.
  • Provide adequate and accurate imaging equipment for diagnosis of cervical cancer at the CRHs.
  • Establish two additional nuclear medicine services to provide diagnostic and therapeutic radionuclide services.
  • Enhance patient and laboratory test navigation by creating robust referral pathways within the regional hubs and county referral systems.
Operational objective 2: Strengthen the availability and capacity of a well-trained, multidisciplinary oncology workforce to support timely diagnosis and comprehensive treatment of cervical cancer.
Actions
  • Strengthen availability and capacity of a skilled multi- disciplinary team of oncology human resources for health across all levels of care (e.g. Lab pathology , medicine/oncology ,nursing, imaging and palliative care).
  • Ensure timely staging, multidisciplinary tumor boards, and patient navigation to reduce delays.
  • Include personnel trained in sexual/reproductive health, fertility preservation counseling, psychosocial support, return- to-work/survivorship care in the multi-discplinary team.
Operational objective 3: Ensure availability of Health product and technologies to deliver comprehensive cervical cancer diagnosis, treatment and palliative care in counties and regional CTCs
Actions
  • Strengthen the Histopathology reagent supply, equipment purchase and maintenance within the counties and regional CTCs.
  • Equip theatre services within the counties to support surgical intervention of early invasive cervical cancer.
  • Ensure regular provision of safe chemotherapy at all CTCs.
  • Increase capacity for radiotherapy/brachytherapy at CTCs.
  • Strengthen provision of nuclear and radiation medical products and equipment within the CTCs for treatment of advanced cervical cancer.
  • Ensure the availability of palliative commodities in all county referral facilities with linkages to primary and community home-based care, as per the NCCS 2023-2027.
Operational objective 4: Comprehensively provide financial cover for the diagnosis and treatment of cervical cancer.
Actions
  • Support sustainable Domestic financing for diagnosis and treatment of invasive cervical cancer, including advocating for full information of the relevant SHI packages (especially SHIF and ECCIF).
Operational objective 5: Strengthen cervical cancer data systems for effective monitoring, planning, and quality improvement of diagnosis and treatment services across all levels of care
Actions
  • Support adoption of EHR systems in screening and treatment
  • Improve data collection, quality and reporting practices for cancer diagnosis and treatment, through adoption of EHR at CRHs and CTCs.
  • Enhance real-time data use for clinical decision- making and service improvement, through linkage of facility EHR to KHIS and oncology dashboard.
  • Generate and disseminate periodic data for policy advocacy, resource mobilization, and community feedback.
  • Identify research priority areas and conduct research to guide cervical cancer diagnosis and treatment.
Operational objective 6: Strengthen leadership and governance systems for effective policy implementation, coordination, and oversight of cervical cancer diagnosis and treatment services at national and county levels.
Actions
  • Strengthen the cancer diagnosis and treatment coordination between national and county mechanisms.
  • Monitor adherence to National Cancer Treatment Guidelines and Standards on cervical cancer.
  • Build leadership capacity for evidence-based planning, implementation, and advocacy.
  • Ensure cervical cancer elimination indicators are included in the government performance management system.