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Development of a theory-driven implementation strategy for cancer management guidelines in sub-Saharan Africa.

Rebecca J DeBoerJerry NdumbaloStephen MeenaMamsau T NgomaNanzoke MvungiSadiq SiuMsiba SelekwaSarah K NyagabonaRohan LuharGeoffrey BuckleTracy Kuo LinLindsay BreithauptStephanie Kennell-HeilingBeatrice MushiGodfrey Sama PhilipoElia J MmbagaJulius MwaiselageKatherine Van Loon
Published in: Implementation science communications (2020)
We developed a robust, multifaceted guideline implementation strategy derived from a prominent behavior change theory for use in Tanzania. The barriers and strategies we generated are consistent with those well established in the literature, enhancing the validity and generalizability of our process and results. Through our rigorous evaluation plan and systematic account of modifications and adaptations, we will characterize the transferability of "proven" guideline implementation strategies to LMICs. We hope that by describing our process in detail, others may endeavor to replicate it, meeting a widespread need for dedicated efforts to implement cancer guidelines in LMICs.
Keyphrases
  • papillary thyroid
  • primary care
  • quality improvement
  • healthcare
  • squamous cell
  • systematic review
  • childhood cancer
  • squamous cell carcinoma