title: Cancer registration needs assessment at a tertiary medical centre in Kilimanjaro, Tanzania.
abstract: Cancer burden is increasing in Africa more than in any other continent, but population-based tracking of cancer incidence is incomplete. Cancer registries can improve understanding of cancer incidence. To assess organizational readiness to sustain registry development, we conducted a survey assessing change efficacy, resource availability and change commitment at the Kilimanjaro Christian Medical Centre (KCMC), an academic hospital in Moshi, Tanzania. Fifty-two surveys were returned (80% response rate). There was strong reliability among change efficacy and commitment survey items, with Cronbach's alphas of 0.93 and 0.77, respectively. Clinicians, nurses and administrators conveyed similar responses regarding change efficacy. Clinicians had similar responses for change commitment. Echoing opinion in many low- and middle-income countries, approximately one-third of respondents indicated there were no funds to maintain the registry, and funds were not obtainable. For most resources, respondents felt that resources were sufficient or attainable. Respondents were generally confident and committed to registry implementation. Lessons learned at KCMC may be more broadly relevant.
authors.affiliation: Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Leah L
authors.initials: LL
authors.lastname: Zullig
authors.forename: Charles
authors.initials: C
authors.lastname: Muiruri
authors.forename: Amy
authors.initials: A
authors.lastname: Abernethy
authors.forename: Bryan J
authors.initials: BJ
authors.lastname: Weiner
authors.forename: John
authors.initials: J
authors.lastname: Bartlett
authors.forename: Olola
authors.initials: O
authors.lastname: Oneko
authors.forename: S Yousuf
authors.initials: SY
authors.lastname: Zafar
mesh_terms: D000328:Adult; D000349:Africa / Q000453:epidemiology; D000368:Aged; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009369:Neoplasms / Q000453:epidemiology*; D009936:Organizational Innovation; D010564:Personnel, Hospital; D012042:Registries; D013636:Tanzania / Q000453:epidemiology; D062606:Tertiary Care Centers / Q000191:economics / Q000458:organization & administration*