title: Economic analysis of the Nairobi Cancer Registry: Implications for expanding and enhancing cancer registration in Kenya.
abstract: BACKGROUND
  Cancer registration is an important activity for informing cancer control activities. Cancer registries in Sub-Saharan Africa have limited resources to effectively operate because of competing priorities. To date, there has not been an assessment of the resources and funding needed to perform all the activities essential for cancer registration in Kenya. Evidence will help registries to quantify and advocate for the funds needed to sustain, enhance, and expand high quality cancer registration in Kenya.
  
  
  METHODS
  In this study, we used the Centers for Disease Control and Prevention's (CDC's) International Registry Costing Tool (IntRegCosting Tool) to evaluate the funding, cost, and labor resources used to perform the cancer registry operations in Nairobi County for two annual periods between July 2012 and June 2014.
  
  
  RESULTS
  Funding from grants, research studies, and international organizations provided 70% of the registry operations' cost. For both time periods, the most-costly registry activities were related to administration, management, and training, along with data acquisition activities such as data abstraction, entry, and validation. Even among these core registry activities, however, substantial variations existed.
  
  
  CONCLUSIONS
  Stable funding for cancer registry operations is necessary to sustain core registry activities in other to deliver high-quality data, which in turn is necessary to foster evidence-based policies to improve cancer outcomes. As stakeholders look into expanding the Nairobi Cancer Registry into a national program, the cost data provided in this study will help justify the funding required for sustaining and expanding registry activities.
authors.affiliation: Nairobi Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya. Electronic address: akorir@kemri.org.
authors.forename: Anne
authors.initials: A
authors.lastname: Korir
authors.affiliation: Independent Researcher, Nairobi, Kenya.
authors.forename: Robai
authors.initials: R
authors.lastname: Gakunga
authors.affiliation: RTI International, Research Triangle Park, NC, USA.
authors.forename: Sujha
authors.initials: S
authors.lastname: Subramanian
authors.affiliation: Nairobi Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya.
authors.forename: Nathan
authors.initials: N
authors.lastname: Okerosi
authors.affiliation: Eldoret Cancer Registry, Moi University, Eldoret, Kenya.
authors.forename: Gladys
authors.initials: G
authors.lastname: Chesumbai
authors.affiliation: RTI International, Research Triangle Park, NC, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Edwards
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Florence
authors.initials: F
authors.lastname: Tangka
authors.affiliation: United States Centers for Disease Control and Prevention, Nairobi, Kenya.
authors.forename: Rachael
authors.initials: R
authors.lastname: Joseph
authors.affiliation: Eldoret Cancer Registry, Moi University, Eldoret, Kenya.
authors.forename: Nathan
authors.initials: N
authors.lastname: Buziba
authors.affiliation: Nairobi Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya.
authors.forename: Victor
authors.initials: V
authors.lastname: Rono
authors.affiliation: Honorary Senior Research Fellow, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Roosevelt Drive, Oxford, OX3 7LF, United Kingdom.
authors.forename: Donald Maxwell
authors.initials: DM
authors.lastname: Parkin
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Mona
authors.initials: M
authors.lastname: Saraiya
mesh_terms: D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D005260:Female; D006295:Health Resources; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009369:Neoplasms / Q000453:epidemiology*; D012042:Registries
keywords: Activity-based cost; Cancer registry; Economic evaluation; Kenya