Secure the Future Lung Cancer Centre of Excellence at the Kimberley Hospital Complex

Partnership objectives:

Summary: The goal of this project is establish a Lung Cancer Centre of Excellence at the Kimberley Hospital Complex Oncology Department and expand community based cancer services in the John Taolo Gaetsewe District.

Goal 1: Establish a Lung Cancer Centre of Excellence at KHC Oncology Department:

Objectives:

  1. Improve the physical and equipment infrastructure at KHC and Kuruman hospital to enhance patient diagnosis, treatment and outcomes;
  2. Upgrade the existing data infrastructure to improve patient quality of care, monitor service delivery and report Kimberley Hospital Oncology lung cancer data;
  3. Stay abreast of novel and innovative lung cancer screening, diagnosis, treatment and palliative care modalities;
  4. Develop collaborative diagnostic and referral pathways with Kuruman Hospital and other specialty departments within KHC;
  5. Support provincial level efforts in understanding the burden of lung cancer in the KHC catchment area of the Northern Cape Province.
 

Goal 2: Provide Lung, Breast and Cervical Cancer awareness, screening, referral, patient navigation, treatment adherence services and palliative care in the JTG District:

Objectives:

  1. Provide community outreach and education services to increase awareness around priority cancers particularly in at-risk communities in the catchment area;
  2. Expand community-based priority cancer screening to support early detection and diagnosis;
  3. Develop and implement a patient referral system amongst KHC Oncology Department, Kuruman Hospital and CCW community-based screening program;
  4. Develop and implement a patient navigation system for newly diagnosed cancer patients to support treatment initiation and adherence;
  5. Enhance treatment adherence and follow-up (psychosocial support, appointment reminders, workshops) for diagnosed and cancer survivor patients; 
  6. Strengthen community-based palliative care services in the JTG District.

The partnership aims at expanding community-based priority cancer screening to support early detection and diagnosis. The partnership aims at expanding community-based priority cancer screening to support early detection and diagnosis. Copyright Bristol-Myers Squibb

What are the health needs and challenges?

Located in the North West part of South Africa, the Northern Cape Province has a population of 1.15 million inhabitants sparsely distributed over five districts and is one of the country’s poorest regions. Kimberley is the provincial capital and is within the Francis Baard District, which has a population of 387,741 people across 12, 836 km2 and a population density of 30.2 / km2. A third of the people live below the poverty line and one in ten people is illiterate.

Kuruman is a large town surrounded by asbestos mines and lies within the John Taolo Gaetsewe (JTG) District. JTG has a population of 242,264 people spanning 27,322 km2 and has a population density of 8.9 people / km2. A third of the population lives below the poverty line with as many being illiterate. More than half the province’s population lives in these two districts. Kimberley Hospital Complex (KHC) is the only facility in the Northern Cape Province with the ability to diagnose and treat lung cancer.  Kuruman Hospital is the local referral hospital for the JTG District (260km /2.5hrs from Kimberley). It has a satellite Oncology Department which is run by an Oncology trained registered nurse. It is a two roomed unit (one room for drug storage and mixing and another room for patient consultation). Due to lack of space, patients have to receive their chemotherapy in the passage/hall way.

All suspected lung cancer cases receiving care at the five district public hospitals in the Province or in the KHC specialty departments, are referred to KHC Oncology Department. The department receives and manages cases of mesothelioma and other lung cancers as well as breast, cervical, prostate and colon cancer. Currently, about 45 new lung cancer patients (13 new mesothelioma and 32 other lung cancer patients) per month are initiated on treatment.

Description of partnership activities and how they address needs and challenges

Project Components

Goal 1: Establish a Lung Cancer Centre of Excellence at KHC Oncology Department.

  • KHC: improve care environment
  • Install appropriate computers, telephones, software, data dashboard and train personnel
  • Participate in academic training, conferences, review journals
  • Hold meetings, institute tracking of transport services
  • Collection of data; data sharing meetings
 

Goal 2: Provide Lung, Breast and Cervical Cancer awareness, screening, referral, patient navigation, treatment adherence services and palliative care in the JTG District.

  • Community-based cancer awareness campaigns; outreach activities and screening services
  • Establish and strengthen relationships and referral pathways; patient tracking  
  • Identification & training of navigators, navigation of patients through Kuruman and KHC system
  • Enhance patient tracking, support groups and psychosocial support
  • Home based support and palliative services
 

Summary of impact and forward looking information

A detailed monitoring and evaluation framework has been developed covering each objective under each goal.  An existing KHC staff will serve as the M&E officer following training and periodic reports will be provided to BMSF.

Measurement of progress towards objectives:

Estimated overall value of partnership: US$1,710,716 over three years

  • Established KHC Oncology Centre of Excellence focusing primarily on lung cancer.
  • Enhanced data system and data collection and utilization capabilities within KHC and collaborating partners.
  • Earlier detection, referral and diagnosis of lung, breast and cervical cancer in project areas.
  • improved patient tracking system, enhanced referral network and transport network to reduced loss to follow-up
  • Improved treatment of lung cancer patients who would have been misdiagnosed with pulmonary tuberculosis.
  • Established sustainable and functional relations with JTG District Health Department, Community Healthcare Workers, Community Based Organizations and volunteers so as to reach all the affected and at risk population timeously and improve rates of early diagnosis.
  • Kimberley Hospital Complex Oncology Department to be the first Project ECHO Hub for cancer in South Africa.
  • Improved knowledge, skills and expertise in Oncological and Project Management.
  • Functional and patient friendly Oncology Unit at Kuruman Hospital 
  • 60 trained community volunteers to provide  palliative home-based services
  • Peer review publications and informing national policy 

Partnership information

Company(ies) Bristol-Myers Squibb

Partner(s) Asbestos Interest Group, Bristol-Myers Squibb Foundation, Cancer care, Isibani, JTG District Health Department, Kimberly Hospital Complex (KHC), Kuruman Hospital, Project ECHO, Provincial Department of Health, PWC, Wits Health Consortium

Type of Partner(s) Academia / Hospitals, Government, NGOs, Other Business

Therapeutic Focus Women and Children's Health, Non-Communicable Diseases

Disease(s) Cancer, Children's Health, Respiratory Diseases, Women's Health

Program Type(s) Availability of Treatment - Financial Support, Health System Infrastructure - Development of Physical Infrastructure, Health System Infrastructure - Outreach & Medical Services, Health System Infrastructure - Training, Prevention Programs - Awareness & Outreach

Region(s) Sub-Saharan Africa

Number of Countries 1

Country(ies) South Africa

Start Date 2017

Anticipated completion date 2020