Abstract：
OBJECTIVE: Low and middle income countries of Africa account for a disproportionate amount of the global health burden of cancer. Providing patients access to psychosocial oncology and palliative care through policy structures such as the National Cancer Control Plans (NCCP) is essential to improving the care provided to patients and their families. The first phase of this study sought to determine the extent to which palliative care and psychosocial oncology were integrated in NCCPs in African countries.
METHODS: A qualitative thematic analysis of the plans was used using Nvivo, with two-raters coding and continuous team discussions. Data were organized into an infographic map showing the coverage of themes across African countries.
RESULTS: Fifty-eight NCCPs and NCD plans were analyzed in the 54 countries in Africa. The findings illustrate a lack of standardization across countries\' NCCPs in addressing psychosocial oncology and palliative care themes. Certain areas presented good coverage across several plans, such as barriers to access, education, awareness, and health behaviors, coordination of care, families, caregivers and community involvement, and palliative care. Other themes presented low coverage, such as doctor-patient communication, mental health, bereavement, psychosocial care, survivorship care, and traditional medicine.
CONCLUSIONS: One may consider further developing NCCP areas as they pertain to psychosocial oncology and palliative care to ensure their proper place on the policy agenda for a healthier Africa.
METHODS: A qualitative thematic analysis of the plans was used using Nvivo, with two-raters coding and continuous team discussions. Data were organized into an infographic map showing the coverage of themes across African countries.
RESULTS: Fifty-eight NCCPs and NCD plans were analyzed in the 54 countries in Africa. The findings illustrate a lack of standardization across countries\' NCCPs in addressing psychosocial oncology and palliative care themes. Certain areas presented good coverage across several plans, such as barriers to access, education, awareness, and health behaviors, coordination of care, families, caregivers and community involvement, and palliative care. Other themes presented low coverage, such as doctor-patient communication, mental health, bereavement, psychosocial care, survivorship care, and traditional medicine.
CONCLUSIONS: One may consider further developing NCCP areas as they pertain to psychosocial oncology and palliative care to ensure their proper place on the policy agenda for a healthier Africa.
摘要：
目标：非洲的低收入和中等收入国家在全球癌症健康负担中所占比例过高。通过国家癌症控制计划（NCCP）等政策结构为患者提供社会心理肿瘤学和姑息治疗对于改善向患者及其家人提供的护理至关重要。这项研究的第一阶段旨在确定姑息治疗和社会心理肿瘤学在非洲国家NCCP中的整合程度。
方法：使用Nvivo对计划进行定性主题分析，通过两名评估者编码和持续的团队讨论。将数据整理成信息图表，显示非洲各国主题的覆盖范围。
结果：分析了非洲54个国家的58个NCCP和NCD计划。研究结果表明，各国在解决社会心理肿瘤学和姑息治疗主题方面缺乏标准化。某些地区在几个计划中都有很好的覆盖面，例如进入的障碍，教育,意识,和健康行为，协调护理，家庭,照顾者和社区参与，和姑息治疗。其他主题覆盖率低，比如医患沟通，心理健康,丧亲,社会心理护理,生存护理，和传统医学。
结论：人们可以考虑进一步发展NCCP领域，因为它们涉及社会心理肿瘤学和姑息治疗，以确保它们在更健康的非洲政策议程中的适当位置。
方法：使用Nvivo对计划进行定性主题分析，通过两名评估者编码和持续的团队讨论。将数据整理成信息图表，显示非洲各国主题的覆盖范围。
结果：分析了非洲54个国家的58个NCCP和NCD计划。研究结果表明，各国在解决社会心理肿瘤学和姑息治疗主题方面缺乏标准化。某些地区在几个计划中都有很好的覆盖面，例如进入的障碍，教育,意识,和健康行为，协调护理，家庭,照顾者和社区参与，和姑息治疗。其他主题覆盖率低，比如医患沟通，心理健康,丧亲,社会心理护理,生存护理，和传统医学。
结论：人们可以考虑进一步发展NCCP领域，因为它们涉及社会心理肿瘤学和姑息治疗，以确保它们在更健康的非洲政策议程中的适当位置。
