Kenya National Cancer Control MEAL Framework 2023-2028

Objectives

The Kenya National Cancer Control Monitoring, Evaluation, Accountability and Learning Framework for 2023 to 2028 provides the strategic structure for tracking implementation of national cancer-control activities and their results.[1]It frames cancer control as a continuum encompassing prevention through to survivorship, alongside the system functions needed to sustain delivery.[1]

• Reduce tobacco use among people aged 18 years and above from a 13.3% baseline to 6.5% by 2028.[1]
• Improve prevention and screening for cervical, breast and colorectal cancers.[1]
• Strengthen diagnosis, treatment, palliative care, survivorship and rehabilitation across cancer services.[1]
• Increase five-year survival among paediatric oncology patients from 20% to 60% through improved childhood cancer treatment, palliative care, survivorship and rehabilitation.[1]
• Advance health-system strengthening, advocacy, partnerships, financing, surveillance, registration and research as integral areas of cancer control.[1]
• Monitor whether cancer-control activities produce outputs, outcomes and the overall goal efficiently, effectively and with value for money.[1]
• Generate evidence on which strategies and interventions work in particular contexts and why, to inform government policy and programme design.[1]

Implementation

Implementation follows a logical monitoring and evaluation cycle that connects delivery, measurement of results, feedback and subsequent action.[1]The framework applies indicators across the cancer-control continuum, using structural or input, process, outcome and impact measures to assess implementation and progress.[1]

• Collect baseline information from the Kenya Health Information System, national surveys, research studies, national economic surveys, national health accounts, relevant state agencies and expert consultation.[1][2]
• Monitor tobacco use through the STEPS survey every five years, with responsibility assigned to the Division of Tobacco Control.[1]
• Report childhood cancer survival annually using cancer registry reports, with responsibility assigned to the cancer-control programme and a named institution abbreviated in the source as NCI-K.[1]
• Set targets with reference to global strategies, relevant strategic plans and stakeholder consensus.[2]
• Track a proposed diagnostic-performance indicator on the proportion of cancer tissue specimens receiving histology results in under 21 days.[2]
• Use monitoring findings to support accountability, evidence-based learning and adaptation of implementation actions.[1]
• Link data to action, including an identified cervical-cancer case, although the associated actions and reporting arrangements are not specified in the provided text.[2]
• Include financing within the framework’s scope, although no budget, costing, funding allocation, funding source, funding gap or economic assumptions are specified.[1]

Monitoring & Evaluation

The Kenya National Cancer Control Monitoring, Evaluation, Accountability and Learning Framework for 2023 to 2028 establishes a results-oriented system to monitor implementation, assess whether activities deliver outputs, outcomes and the overall goal efficiently and effectively, and support accountability and learning.[1]

• Monitor cancer-control action across prevention, screening, diagnosis, treatment, palliative care, survivorship, health-system strengthening, advocacy, partnerships, financing, surveillance, registration and research through structural or input, process, outcome and impact indicators.[1]
• Use baseline data from the Kenya Health Information System, national surveys, research studies, national economic surveys, national health accounts, relevant state agencies and expert consultation.[1][2]
• Apply a feedback-based monitoring and evaluation cycle to connect implementation, results and subsequent action, generating evidence on which interventions work, in which contexts and why.[1]
• Track tobacco use among people aged 18 years and above from a 13.3% baseline towards a 6.5% target by 2028, using the STEPwise approach to Surveillance survey and reporting results every five years.[1]
• Track five-year survival among paediatric oncology patients from a 20% baseline towards a 60% target, using cancer registry reports and reporting annually.[1]
• Assign responsibility for tobacco-use monitoring to the Division of Tobacco Control, while the cancer-control programme and NCI-K are responsible for childhood cancer survival reporting.[1]
• Set targets with reference to global strategies, relevant strategic plans and stakeholder consensus, including a proposed indicator for the proportion of cancer tissue specimens receiving histology results within 21 days.[2]
• Link data to action, including in relation to cervical cancer, although the available text does not specify the resulting actions, detailed reporting channels or wider accountability mechanisms.[2]

Costing & Financing

Financing forms part of the framework's cancer-control scope, but the available text provides no budget, costed implementation plan, allocation, financing source, resource-mobilisation mechanism, funding gap or economic assumption.[1]

• Use national economic surveys and national health accounts among the sources of baseline information, although no associated expenditure figures or financing analyses are specified.[1][2]
• Assess value for money as part of the framework's accountability purpose, although no methodology, threshold or cost-effectiveness findings are specified.[1]