Kenya National Cancer Control MEAL Framework 2023-2028

Objectives

The 2023–2028 Kenya National Cancer Control Monitoring, Evaluation, Accountability and Learning Framework provides a strategic basis for assessing whether cancer-control interventions achieve effective and efficient results, strengthening accountability and organisational learning, and generating evidence to inform policy and programme design.[1]It frames monitoring, evaluation, accountability and learning as integral to improving cancer prevention, care and health-system performance.[1]

• Strengthen cancer prevention, including efforts to reduce tobacco use among people aged 18 years and above from a 13.3% baseline to 6.5% by 2028.[1]
• Expand screening for cervical, breast and colorectal cancers as part of the cancer-control continuum.[1]
• Improve diagnosis, treatment, palliative care and survivorship services for priority cancers.[1]
• Improve childhood cancer outcomes, including increasing five-year survival among paediatric oncology patients from 20% to 60%.[1]
• Strengthen health systems, advocacy, partnerships and financing for cancer control.[1]
• Develop strategic information through surveillance, cancer registration and research.[1]

Implementation

The framework applies a logical-framework approach and a monitoring-and-evaluation planning cycle to link interventions with outputs, outcomes and longer-term impacts, while using feedback to support action and learning.[1]Its delivery model is based on tracking performance across the cancer-control continuum, assigning institutional responsibility for selected indicators, and connecting evidence to policy and programme improvement.[1]Cervical cancer is identified as an example of linking data to action, although the available material does not specify the operational steps for this process.[2]

• Monitor structural and input indicators to assess whether essential resources and enabling conditions are in place.[1]
• Track process indicators to establish whether planned activities have been completed.[1]
• Measure outcome indicators to assess short-, intermediate- and long-term effects of interventions.[1]
• Assess impact indicators to identify longer-term effects attributable to interventions.[1]
• Draw baseline information from the Kenya Health Information System, national surveys, research studies, national economic surveys, national health accounts, other state agencies and expert consultation.[1]
• Assign tobacco-use monitoring to the Division of Tobacco Control, using the STEPS survey and reporting every five years.[1]
• Assign paediatric oncology five-year survival reporting to the National Cancer Control Programme and the National Cancer Institute-Kenya, using cancer registry reports and reporting annually.[1]
• Align potential targets with global strategies, relevant strategic plans and stakeholder consensus, including targets relating to cervical cancer screening, childhood cancer survival, tobacco and alcohol use, and timely histology results for cancer tissue specimens.[1][2]
• Assess efficiency and value for money as part of the accountability function, while recognising that the available material does not specify budgets, funding sources, resource-mobilisation measures or funding gaps.[1]
• Clarify further governance arrangements, evaluation methods, reporting-escalation processes and wider accountability mechanisms, which are not specified in the available extract beyond named responsibilities and reporting frequencies.[1]

Monitoring & Evaluation

The framework establishes a monitoring, evaluation, accountability and learning approach intended to assess the effectiveness and efficiency of cancer-control interventions, generate evidence for policy and programme design, and support accountability and learning.[1]It uses a logical framework and monitoring-and-evaluation planning cycle to link interventions with outputs, outcomes, impacts and feedback for action.[1]

• Monitor structural and input indicators for required resources, process indicators for completed activities, outcome indicators for short-, intermediate- and long-term effects, and impact indicators for longer-term intervention effects.[1]
• Draw baseline information from the Kenya Health Information System, national surveys, research studies, national economic surveys, national health accounts, other state agencies and expert consultation.[1]
• Track tobacco use among people aged 18 years and above through the STEPS survey, with a baseline of 13.3%, a 2028 target of 6.5%, responsibility assigned to the Division of Tobacco Control, and five-yearly reporting.[1]
• Track five-year survival among paediatric oncology patients through cancer registry reports, with a baseline of 20%, a target of 60%, responsibility assigned to the National Cancer Control Programme and the National Cancer Institute-Kenya, and annual reporting.[1]
• Align potential targets with global strategies, relevant strategic plans and stakeholder consensus, including targets relating to cervical cancer screening coverage, childhood cancer survival, tobacco and alcohol use prevalence, and timely histology results for cancer tissue specimens.[1][2]
• Link data to action, using cervical cancer as an illustrative case, although the available extract does not describe the operational process.[2]

The available extract does not specify a complete indicator matrix, detailed evaluation methods, reporting escalation arrangements, surveillance processes, or accountability mechanisms beyond the named responsible institutions and reporting frequencies.[1]

Costing & Financing

Health-system financing forms part of the framework's cancer-control scope, while its accountability purpose includes assessing whether interventions achieve efficient results and value for money.[1]

• Cover financing alongside prevention, screening, diagnosis, treatment, palliative care, survivorship, advocacy, partnerships, strategic information, surveillance, registration and research within the framework's scope.[1]
• Assess the efficiency of cancer-control activities as part of the wider monitoring, evaluation, accountability and learning function.[1]

The available extract does not specify programme budgets, costed activities, allocations, funding sources, resource-mobilisation arrangements, funding gaps, financing targets or economic assumptions.[1]