Abstract:
To provide information on the development of a gynecologic oncology training program in a low-resource
setting in Kenya.
This is a review of a collaboration between Kenyan and North American physicians who worked together to
develop a gynecologic oncology training in Kenya. We review the published data on the increase of cancer
incidence in sub-Saharan Africa and outline the steps that were taken to develop this program.
The incidence of cervical cancer in Kenya is very high and is the leading cause of cancer mortality in Kenya.
WHO identifies cancer as a new epidemic affecting countries in sub-Saharan Africa. In Kenya, a country of 45
million, there is limited resources to diagnose and treat cancer. In 2009 in western Kenya, at Moi University
there was no strategy to manage oncology in the Reproductive Health department. There was only 1 gynecologic
oncologists in Kenya in 2009. A collaboration between Canadian and Kenya physicians resulted in development
of a gynecologic oncology clinical program and initiation of fellowship training in Kenya. In the past 4 years, five
fellows have graduated from a 2 year fellowship training program. Integration of data collection on all the
patients as part of this program provided opportunities to do clinical research and to acquire peer reviewed
grants.
This is the first recognized fellowship training program in sub-Saharan Africa outside of South Africa. It is an
example of a collaborative effort to improve women's health in a low-resource country. This is a Kenyan
managed program through Moi University. These subspecialty trained doctors will also provide advice that will
shape health care policy and provide sustainable expertise for women diagnosed with a gynecologic cancer.