biostudies-literatureTapela NMNIAID NIH HHSNCI NIH HHSPaul G. Allen Family FoundationUnited States National Institutions of Health187https://www.ebi.ac.uk/biostudies/studies/S-EPMC5986942biostudies-literatureUnknown8<h4>Introduction</h4>Health system delays in diagnosis of cancer contribute to the glaring disparities in cancer mortality between high-income countries and low- and middle-income countries. In Botswana, approximately 70% of cancers are diagnosed at late stage and median time from first health facility visit for cancer-related symptoms to specialty cancer care was 160 days (IQR 59-653). We describe the implementation and early outcomes of training targeting primary care providers, which is a part of a multi-component implementation study in Kweneng-East district aiming to enhance timely diagnosis of cancers.<h4>Methods</h4>Health-care providers from all public facilities within the district were invited to participate in an 8-h intensive short-course program developed by a multidisciplinarFrontiers in oncologyA Step Toward Timely Referral and Early Diagnosis of Cancer: Implementation and Impact on Knowledge of a Primary Care-Based Training Program in Botswana.PMC5986942K23 AI091434P30 CA006516C06 CA05926711689K24 AI1319283P30CA006516-51S4, K23AI091434, C06CA059267Grover SNarasimhamurthy MLockman SDryden-Peterson SBarak TShulman LNGabegwe KPeluso MJTapela NMBotebele KNkele IKohler RESetlhako IIMmalane MfalseA Step Toward Timely Referral and Early Diagnosis of Cancer: Implementation and Impact on Knowledge of a Primary Care-Based Training Program in Botswana.<h4>Introduction</h4>Health system delays in diagnosis of cancer contribute to the glaring disparities in cancer mortality between high-income countries and low- and middle-income countries. In Botswana, approximately 70% of cancers are diagnosed at late stage and median time from first health facility visit for cancer-related symptoms to specialty cancer care was 160 days (IQR 59-653). We describe the implementation and early outcomes of training targeting primary care providers, which is a part of a multi-component implementation study in Kweneng-East district aiming to enhance timely diagnosis of cancers.<h4>Methods</h4>Health-care providers from all public facilities within the district were invited to participate in an 8-h intensive short-course program developed by a multidisciplinar2018-01-01T00:00:00Z20182025-04-04T20:43:13.511Z2019-03-26T23:41:31ZS-EPMC59869422989645010.3389/fonc.2018.00187