Background: The escalating burden of cancer in Ghana necessitates a critical examination and enhancement of its existing radiation oncology infrastructure and service delivery. Currently, Ghana faces substantial deficits in radiotherapy capacity, marked by significant geographical disparities that hinder equitable access to crucial cancer treatments. The aim was to build expertise in implementation science, oncology service delivery research, health systems strengthening, and radiation therapy quality improvement. The main goal is to integrate capacity-building with pragmatic implementation research to improve the accessibility, efficiency, and quality of radiation therapy for cancer patients in Ghana.
Methods: This was a qualitative study that involved a detailed evaluation of current infrastructure, workforce capabilities, and patient flow dynamics to identify specific areas for intervention and optimization, thereby addressing the significant shortage of radiotherapy facilities and personnel. There was also facility and equipment assessment as well as workflow mapping using observation. Thematic analysis, using NVivo was employed.
Results: A comprehensive understanding of Radiotherapy service gaps in Ghana was achieved, with a co-designed, feasible, and acceptable implementation strategy. Participants showed evidence of preliminary effectiveness, fidelity, and sustainability of interventions. There was also an enhanced capacity of candidates and staff in implementation science, QA, and RT service delivery
Conclusion/Implications for practice or policy: This approach is crucial for developing a comprehensive, evidence-based strategic framework that enhances the quality and accessibility of radiotherapy services. This study necessitates targeted interventions that not only expand the physical footprint of radiation oncology services but also optimize their distribution to maximize patient reach