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Patient Navigator Education and Training Strategies to Support Cancer Survivors in Tanzania

Award Number: P30CA082103
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Group Awards By Issue Date FY or Funding FY:

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ABSTRACT This application is submitted in response to the Notice of Special Interest (NOSI) identified as “NOT-CA-21- 058.” Cervical cancer is the leading cause of cancer mortality among women in sub-Saharan Africa. As in many low-resource countries, cervical cancer patients in Tanzania face many barriers in receiving cancer care such as lack of access to screening programs, diagnostic delays, high cost of travel to the cancer centers, and stigma and myths associated with cancer diagnosis and treatment. C ervical cancer is, however, highly curable with early diagnosis and treatment adherence. As a result of recent capacity- building for both screening and treatment of cervical cancer, Tanzania is poised to see an increase in the number of cervical cancer patients who will be eligible to undergo definitive therapy. This growing population of potential long-term survivors presents a critical opportunity to dispel myths around cancer which still prevail and to leverage survivors for development of innovative health promotion interventions. Preliminary data from within East Africa suggests that advocacy and education through cancer survivors and their caregivers can play a critical role in improving cancer outcomes by dispelling cancer misconceptions and promoting health-seeking behaviors. We hypothesize that by empowering, imparting knowledge, and training cervical cancer survivors as agents of change, we will improve treatment adherence and treatment completion rates for cervical cancer patients in Tanzania. Our immediate aims for the funding period are two-fold. First, we will evaluate the needs and behaviors of cervical cancer patients in Tanzania along the cancer control continuum.We will conduct focus groups with survivors, caregivers, and healthcare providers to perform an assessment of physical, mental, emotional, social, and financial effects of a cervical cancer diagnosis, beginning at diagnosis and continuing through and beyond treatment. In addition, our assessment of the survivorship experience will also focus on issues related to follow-up care, late effects of treatment, and quality of life.Following the formative evaluation, we will develop and pilot a curriculum to train cervical cancer survivors to become patient navigators. This proposal aims to empower and train cervical cancer survivors to become patient navigators and agents of change. Our long-term goal is to improve treatment adherence and treatment completion rates for cervical cancer patients in Tanzania through implementation of patient navigation services.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $8,425,586 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	001	24	9/21/2023	SUPPLEMENT FOR EXPANSION	$295,695
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	24	9/20/2023	COMPETING CONTINUATION	$8,129,891
														Subtotal = $8,425,586

Issue Date FY: 2022 ( Subtotal = $8,512,276 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	002	23	6/17/2022	SUPPLEMENT FOR EXPANSION	$114,996
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	007	23	9/22/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	006	23	9/22/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	005	23	9/19/2022	SUPPLEMENT FOR EXPANSION	$150,000
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	003	23	7/20/2022	SUPPLEMENT FOR EXPANSION	$26,006
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	004	23	7/21/2022	SUPPLEMENT FOR EXPANSION	$14,711
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	001	23	6/17/2022	NON-COMPETING CONTINUATION	$8,028,953
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	22	1/24/2022	SUPPLEMENT FOR EXPANSION	$177,610
														Subtotal = $8,512,276

Issue Date FY: 2021 ( Subtotal = $8,741,515 )
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	006	22	9/20/2021	SUPPLEMENT FOR EXPANSION	$114,996
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Detection and Diagnosis Research	004	22	6/11/2021	SUPPLEMENT FOR EXPANSION	$129,657
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	005	22	9/14/2021	SUPPLEMENT FOR EXPANSION	$339,999
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	002	22	5/18/2021	NON-COMPETING CONTINUATION	$8,028,953
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Detection and Diagnosis Research	003	22	6/10/2021	SUPPLEMENT FOR EXPANSION	$127,910
2021	2015	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	001	17	10/3/2020	SUPPLEMENT FOR EXPANSION	$12,857
2021	2015	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	17	10/1/2020	SUPPLEMENT FOR EXPANSION	-$12,857
														Subtotal = $8,741,515

Issue Date FY: 2020 ( Subtotal = $9,348,463 )
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Treatment Research	008	21	9/10/2020	SUPPLEMENT FOR EXPANSION	$500,000
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Treatment Research	006	21	9/2/2020	SUPPLEMENT FOR EXPANSION	$299,854
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	002	21	5/26/2020	SUPPLEMENT FOR EXPANSION	$42,311
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	009	21	9/11/2020	SUPPLEMENT FOR EXPANSION	$200,000
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	007	21	9/3/2020	SUPPLEMENT FOR EXPANSION	$100,000
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	004	21	8/24/2020	SUPPLEMENT FOR EXPANSION	$96,067
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	21st Century Cures Act - Beau Biden Cancer Moonshot	001	21	5/22/2020	SUPPLEMENT FOR EXPANSION	$43,634
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	003	21	5/27/2020	SUPPLEMENT FOR EXPANSION	$114,648
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	005	21	8/25/2020	SUPPLEMENT FOR EXPANSION	$110,542
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	21	5/21/2020	NON-COMPETING CONTINUATION	$7,841,407
														Subtotal = $9,348,463

Issue Date FY: 2019 ( Subtotal = $8,641,325 )
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	006	20	7/23/2019	SUPPLEMENT FOR EXPANSION	$299,611
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	007	20	8/1/2019	SUPPLEMENT FOR EXPANSION	$115,000
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	21st Century Cures Act - Beau Biden Cancer Moonshot	005	20	7/22/2019	SUPPLEMENT FOR EXPANSION	$249,546
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	004	20	6/26/2019	NON-COMPETING CONTINUATION	$7,977,168
2019	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	003	19	11/8/2018	COMPETING CONTINUATION	$509,343
2019	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	002	18	11/8/2018	SUPPLEMENT FOR EXPANSION	-$59,999
2019	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	001	18	11/8/2018	SUPPLEMENT FOR EXPANSION	-$124,999
2019	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	18	11/8/2018	SUPPLEMENT FOR EXPANSION	-$324,345
														Subtotal = $8,641,325

Issue Date FY: 2018 ( Subtotal = $8,502,707 )
2018	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	001	19	9/4/2018	SUPPLEMENT FOR EXPANSION	$84,000
2018	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	003	19	9/20/2018	SUPPLEMENT FOR EXPANSION	$257,838
2018	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	21st Century Cures Act - Beau Biden Cancer Moonshot	002	19	9/18/2018	SUPPLEMENT FOR EXPANSION	$206,488
2018	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Cancer Centers Support Grants	000	19	8/31/2018	COMPETING CONTINUATION	$7,954,381
														Subtotal = $8,502,707

Issue Date FY: 2017 ( Subtotal = $6,950,396 ) (Continued on the next page)
2017	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 420	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Cancer Centers Support Grants	015	18	9/18/2017	SUPPLEMENT FOR EXPANSION	$200,000
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Cancer Centers Support Grants	010	18	5/25/2017	SUPPLEMENT FOR EXPANSION	$5,908,859
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Cancer Centers Support Grants	012	18	7/14/2017	SUPPLEMENT FOR EXPANSION	$656,539
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Cancer Centers Support Grants	013	18	7/28/2017	SUPPLEMENT FOR EXPANSION	$124,999
Grand Total All Awards = $178,264,961

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Patient Navigator Education and Training Strategies to Support Cancer Survivors in Tanzania

Award Number: P30CA082103

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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