Abstract
Background and context: The Ibadan cancer registry is a population based registry that actively recruits cases of cancer occurring in eleven local government areas in Ibadan and its environs in Southwest, Nigeria. The registry covers a catchment area with a documented population of 2,549,265. Cases are abstracted from the main teaching hospital, designated private hospitals and clinics representing active practices, National Population Commission and private laboratories. We observed a decline in numbers of cases registered compared with what was projected and moved to effect corrections to this decline. In addition to reviewing our usual sources, we enlisted more sources of case recruitment. Aim: This study was done to assess the impact of additional sources of data collection on the number of cases recorded in the registry. Strategy/Tactics: The registry had improved contact with the local Ministry of Health and local governments administration, identified new facilities that treat cancer patients and new histopathologic laboratories that diagnose cancers. Program/Policy process: The registry enlisted cases from thirty (30) sources during 2009-2012 time period. In the 2013-2016 period, the registry improved the data collection sources to sixty (60) due to good advocacy, improved collaborative effort with our partners and very active case finding. Outcomes: A total of 3116 cases were recorded in the registry during the period 2009-2012. This increased to 3744 in the period 2013-2016 giving a 20% increase in the number of abstracted cases in the latter period. The ranking order of cancer in the population we serve changed from breast, cervix and prostate cancers in 2009-2012 to breast, prostate and cervix in the second time period. The ranking order in both genders did not change significantly. What was learned: Changes in health providing facilities affect the recruitment of new cancer cases into the database of cancer registries. Furthermore, cancer registries must always improve the database of sources where cases are recruited, as this is dynamic. Good advocacy, very active case finding and improved relation with the community have increased the number of cases of cancer recorded in our registry.
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