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This exploratory study was challenging because of the multiplicity of terms designating KT, with varying interpretations depending on the author. There is notable inconsistency in the use of the term “knowledge transfer” and its putative synonyms, leading to confusion. This is compounded by the overlap between KT and related concepts such as implementation research, health education, health literacy, therapeutic education and empowerment.
The observations and interviews highlighted various obstacles to access to oncology care in Mali (Table 1). The conflict and insecurity that have been ongoing in Mali since 2012 were heavily present in the discussions and constitute an important barrier to access to health care, especially for women living outside the capital of Bamako. Mali's health system was already fragile before the security crisis began but has worsened over the past decade.
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