Although the project did not expect to identify many women with advanced cancer among women 30 to 39 years of age, it was clear that older women with cancer were being identified and that some women with early disease likely would not be able to access treatment services. Clients with cancer or who were unable to travel to Kisumu, Kakamega, or Nairobi for cancer care were referred to palliative care services at the provincial level, usually the Kisumu Hospice. In addition, there was an effort to enhance community-based palliative care services using the CHWs working with MYWO and clinic/hospital-based services.
