Challenges and Recommendations for Improving Cancer Research and Practice in Nigeria: A Qualitative Study With Multi-Stakeholders in Oncology Research and Practice .

Autor:	Oluwasanu MM; Department of Health Promotion and Education, African Regional Health Education Centre, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Adejumo PO; Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria., Sun Y; Harris School of Public Policy, University of Chicago, Chicago, IL, USA., Onwuka C; Biological Sciences Division, University of Chicago, Chicago, IL, USA., Ntekim A; Department of Radiation Oncology, Faculty of Clinical Sciences, College of Medicine/University College Hospital, University of Ibadan, Ibadan, Nigeria., Awolude OA; Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Nigeria., Aniagwu TI; Department of Health Promotion and Education, African Regional Health Education Centre, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.; School of Occupational Health Nursing, University College Hospital, Ibadan, Nigeria., Kotila OA; Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Centre for Drug Discovery Development and Production (CDDDP), Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria., Brown BJ; Department of Pediatrics, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Nigeria., Ogbole GI; Department of Radiology, University College Hospital, University of Ibadan, Ibadan, Nigeria., Dzekem BS; Center for Global Health, The University of Chicago, Knapp Center for Biomedical Discovery (KCBD), Chicago, IL, USA., Ajani O; Center for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Huo D; Department of Public Health Sciences, University of Chicago, Chicago, IL, USA., Babalola CP; Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Centre for Drug Discovery Development and Production (CDDDP), Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ojengbede O; Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Nigeria.; Center for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Hammad N; Department of Oncology, Queen's University, Kingston, ON, Canada., Olopade OI; Center for Global Health, The University of Chicago, Knapp Center for Biomedical Discovery (KCBD), Chicago, IL, USA.
Jazyk:	angličtina
Zdroj:	Cancer control : journal of the Moffitt Cancer Center [Cancer Control] 2024 Jan-Dec; Vol. 31, pp. 10732748241298331.
DOI:	10.1177/10732748241298331
Abstrakt:	Background: Cancers, with increasing incidence and mortality rates, constitute a leading public health problem in Nigeria. As the burden of cancer in Nigeria increases, research and quality service delivery remain critical strategies for improved cancer control across the continuum of care. This study contextualizes the challenges and gaps in oncology research and practice in Nigeria, and presents recommendations to address the gaps. Methods: This qualitative study was conducted among interprofessional and interdisciplinary stakeholders in oncology healthcare practice and research in academic settings, between July and September 2021. Key-informant interviews were held with six stakeholders and leaders in nursing, pharmacy, and medicine across the six geopolitical zones of Nigeria, and twenty-four in-depth interviews with early- or mid-career researchers or healthcare professionals involved in cancer prevention and treatment were conducted. The data were analyzed using a deductive thematic analysis approach and coded using the NVIVO 12 software. Results: Five sub-themes were identified as major challenges to oncology research, including poor funding, excessive workload, interprofessional rivalry, weak collaboration, and denial of cancer diagnosis by patients. Challenges identified for oncology practice were poor governance and financing, high costs of oncology treatments, poor public awareness of cancer, workforce shortage, and interprofessional conflicts. Recommended strategies for addressing these challenges were improved financing of oncology research and practice by government and relevant stakeholders, increasing interest of medical, nursing, and pharmaceutical students in oncology research through curricula-based approach and mentorship, increased oncology workforce, and improved intra- and inter-professional collaboration. Conclusion: These data highlight the challenges and barriers in oncology practice and research in Nigeria, and underscore the urgent need for increased investments in infrastructure to provide interdisciplinary and interprofessional research training for high-quality care. Only then can Nigeria effectively tackle the current and impending cancer burden in the country. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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