Cancer ecosystem assessment in West Africa: health systems gaps to prevent and control cancers in three countries: Ghana, Nigeria and Senegal
| Autor: | Luther-King O Fasehun, Omobolaji O. Ayandipo, Oluwayemisi Ayandipo, Ernest Kenu, Adedoyin Babatunde Ojo, Desta Lakew, Issa Wone, Jarim Oduor Omogi, Fatou Sy Gaye, Yewande Ayoola, Sylla Thiam |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Economic growth media_common.quotation_subject 030231 tropical medicine Control (management) Nigeria Ghana Health Services Accessibility Interviews as Topic 03 medical and health sciences Politics 0302 clinical medicine prevention needs assessment Neoplasms Healthcare Financing Humans Medicine Quality (business) 030212 general & internal medicine Noncommunicable Diseases Human resources Ecosystem Cancer media_common business.industry Research Public health General Medicine Senegal Epidemiological transition Cross-Sectional Studies Needs assessment Public Health business control Delivery of Health Care Qualitative research |
| Zdroj: | The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2020.35.90.18516 |
| Popis: | Introduction Sub-Saharan Africa is experiencing a rapid epidemiological transition with the increasing incidence of Non-Communicable Diseases (NCD). Among these, cancer is one of the main causes of death in adults. This is a public health problem whose burden is unknown due to lack of statistical data. In addition, the already overburdened health systems are experiencing enormous constraints to address the problem with the double challenge of communicable and NCDs. Methods The purpose of this evaluation was to assess the capacity and needs of health systems to prevent and control cancer. A cross-sectional study, using both quantitative and qualitative methods, was conducted between April 2017 and February 2018 in target countries, through in-depth interviews with key actors, direct observations and documents review. The WHO framework for health system strengthening with the 6 pillars was used for the gaps analysis. Results Little priority is given to the fight against cancer because of low political commitment. Programs´ resources are very limited and there is a poor coordination of the actions. Human resources are insufficient, and most of them are concentrated in the capital city. This limits access to care with a late consultation of patients. Diagnosis and treatment services are expensive and generally paid by households. Finally, the unavailability of reliable data at national level hinders the decision-based evidence. Conclusion There is an urgent need to create strong partnerships at national and regional levels to (i) Advocate for a strong political commitment; (ii) Strengthen the coordination of actions and create more synergy among stakeholders; (iii) Improve the quality and quantity of human resources; (iv) Extend universal health coverage to cancer and improve program funding; and (v) Set up cancer registries at national level. |
| Databáze: | OpenAIRE |
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