State of Cancer Control in Rwanda: Past, Present, and Future Opportunities
Autor: | Ivan Rukundo, Gad Murenzi, Ainhoa Costas-Chavarri, Cyprien Shyirambere, Emmanuel Rudakemwa, Lawrence N. Shulman, Tharcisse Mpunga, Francois Uwinkindi, Lydia E. Pace, Pacifique Mugenzi, Achille Manirakiza, Temidayo Fadelu, Lori Buswell, Sandra Urusaro, Belson Rugwizangoga, Fidel Rubagumya, Christopher M. Booth, Faustin Ntirenganya, Christian Ntizimira |
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Rok vydání: | 2020 |
Předmět: |
Cancer Research
medicine.medical_specialty Palliative care Population Medical tourism 03 medical and health sciences 0302 clinical medicine Medical Tourism Political science Health care medicine Humans 030212 general & internal medicine education Papillomaviridae education.field_of_study business.industry Rwanda Cancer Africa Eastern Private sector medicine.disease Cancer registry Oncology 030220 oncology & carcinogenesis Family medicine Workforce Special Articles business Delivery of Health Care |
Zdroj: | JCO Global Oncology |
ISSN: | 2687-8941 |
Popis: | Rwanda is a densely populated low-income country in East Africa. Previously considered a failed state after the genocide against the Tutsi in 1994, Rwanda has seen remarkable growth over the past 2 decades. Health care in Rwanda is predominantly delivered through public hospitals and is emerging in the private sector. More than 80% of patients are covered by community-based health insurance (Mutuelle de Santé). The cancer unit at the Rwanda Biomedical Center (a branch of the Ministry of Health) is responsible for setting and implementing cancer care policy. Rwanda has made progress with human papillomavirus (HPV) and hepatitis B vaccination. Recently, the cancer unit at the Rwanda Biomedical Center launched the country’s 5-year National Cancer Control Plan. Over the past decade, patients with cancer have been able to receive chemotherapy at Butaro Cancer Center, and recently, the Rwanda Cancer Center was launched with 2 linear accelerator radiotherapy machines, which greatly reduced the number of referrals for treatment abroad. Palliative care services are increasing in Rwanda. A cancer registry has now been strengthened, and more clinicians are becoming active in cancer research. Despite these advances, there is still substantial work to be done and there are many outstanding challenges, including the need to build capacity in cancer awareness among the general population (and shift toward earlier diagnosis), cancer care workforce (more in-country training programs are needed), and research. |
Databáze: | OpenAIRE |
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