Geospatial analysis and impact of targeted development of breast cancer care in The Gambia: a cross-sectional study
| Autor: | Ngally Aboubacarr Sambou, Raymond R. Price, Fidel Lopez-Verdugo, Nuredin Mohammed, Kirstyn E Brownson, Ramou Njie, Ousman Sanyang, Alison Goldsmith, Jonathan Nellermoe, Meghan Mali, Edward Sutherland, Justin Sorensen, Mustapha Bittaye, Yankuba Singhateh, Moustafa Moustafa |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Geospatial analysis Cross-sectional study Population Global health Breast Neoplasms Health informatics Health Services Accessibility Health administration Breast cancer screening Breast cancer Health care Medicine Humans Mass Screening education Early Detection of Cancer education.field_of_study medicine.diagnostic_test Sub-Saharan Africa business.industry Health Policy Research Access to cancer care medicine.disease Global surgery Cross-Sectional Studies Family medicine Female Gambia Public aspects of medicine RA1-1270 business |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 21, Iss 1, Pp 1-12 (2021) |
| ISSN: | 1472-6963 |
| Popis: | Background The Gambia has one of the lowest survival rates for breast cancer in Africa. Contributing factors are late presentation, delays within the healthcare system, and decreased availability of resources. We aimed to characterize the capacity and geographic location of healthcare facilities in the country and calculate the proportion of the population with access to breast cancer care. Methods A facility-based assessment tool was administered to secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia. GPS coordinates were obtained, and proximity of service availability and population analysis were performed. Distance thresholds of 10, 20, and 45 km were chosen to determine access to screening, pathologic diagnosis, and surgical management. An additional population analysis was performed to observe the potential impact of targeted development of resources for breast cancer care. Results All 102 secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia were included. Breast cancer screening is mainly performed through clinical breast examination and is available in 52 facilities. Seven facilities provide pathologic diagnosis and surgical management of breast cancer. The proportion of the Gambian population with access to screening, pathologic diagnosis, and surgical management is 72, 53, and 62%, respectively. A hypothetical targeted expansion of resources would increase the covered population to 95, 62, and 84%. Conclusions Almost half of the Gambian population does not have access to pathologic diagnosis and surgical management of breast cancer within the distance threshold utilized in the study. Mapping and population analysis can identify areas for targeted development of resources to increase access to breast cancer care. |
| Databáze: | OpenAIRE |
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