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Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon
Approximately 20,745 new cases of cancer were registered annually with 13,199 (64%) deaths in 2020 in Cameroon. Despite the increasing cancer burden, there is a paucity of reliable data that can enhance decision-making for cancer control in Cameroon. This assessment was, therefore, designed to gener...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cancer Intelligence
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550327/ https://www.ncbi.nlm.nih.gov/pubmed/37799946 http://dx.doi.org/10.3332/ecancer.2023.1601 |
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author | Mapoko, Berthe Sabine Esson Frambo, Andreas Saidu, Yauba Mbassi, Esther Dina Bell Atenguena, Etienne Azemafac, Kareen Kobayashi, Emily Tabola, Lionel Nkeng, Glenda Sango, Anne Maison, Anne Marthe Noa, Sidonie Ananga Ntama, Ambroise Mapenya, Ruth Rosine Meka’h Tayou, Rachel Kouya, Francine Mbah, Glenn Douanla, Pelagie Fonkwa, Celestin Biwole, Martin Essomba Sando, Zacharie Sone, Albert Mouelle Ndom, Paul |
author_facet | Mapoko, Berthe Sabine Esson Frambo, Andreas Saidu, Yauba Mbassi, Esther Dina Bell Atenguena, Etienne Azemafac, Kareen Kobayashi, Emily Tabola, Lionel Nkeng, Glenda Sango, Anne Maison, Anne Marthe Noa, Sidonie Ananga Ntama, Ambroise Mapenya, Ruth Rosine Meka’h Tayou, Rachel Kouya, Francine Mbah, Glenn Douanla, Pelagie Fonkwa, Celestin Biwole, Martin Essomba Sando, Zacharie Sone, Albert Mouelle Ndom, Paul |
author_sort | Mapoko, Berthe Sabine Esson |
collection | PubMed |
description | Approximately 20,745 new cases of cancer were registered annually with 13,199 (64%) deaths in 2020 in Cameroon. Despite the increasing cancer burden, there is a paucity of reliable data that can enhance decision-making for cancer control in Cameroon. This assessment was, therefore, designed to generate data that may enable stakeholders, policymakers and funders to make data-driven decisions on cancer control. We conducted a cross-sectional survey in July 2020, which enabled us to collect data on key cancer variables from six adult cancer treatment centres in Cameroon. The key components of the assessment included case detection, service availability, human resource capacity, cost of chemotherapy and radiotherapy, the safety of chemotherapy sessions, data systems, patient education, palliative care, funding for chemotherapy and chemotherapy stock. Data were compiled and analysed using Microsoft Excel 2016. Data from four of the 6 sites show that 1,636 new cases were recorded representing an annual case detection rate of 11.8%. All the six assessed facilities offered chemotherapy services, 5/6 (83.3%) offered surgery for cancers, while just 1 (16.7%) offered radiotherapy services. In addition, none offered nuclear medicine services for cancer care and treatment. Similarly, none of the facilities had the WHO-recommended number of human resources for optimal cancer care. Overall, there were only 6 medical oncologists, 2 surgical oncologists, 3 radiation oncologists and 14 oncology nurses providing services across the 6 cancer treatment centres. Treatment services are expensive for an average national, with a complete course of chemotherapy followed by radiotherapy costing ~XAF 1,240,000 (~$2,480). None of the survey facilities had a recommended safe biosafety cabinet and clean room for the preparation of chemotherapies, rendering the preparation of chemotherapies suboptimal and hazardous. Data collection tools were manual, relatively available and very different across all the surveyed sites and the interval for data collection and transmission was collectively undefined. Optimal cancer care in adult cancer treatment centres is limited by several health systems and socio-economic factors. The identification of these barriers has enabled the formulation of action-oriented interventions, leveraging on the recently adopted national strategy for the prevention and control of cancers in the country. |
format | Online Article Text |
id | pubmed-10550327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cancer Intelligence |
record_format | MEDLINE/PubMed |
spelling | pubmed-105503272023-10-05 Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon Mapoko, Berthe Sabine Esson Frambo, Andreas Saidu, Yauba Mbassi, Esther Dina Bell Atenguena, Etienne Azemafac, Kareen Kobayashi, Emily Tabola, Lionel Nkeng, Glenda Sango, Anne Maison, Anne Marthe Noa, Sidonie Ananga Ntama, Ambroise Mapenya, Ruth Rosine Meka’h Tayou, Rachel Kouya, Francine Mbah, Glenn Douanla, Pelagie Fonkwa, Celestin Biwole, Martin Essomba Sando, Zacharie Sone, Albert Mouelle Ndom, Paul Ecancermedicalscience Research Approximately 20,745 new cases of cancer were registered annually with 13,199 (64%) deaths in 2020 in Cameroon. Despite the increasing cancer burden, there is a paucity of reliable data that can enhance decision-making for cancer control in Cameroon. This assessment was, therefore, designed to generate data that may enable stakeholders, policymakers and funders to make data-driven decisions on cancer control. We conducted a cross-sectional survey in July 2020, which enabled us to collect data on key cancer variables from six adult cancer treatment centres in Cameroon. The key components of the assessment included case detection, service availability, human resource capacity, cost of chemotherapy and radiotherapy, the safety of chemotherapy sessions, data systems, patient education, palliative care, funding for chemotherapy and chemotherapy stock. Data were compiled and analysed using Microsoft Excel 2016. Data from four of the 6 sites show that 1,636 new cases were recorded representing an annual case detection rate of 11.8%. All the six assessed facilities offered chemotherapy services, 5/6 (83.3%) offered surgery for cancers, while just 1 (16.7%) offered radiotherapy services. In addition, none offered nuclear medicine services for cancer care and treatment. Similarly, none of the facilities had the WHO-recommended number of human resources for optimal cancer care. Overall, there were only 6 medical oncologists, 2 surgical oncologists, 3 radiation oncologists and 14 oncology nurses providing services across the 6 cancer treatment centres. Treatment services are expensive for an average national, with a complete course of chemotherapy followed by radiotherapy costing ~XAF 1,240,000 (~$2,480). None of the survey facilities had a recommended safe biosafety cabinet and clean room for the preparation of chemotherapies, rendering the preparation of chemotherapies suboptimal and hazardous. Data collection tools were manual, relatively available and very different across all the surveyed sites and the interval for data collection and transmission was collectively undefined. Optimal cancer care in adult cancer treatment centres is limited by several health systems and socio-economic factors. The identification of these barriers has enabled the formulation of action-oriented interventions, leveraging on the recently adopted national strategy for the prevention and control of cancers in the country. Cancer Intelligence 2023-09-21 /pmc/articles/PMC10550327/ /pubmed/37799946 http://dx.doi.org/10.3332/ecancer.2023.1601 Text en © the authors; licensee ecancermedicalscience. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Mapoko, Berthe Sabine Esson Frambo, Andreas Saidu, Yauba Mbassi, Esther Dina Bell Atenguena, Etienne Azemafac, Kareen Kobayashi, Emily Tabola, Lionel Nkeng, Glenda Sango, Anne Maison, Anne Marthe Noa, Sidonie Ananga Ntama, Ambroise Mapenya, Ruth Rosine Meka’h Tayou, Rachel Kouya, Francine Mbah, Glenn Douanla, Pelagie Fonkwa, Celestin Biwole, Martin Essomba Sando, Zacharie Sone, Albert Mouelle Ndom, Paul Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title | Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title_full | Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title_fullStr | Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title_full_unstemmed | Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title_short | Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon |
title_sort | assessment of barriers to optimal cancer control in adult cancer treatment centres in cameroon |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550327/ https://www.ncbi.nlm.nih.gov/pubmed/37799946 http://dx.doi.org/10.3332/ecancer.2023.1601 |
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