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    Cancer ecosystem assessment in West Africa: Health systems gaps to prevent and control cancers in three countries: Ghana, Nigeria and Senegal

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    Research article (861.7Kb)
    Publication Date
    2020-03-25
    Authors
    Ayandipo, Omobolaji
    Wone, Issa
    Kenu, Ernest
    Fasehunx, Luther-King
    Fasehun, Luther-King
    Ayandipo, Oluwayemisi
    Gaye, Fatou
    Ojo, Adedoyin
    Ayoola, Yewande
    Omogi, Jarim
    Lakew, Desta
    Thiam, Sylla
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    (12 total)
    Type
    Article, Journal
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    Citation

    Ayandipo, O.O., Wone, I., Kenu, E., Fasehun, L.O., Ayandipo, O., Gaye, F., Ojo, A.B., Ayoola, Y., Omogi, J.O., Lakew, D., & Thiam, S. (2020). Cancer ecosystem assessment in West Africa: health systems gaps to prevent and control cancers in three countries: Ghana, Nigeria and Senegal. The Pan African Medical Journal, 35.

    Abstract/Overview

    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.

    Subject/Keywords
    Cancer; Prevention; Control; Needs assessment
    Further Details

    © Omobolaji Ayandipo et al Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Publisher
    ResearchGate
    ISSN
    PMCID: PMC7320762
    Permalink
    https://repository.amref.ac.ke/handle/123456789/580
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    • General - GEN [355]

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