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Improving Access to Cancer Testing and Treatment in Kenya.

Louise K Makau-Barasa1, Sandra B Greene1, Nicholas A Othieno-Abinya1

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High costs, limited knowledge, and poor access create significant barriers to cancer testing and treatment in Kenya. Improving health insurance, facilities, equipment, and public awareness is crucial for better cancer care.

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Area of Science:

  • Oncology
  • Public Health
  • Health Policy

Background:

  • Kenya faces a growing cancer burden, necessitating an understanding of healthcare access challenges.
  • Identifying barriers for both patients and clinicians is vital for improving cancer services.

Purpose of the Study:

  • To identify barriers hindering patient access to cancer testing and treatment in Kenya.
  • To pinpoint obstacles faced by clinicians in delivering cancer care services.
  • To propose policy recommendations addressing identified barriers.

Main Methods:

  • Qualitative study employing semistructured key informant interviews.
  • Purposive sampling recruited seven oncology clinicians and seven patient advocacy leaders.
  • Thematic analysis was used to interpret qualitative data.

Main Results:

  • Seven key barriers identified: high costs, low knowledge (public and clinicians), poor health-seeking behaviors, long travel distances, lack of decentralized facilities, poor communication, and inadequate cancer policy.
  • These barriers lead to late diagnosis, misdiagnosis, treatment interruptions, stigma, and fear among patients.
  • Lack of essential diagnostic and treatment equipment and trained personnel further compounds the problem.

Conclusions:

  • Significant barriers impede cancer care access in Kenya, resulting in adverse patient outcomes.
  • Policy recommendations include enhancing health insurance, decentralizing facilities, equipping centers, training personnel, and increasing public health awareness.
  • Developing effective cancer interventions in resource-constrained settings like Kenya requires tailored strategies and lessons from other nations.