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Pain management strategies among cervical cancer patients in Zimbabwe
Oppah Kuguyo1, Frances Desales Misi1, Shirley Chibonda2
1Department of Clinical Pharmacology, College of Health Sciences, University of Zimbabwe, Box A178, Avondale, Harare, Zimbabwe.
Abstract:
Aim: To describe pain management regulations, prevalence of pain and pain management practices in a Zimbabwean setting. Materials & methods: A multi-methods approach was used, consisting of: policy and guideline review; review of 410 cervical cancer patient records for pain symptoms and pain management data; and semistructured interviews with oncology healthcare practitioners. Results: We found a lack of policies that are specific for cervical cancer pain management. Although prevalence of pain was 68% (n = 278), only 42% of the patient records indicated pain drugs had been prescribed. Barriers to pain management included inadequate use of pain assessment tools, inaccessibility of key drugs and limited capacity. Conclusion: Cancer pain management in Zimbabwe can be improved by tailoring assessment protocols, improving drug accessibility and strengthening healthcare systems.
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