Barriers to optimal management of cancer pain in sub-Saharan Africa: a scoping review
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View abstract on PubMed
Summary
This summary is machine-generated.Barriers to cancer pain management in sub-Saharan Africa are prevalent, particularly within healthcare systems. Addressing these challenges requires more research on policies and interventions to improve patient care.
Area Of Science
- Oncology
- Public Health
- Health Services Research
Background
- Cancer pain is a significant issue in sub-Saharan Africa, yet data on management barriers is scarce.
- Existing research often fails to explore the interconnectedness of these barriers, hindering systemic solutions.
Purpose Of The Study
- To systematically review and synthesize existing literature on barriers to optimal cancer pain management in sub-Saharan Africa.
- To identify and categorize barriers at patient, health professional, and health system levels.
Main Methods
- A systematic search of MEDLINE, Embase, and Web of Science databases was conducted.
- Peer-reviewed studies meeting pre-specified criteria were selected and their quality assessed using the Mixed Methods Appraisal Tool.
- A narrative synthesis approach was used to summarize findings from 14 included articles across 19 sub-Saharan African countries.
Main Results
- All 14 reviewed studies identified barriers to effective cancer pain management.
- Healthcare system-related barriers were the most frequently reported.
- Approximately 50% of the included studies met full methodological quality criteria.
Conclusions
- Improving cancer pain management necessitates further high-level research, focusing on regulatory policies and interventions.
- Interventions targeting the healthcare system are crucial, as most barriers originate from this level.
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