Cancer in Ethiopia

Woldeamanuel, Yohannes W.; Girma, Belaineh; Teklu, Alula M.

doi:10.1016/s1470-2045(12)70399-6

Cited by 61 publications

(73 citation statements)

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“…Ethiopia is among one of the poorest countries in the world. The health care cost associated with the treatment for cancer is not usually affordable compared to patients' income (the gross national income per head based on purchasing power parity in the Ethiopia is below US $1000 [1]) as all the costs for cancer care and treatment are usually covered by the patients themselves. Due to this, most patients first seek CAM practice as it is relatively affordable compared to the conventional medicine.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, cancer is becoming the primary public health issue in the country owing to its fast growing rate [1]. According to International Agency for Research on Cancer 2015 report, annual incidence and mortality of all cancers in Ethiopia were more than 6,500 and 50,000, respectively [2].…”

Section: Introductionmentioning

confidence: 99%

“…This, coupled with the longer waiting times for treatment, contributed to the presentation of patients with advanced cancer stage. In addition, most patients often first visit traditional healers and seek alternative medicine services rather than conventional medicine [1].…”

Section: Introductionmentioning

confidence: 99%

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Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

2016

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Background. Today, complementary and alternative medicine (CAM) use is being routinely practiced by cancer patients worldwide. This study aimed at examining the prevalence of CAM use in patients with cancer and comparing the quality of life (QoL) in CAM users and nonusers. Methods. A cross-sectional study was employed on 195 cancer patients receiving chemotherapy at Gondar University Referral Hospital (GURH) chemotherapy center. Interviewer-administered questionnaires were used and the collected data were analyzed by the Statistical Package for the Social Sciences (SPSS) software version 21.0 for Windows. Results. 154 (79%) patients were found to be users of CAM. Educational status, average monthly income, disease stage, and comorbidity were strong predictors of use of CAM. The most commonly utilized types of CAM were traditional herbal based medicine (72.1%) and only 20.8% of patients discuss with their doctors CAM use. No significant difference was found in QoL between CAM users and nonusers except in financial difficulties ( = 0.020). Conclusions. This study revealed a high rate of CAM use with very low disclosure rate to their health care providers. Health care providers should be open to discuss the use of CAM with their patients as it will lead to better health outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

2016

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“…Cancer incidence in Ethiopia at present is estimated to be 125,000 to 150,000 per year, although these figures are controversial. 26 A majority of patients are at late stages, and palliative care is very important.…”

Section: Latin Americamentioning

confidence: 99%

“…26 In 2007, the International Association for Hospice and Palliative Care developed a list of essential medicines for palliative care requested by the Cancer Control Program of the WHO. Unfortunately, the access to the majority of these drugs in Ethiopia is limited.…”

Section: Latin Americamentioning

confidence: 99%

Palliative Care in Low- and Medium-Resource Countries

Basu

Mittag-Leffler²,

Miller

2013

The Cancer Journal

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Low- and medium-resource countries are facing a significant increase in the incidence of noncommunicable diseases such as cancer. Unfortunately, the majority of patients with cancer present with advanced disease, and disease-directed treatment may be unlikely to be effective and/or not available. Globally, there will be a growing need for palliative care services. There has been significant progress in the provision and integration of palliative care into the health care policy and systems. Nonetheless, palliative care services vary significantly between regions of the world and also between countries in the same region. Some common barriers to care include the lack of a trained workforce to provide palliative care, lack of availability of opioids or the restriction of their use, cultural attitudes of physicians and patients, and also funding. Despite these challenges, there are examples of low- and medium-resource countries that are providing excellent palliative care that is being integrated into the health care system and the cancer care continuum. This article provides an overview of the progress in providing palliative care in low- and medium-resource countries. In addition, more specific information is provided on palliative care in low-resource countries in Latin America, Asia, and Africa. Finally, a more personal perspective is presented on the development of palliative care in Ethiopia, as an example.

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Quality of life among Ethiopian cancer patients

Wondie

Hinz

2020

Support Care Cancer

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Purpose Cancer is of increasing prevalence in less-developed countries. However, research on the patients' quality of life (QoL) in these countries is very limited. The aim of this study was to examine QoL of cancer patients in Africa. Method A sample of 256 cancer patients treated in an Ethiopian hospital was examined with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire EORTC QLQ-C30, the Multidimensional Fatigue Inventory, and the Hospital Anxiety and Depression Scale. A group of 1664 German cancer patients served as a comparison group. Results Most of the scales of the EORTC QLQ-C30 showed acceptable reliability in the Ethiopian sample. Compared with the German cancer patients, the Ethiopian patients showed lower QoL in most dimensions, especially in financial difficulties, physical functioning, pain, and appetite loss (effect sizes between 0.52 and 0.75). Illiteracy, tumor stage, and treatment (surgery and chemotherapy) were associated with QoL in the Ethiopian sample. QoL was strongly correlated with fatigue, anxiety, and depression. Conclusion The EORTC QLQ-C30 is a suitable instrument for measuring QoL in Ethiopia. The detriments in QoL in the Ethiopian patients indicate specific cancer care needs for the patients in a developing country.

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Cancer in Ethiopia

Cited by 61 publications

References 0 publications

Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

Complementary and Alternative Medicine use and Its Association with Quality of Life Among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross Sectional Study

Palliative Care in Low- and Medium-Resource Countries

Quality of life among Ethiopian cancer patients

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