Author:
Sanyang Ousman,Lopez-Verdugo Fidel,Mali Meghan,Moustafa Moustafa,Nellermoe Jonathan,Sorensen Justin,Bittaye Mustapha,Njie Ramou,Singhateh Yankuba,Sambou Ngally Aboubacarr,Goldsmith Alison,Mohammed Nuredin I.,Brownson Kirstyn E.,Price Raymond R.,Sutherland Edward
Abstract
Abstract
Background
The Gambia has one of the lowest survival rates for breast cancer in Africa. Contributing factors are late presentation, delays within the healthcare system, and decreased availability of resources. We aimed to characterize the capacity and geographic location of healthcare facilities in the country and calculate the proportion of the population with access to breast cancer care.
Methods
A facility-based assessment tool was administered to secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia. GPS coordinates were obtained, and proximity of service availability and population analysis were performed. Distance thresholds of 10, 20, and 45 km were chosen to determine access to screening, pathologic diagnosis, and surgical management. An additional population analysis was performed to observe the potential impact of targeted development of resources for breast cancer care.
Results
All 102 secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia were included. Breast cancer screening is mainly performed through clinical breast examination and is available in 52 facilities. Seven facilities provide pathologic diagnosis and surgical management of breast cancer. The proportion of the Gambian population with access to screening, pathologic diagnosis, and surgical management is 72, 53, and 62%, respectively. A hypothetical targeted expansion of resources would increase the covered population to 95, 62, and 84%.
Conclusions
Almost half of the Gambian population does not have access to pathologic diagnosis and surgical management of breast cancer within the distance threshold utilized in the study. Mapping and population analysis can identify areas for targeted development of resources to increase access to breast cancer care.
Publisher
Springer Science and Business Media LLC
Reference31 articles.
1. Jamison DT. Disease and mortality in sub-Saharan Africa. Washington, DC.: World Bank Publications; 2006. p. 387.
2. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F. The Republic of the Gambia [internet]. Global Cancer Observatory: Cancer Today. 2020 [cited 2020 Jan 13]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/270-the-republic-of-the-gambia-fact-sheets.pdf
3. Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2019;5(12):1749–68.
4. Adeloye D, Sowunmi OY, Jacobs W, David RA, Adeosun AA, Amuta AO, et al. Estimating the incidence of breast cancer in Africa: a systematic review and meta-analysis. J Glob Health. 2018;8(1):010419. https://doi.org/10.7189/jogh.08.010419.
5. Joko-Fru WY, Jedy-Agba E, Korir A, Ogunbiyi O, Dzamalala CP, Chokunonga E, et al. The evolving epidemic of breast cancer in sub-Saharan Africa: results from the African Cancer registry Network. Int J Cancer. 2020;147(8):2131–41. https://doi.org/10.1002/ijc.33014.
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