Health-Care Providers' Perspectives towards Childhood Cancer Treatment in Kenya

Njuguna, F; Burgt, RHM van der; Seijffert, A; Musimbi, J; Langat, S; Skiles, J; Sitaresmi, MN; Ven, PM van de; Kaspers, GJL; Mostert, S

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저자정보: Njuguna, F (Department of Child Health and Pediatrics, Moi Teaching and Referral Hospital) Burgt, RHM van der (Department of Pediatric Oncology-Hematology and Doctor 2 Doctor program, VU University Medical Center) Seijffert, A (Department of Pediatric Oncology-Hematology and Doctor 2 Doctor program, VU University Medical Center) Musimbi, J (Department of Child Health and Pediatrics, Moi Teaching and Referral Hospital) Langat, S (Department of Child Health and Pediatrics, Moi Teaching and Referral Hospital) Skiles, J (Department of Pediatric Hemato-Oncology, Indiana University School of Medicine) Sitaresmi, MN (Department of Pediatrics, Dr Sardjito Hospital) Ven, PM van de (Department of Biostatistics, VU University Medical Center) Kaspers, GJL (Department of Pediatric Oncology-Hematology and Doctor 2 Doctor program, VU University Medical Center) Mostert, S (Department of Pediatric Oncology-Hematology and Doctor 2 Doctor program, VU University Medical Center)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제17권 제9호

발행연도: 2016.1

수록면: 4,445 - 4,450 (6page)

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Background: This study explored perspectives of health-care providers on childhood cancer treatment in Kenya. Materials and Methods: A self-administered questionnaire was completed by 104 health-care providers in January and February 2013. Results: Seventy six percent of the health-care providers believed cancer to be curable. More doctors than other health-care providers had this positive opinion (p=0.037). The majority of health-care providers (92%) believed that most children with cancer will not be able to finish their treatment due to financial difficulties. They considered that prosperous highly-educated parents adhere better with treatment (88%) and that doctors adhere better with treatment for prosperous highly-educated parents (79%). According to 74% of health-care providers, quality of care is better for prosperous highly-educated parents (74%). Most health-care providers reported giving more explanation (71%), work with greater accuracy (70%) and use less difficult vocabulary (55%) to prosperous more educated families. Only 34% of health-care providers reported they feel more empathy towards patients from prosperous families. Reasons for non-adherence with the protocol according to health-care providers are: family refuses drugs (85%), inadequate supply of drugs at pharmacy (79%), child looks ill (75%), and financial difficulties of parents (69%). Conclusions: Health-care providers' health beliefs and attitudes differ for patients with families having high versus low socio-economic backgrounds.

#Childhood cancer #health-care providers #perspectives #low-income countries

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