Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

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

  • 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)
  • Published : 2016.09.01
⟨ Previous Next ⟩

Abstract

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.

Keywords

Acknowledgement

Supported by : SIOP (International Society for Pediatric Oncology)

References

  1. Garcia-Prado A, Gonzalez P (2001). Whom do physicians work for? An analysis of dual practices in the health sector. J Health Polit Policy Law, 36, 265-94.
  2. Arora RS, Eden T, Pizer B (2007). Problem of treatment abandonment in children from developing countries with cancer. Pediatr Blood Cancer, 49, 941-46. https://doi.org/10.1002/pbc.21127
  3. Arora RS, Pizer B, Eden T (2010). Understanding refusal and abandonment in the treatment of childhood cancer. Indian Paediatr, 47, 1005-10. https://doi.org/10.1007/s13312-010-0172-5
  4. Chankora S, Muchiri S, Kombe G (2009). Health workforce attrition in the public sector in Kenya: a look at the reasons. Hum Resour Health, 21, 7-58.
  5. Ferrinho P, Van Lerberghe W, Fronteira I, et al (2004). Dual practice in the health sector: review of the evidence. Hum Resour Health, 2, 14. https://doi.org/10.1186/1478-4491-2-14
  6. Gunawan S, Wolters E, van Dongen J, et al (2014). Parents'and health-care providers'perspectives on side-effects of childhood cancer treatment in Indonesia. Asian Pac J Cancer Prev, 15, 3593-9. https://doi.org/10.7314/APJCP.2014.15.8.3593
  7. Hillem MA, de Haes HC, Stalpers LJ, et al (2014). How attachment style and locus of control influence patients trust in their oncologist. J Psychosom Res, 76, 221-6. https://doi.org/10.1016/j.jpsychores.2013.11.014
  8. Iskandarsyah A, Klerk CD, Suardi DR, et al (2014). Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer. Health Psychol, 33, 214-21. https://doi.org/10.1037/a0031060
  9. Kenya National Bureau of Statistics: Kenya demographic and health survey (2008-2009). Available at: www.knbs.or.ke
  10. Kenya National Bureau of Statistics: population and housing census results. (2009). Available at: www.knbs.or.ke/census
  11. Konkoly TB, Rafael B, Rohanszky M (2014). Psychometric properties of the multidimensional health locus of control scale form C in a non-Western culture. PLoS One, 9, 107108. https://doi.org/10.1371/journal.pone.0107108
  12. Magrath I, Steliarova-Foucher E, Epelman S et al (2013). Paediatric cancer in low and middle income countries. Lancet Oncol, 14, 104-16. https://doi.org/10.1016/S1470-2045(12)70591-0
  13. Mostert S, Arora RS, Arreola M et al (2011). Abandonment of treatment for childhood cancer: Position statement of SIOP PODC working group. Lancet Oncol, 12, 719-20. https://doi.org/10.1016/S1470-2045(11)70128-0
  14. Mostert S, Gunawan S, Wolters E, et al (2012). Socio-economic status plays important role in childhood cancer treatment outcome in Indonesia. Asian Pac J Cancer Prev, 13, 6491-6. https://doi.org/10.7314/APJCP.2012.13.12.6491
  15. Mostert S, Njuguna F, Kemps L et al (2012). Epidemiology of diagnosed childhood cancer in Western Kenya. Arch Dis Child, 97, 508-12. https://doi.org/10.1136/archdischild-2011-300829
  16. Mostert S, Gunawan S, van Dongen JA et al (2013). Health care providers' perspectives on childhood cancer treatment in Manado, Indonesia. Psychooncol, 23, 2522-8.
  17. Pritchard-Jones K, Pieters R, Reaman GH (2013). Sustaining innovation and improvement in the treatment of childhood cancer: lessons from high income countries. Lancet Oncol, 14, 95-103. https://doi.org/10.1016/S1470-2045(13)70010-X
  18. Reitzel LR, Lahoti S, Li Y, et al (2013). Neighborhood vigilance, health locus of control, and smoking abstinence. Am J Health Behav, 37, 334-41. https://doi.org/10.5993/AJHB.37.3.6
  19. Rodriguez-Galido C, Friedrich P, Morrissey L et al (2013). Global challenges in paediatric oncology. Curr Opin Paediatr, 25, 3-15. https://doi.org/10.1097/MOP.0b013e32835c1cbe
  20. Sillivan R, Kowalczyk JR, Agarwal B et al (2013). New policies to address the global burden of childhood cancer. Lancet Oncol, 3, 125-35.
  21. Tang JY, Xue HL, Gue JL, et al (2005). Failure of treatment and protocol compliance in patients with acute lymphoblastic leukaemia. Zhonghua Er Ke Za Zhi, 43, 490-3.