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Research Article Open access CC BY 4.0

Challenges in the Management of Childhood Cancer Patients in a Tertiary Hospital in Southern Nigeria

E. U. Bassey, I. A. Akpan, C. Nnoli, E. E. Akpan

Asian Journal of Medicine and Health · pp. 103–108 · Published 19 Jul 2022

10.9734/ajmah/2022/v20i1030509

Abstract

Introduction: The burden of childhood cancer is an important child health concern globally. Several million new cases are diagnosed annually, but the greatest burden is borne by developing countries. The management of paediatric cancer patients in these settings is fraught with several challenges, which can significantly affect outcome. Aim: To identify the various challenges in management of children with cancers in the University of Uyo Teaching Hospital Uyo, Nigeria and proffer interventions which may impact positively on their long term survival and quality of life. Methods: A three year retrospective study of children admitted with cancers was carried out at the Haemato-Oncology unit of the department of Paediatrics, University of Uyo Teaching Hospital, Uyo Nigeria, from January 2019 and December 2021. The available records of their admission, treatment process, progress and outcome were reviewed. Results: Of the thirty-eight (38) patients seen, all presented at a late stage of disease. The socio-economic class of parents were mostly low (81.6%) and all treatments were self-sponsored, with 44.7% discharging against medical advice due to financial constraints. Conclusion: The challenges in the management of paediatric cancer patients included late presentation, late diagnosis, financial constraints/poverty, burn-out of caregivers, with a resultant high frequency of discharge against medical advice. Greater awareness about childhood cancers, increased advocacy for governmental input by way of resources, infrastructure and health insurance policies would improve outcome.

Cancers challenges children Nigeria

References (17)

  1. 1 Socio-economic and cultural background of hospitalized children in Ilesa
  2. 2 Challenging issues in pediatric oncology [DOI]
  3. 3 Challenge of pediatric oncology in Africa [DOI]
  4. 4 Factors Associated with Delayed Cancer Diagnosis in Egyptian Children [DOI]
  5. 5 Challenges for health care providers, parents and patients who face a child hood cancer diagnosis in Zambia [DOI]
  6. 6 Childhood Cancer in Developing Countries [DOI]
  7. 7 Factors influencing time to diagnosis of childhood cancer in Ibadan, Nigeria.
  8. 8 Paediatric solid tumours in Nigerian children: A changing pattern? [DOI]
  9. 9 Childhood cancers: Challenges and strategies for management in developing countries [DOI]
  10. 10 Childhood cancers in a referral hospital in south-south nigeria: a review of the spectrum and outcome of treatment [DOI]
  11. 11 Causes of death in childhood cancer at the Department of Paediatrics, University College Hospital, Ibadan.
  12. 12 Pattern and outcomes of childhood malignancies at Ahmadu bello university teaching hospital, Zaria [DOI]
  13. 13 Pediatric Oncology in Nigeria: A Panoramic View [DOI]
  14. 14 Changing pattern of childhood malignancies in Eastern Nigeria.
  15. 15 Pattern of presentation, treatment, and determinants of outcome of pediatric oncology cases at a tertiary institution in Lagos [DOI]
  16. 16 Factors determining the outcome of management of patients with Burkitt′s lymphoma at the University College Hospital Ibadan, Nigeria--an eleven year review [DOI]
  17. 17 Childhood cancers in a tertiary facility in Southern Nigeria: a four-year update [DOI]

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