Evaluation of the financial and economic cost of childhood cancer care in Lubumbashi: a mixed study

Mjumbe, Criss Koba; Mafuta, Eric; Limbaka, Henry; Kulimba, Desire Mashinda; Diyoka, Chadrack Kabeya; Ilunga, Benjamin Kabyla

doi:10.15406/jcpcr.2022.13.00491

Cited by 2 publications

(8 citation statements)

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“…Six studies from Southern Africa, Zimbabwe ( 29 ), Madagascar ( 19 ), Malawi ( 17 , 18 , 30 ) and South Africa ( 31 ). Five of the articles came, respectively, from Central Africa, DR Congo ( 15 , 16 ) and Cameroon ( 17 – 19 ); and West Africa, Cote d’Ivoire ( 16 , 19 ), Ghana ( 17 , 18 , 20 , 21 ), Burkina Faso, Mali, Senegal ( 19 ) and Nigeria ( 22 , 23 , 29 ) ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Only 2 out of 17 articles included ( 15 , 20 ) reported both the average total cost, the direct cost and the indirect cost. Childhood cancer treatment costs were reported for lymphoma ( n = 9), multiple cancers ( n = 8), Wilms tumors ( n = 5), leukemia ( n = 4), retinoblastoma ( n = 3), nephroblastoma ( n = 1) and rhabdomyosarcoma ( n = 1).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the cost of Nephroblastoma represents, respectively, 88.34% ($1,042) and 85.09% ($2,093) of the GDP of the DRC ( 15 , 16 ) and Rwanda ( 24 , 25 ). The cost of leukemia ranged between 11.4% ($680.5) in Ghana ( 17 , 18 , 20 , 21 ) and 82.86% ($977.3) in DRC ( 15 , 16 ). Lymphomas 3.03% (163.80) of Nigeria’s GDP ( 22 , 23 ) and 85.84% ($5125.32) ( 17 , 18 , 20 , 21 ) in Ghana.…”

Section: Resultsmentioning

confidence: 99%

“…The World Health Organization (WHO) recommends that the results of COI studies be reported in international dollars at PPP, to better support country-to-country comparisons of costs ( 13 ). In the majority of 17 out of 54 countries on the continent based on the studies included in this review, the economic burden of childhood cancer is greater than 80% of GDP per capita , PPP ( 15 – 18 , 20 , 21 , 24 , 25 ), up to 345.38% of Nigeria’s GDP for Rhabdomyosarcoma ( 22 , 23 ). Taking into account the definition of GDP per capita which corresponds to the average income of families ( 32 ), this is a cost that households cannot absorb without the support of the government or the various players.…”

Section: Discussionmentioning

confidence: 99%

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Financial costs of pediatric cancer management in Africa: systematic review

Mjumbe,

Kulimba,

Numbi

et al. 2023

Front. Public Health

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The high costs of cancer treatment and the lack of investment in health care are significant barriers to public health on the African continent. The objective of this study was to investigate the financial cost of children cancer treating in sub-Saharan Africa. We systematically searched PubMed, Cochrane, and Google Scholar to identify relevant studies between March 2000 and December 2022. We selected articles that specifically addressed the US dollar financial costs of childhood cancer in African countries. Medians and interquartile ranges (IQR) were calculated. We also calculated the economic burden of childhood cancer at the individual level, by dividing the direct costs of cancer per patient by the GDP per capita, PPP of the country studied. The quality of economic studies was assessed using the CHEERS (2022) 28-point checklist. A total of 17 studies met our eligibility criteria. The median (IQR) of total childhood cancer costs by region was $909.5 ($455.3–$1,765) and ranged from $88803.10 for neuroblastoma to $163.80 for lymphoma. No significant differences (p < 0.05) were observed for comparisons of the direct cost of childhood cancer between the geopolitical zone of sub-Saharan Africa. Differences in the direct costs of childhood cancer were significant for different cancer types (p < 0.05). In the majority of 17 out of 54 countries on Africa the continent, the economic burden of childhood cancer exceeds 80% of GDP per capita, PPP, up to 345.38% of Nigeria’s GDP for Rhabdomyosarcoma. The cost of treating childhood cancers is high in Africa is catastrophic, if not downright prohibitive for households in Sub-Saharan Africa. We believe that the data from our study will be able to help make different objective advocacy allowing it to be provided with funds based of the evidence that can strengthen this program in order to install cancerology structures in the countries and by following the system plan. Cost reduction in the treatment of childhood cancer in particular and in general all types of cancer.Systematic review registrationApproval of the study was given by the ethics committee of the Faculty of Medicine of the University of Lubumbashi (UNILU/CEM/135/2018) and (UNILU/CEM/096/2019).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Financial costs of pediatric cancer management in Africa: systematic review

Mjumbe,

Kulimba,

Numbi

et al. 2023

Front. Public Health

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“…Public support in the form of insurance created by the Government of India contributes to lessening the financial burden of childhood cancer care in most parts of India [ 24 , 25 ]. Findings from a quantitative study to assess the effects of socioeconomic status on children with well-differentiated thyroid cancer espoused that insurance status of a child with well-differentiated thyroid cancer was linked to higher rate of diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Financial burden faced by breastfeeding mothers caring for children diagnosed with cancer in Ghana; an exploratory qualitative study

Marfo,

Acheampong,

Asare

2024

BMC Women's Health

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Background When children are diagnosed of cancer, parents face varied financial issues. Among some of the identifiable factors that cause financial challenges among breastfeeding mothers include the high cost of childhood cancer care. The high cost of childhood cancer care could impede the sustainability of access to prompt care. There is paucity of literature on the financial burdens faced by breastfeeding mothers with children diagnosed with cancer in Ghana. Therefore, this study sought to explore the financial burden faced by mothers with breastfeeding children diagnosed with cancer. Methods The study employed qualitative exploratory descriptive design. One-on-one interviews were conducted among 13 mothers with breastfeeding children diagnosed of cancer. Permission was sought for data to be recorded, transcribed concurrently and inductive content analysis done. Results Three main themes emerged after data analysis: High cost (sub-themes; expensive medications, laboratory investigation fees, and cost of mothers’ feeding), Public support (sub-themes; appeal for funds, national health insurance scheme) and Self-financing (loans, personal savings). Most of the breastfeeding mothers narrated that high cost of childhood cancer care generated financial distress to them. They shared that the cost involved in purchasing their children’s cancer medications, paying for laboratory investigations and feeding themselves to produce adequate breastmilk to feed their children were challenging. Some of the mothers self-financed the cost of their children’s cancer care through loans and personal savings. Conclusion Government and other stakeholders should allocate annual budget and funds towards childhood cancer care to lessen the financial burden breastfeeding mothers caring for children with cancer experience.

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Evaluation of the financial and economic cost of childhood cancer care in Lubumbashi: a mixed study

Cited by 2 publications

References 38 publications

Financial costs of pediatric cancer management in Africa: systematic review

Financial costs of pediatric cancer management in Africa: systematic review

Financial burden faced by breastfeeding mothers caring for children diagnosed with cancer in Ghana; an exploratory qualitative study

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