Improving access to analgesic drugs for patients with cancer in sub-Saharan Africa

O’Brien, Megan; Mwangi-Powell, Faith; Adewole, I F; Soyannwo, Olaitan; Amandua, Jacinto; Ogaja, Elizabeth; Okpeseyi, Mary; Ali, Zipporah; Kiwanuka, Rose; Merriman, Anne

doi:10.1016/s1470-2045(12)70343-1

Cited by 53 publications

(32 citation statements)

References 8 publications

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“…Morphine has no standard dose as the ideal dose is the one that relieves the pain. In Nigeria, Morphine powder is imported and reconstituted into liquid morphine at affordable cost for patients [15,16]. Morphine, given in increasing amounts, was found to be safe.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care: Supporting Adult Cancer Patients in Ibadan, Nigeria

Olaitan¹,

Oladayo²

2016

J Palliat Care Med

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Over 70% of adult cancer patients present late to hospital in Nigeria with devastating consequences. Yet, structured palliative care is only an emerging service in this country with population of over 160 million.Objective: To describe activities of the Ibadan palliative care group and review one year holistic care programme offered by the team to support patients and their families. Methodology:A retrospective study reviewed treatment notes of patients that were enrolled from January to December 2013. Information retrieved included bio-data, stage of cancer, presenting complaints, palliative care issues identified, services rendered, days on programme, outcome and challenges.Results: Structured Palliative care service consisting of hospital based care, day care and home based care commenced in 2008, being the first of such in Nigeria. The service was based at the University College Hospital, Ibadan and run in collaboration with Centre for Palliative care Nigeria, a non-governmental organization. 189 patients were seen within the year and 121 (64%) were adults with advanced cancer. There were 44 (36.4%) male and 77 (63.6%) female with age range 21 to 91 years. 89 (73.6%) had moderate to severe pain. Psychosocial issues were present in 73% and spiritual issues in 17.4%. Services that were offered despite major challenges of late referral and financial constraints provided pain and symptom control, counselling, education for patients and family, financial and spiritual support thus improving quality of life Conclusion: Patients and their families found that palliative care provided relief to pain and suffering. More can be achieved through training of more health professionals, increased public awareness of the services and government support.

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Section: Discussionmentioning

confidence: 99%

Palliative Care: Supporting Adult Cancer Patients in Ibadan, Nigeria

Olaitan¹,

Oladayo²

2016

J Palliat Care Med

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“…Recent reviews have described the current status and future opportunities with respect to cancer treatment (58,59) and palliative care in Africa (60,61). Here, we focus on the prospects for cancer prevention, based on our understanding of etiology and the nature history, and applicable resource-dependant approaches to early detection strategies (27,62,63).…”

Section: Opportunities For Cancer Prevention and Controlmentioning

confidence: 99%

Cancer in Africa 2012

Parkin

Bray

Ferlay

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

300

280

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Background: Noncommunicable diseases, and especially cancers, are recognized as an increasing problem for low and middle income countries. Effective control programs require adequate information on the size, nature, and evolution of the health problem that they pose.Methods: We present estimates of the incidence and mortality of cancer in Africa in 2012, derived from "GLOBOCAN 2012," published by the International Agency for Research on Cancer.Results: There were 847,000 new cancer cases (6% of the world total) and 591,000 deaths (7.2% of the world total) in the 54 countries of Africa in 2012, with about three quarters in the 47 countries of Sub-Saharan Africa. While the cancer profiles often differ markedly between regions, the most common cancers in men were prostate (16.4% of new cancers), liver (10.7%), and Kaposi sarcoma (6.7%); in women, by far the most important are cancers of the breast (27.6% of all cancers) and cervix uteri (20.4%).Conclusions: There are still deficiencies in surveillance systems, particularly in Sub-Saharan Africa and, specifically, of their most vital component, population-based cancer registries. With the number of annual cancer cases and deaths likely to increase by at least 70% by 2030, there is a pressing need for a coordinated approach to improving the extent and quality of services for cancer control in Africa, and better surveillance systems with which they can be planned and monitored.Impact: The results are the best data currently available and provide a reasonable appraisal of the cancer situation in Africa. Cancer Epidemiol Biomarkers Prev; 23(6); 953-66. Ó2014 AACR.

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“…6-8 Progress has been made in many countries, including Uganda, Kenya, and Nigeria, through the joint eff orts of ministries of health, health-care workers, national palliative-care associations, regional networks, international non-governmental organisations and supporters, and the WHO Collaborating Centre, the Pain and Policy Studies Group. 9 access to treatment is feasible from domestic sources, in view of the economic growth of these countries. 29 The socalled best-buy NCD strategies for countries include pharmacotherapy for secondary prevention of cardiovascular disease, glycaemic control for diabetes, provision of aspirin for acute heart attack, and the hepatitis B vaccine for prevention of liver cancer.…”

Section: Panel 1: Access To Opioid Analgesicsmentioning

confidence: 99%