ASSESSING BREAST CANCER BURDEN AMONGST WOMEN AT GENERAL HOSPITAL KATSINA, STATE NIGERIA

Breast cancer is today becoming one of the serious health issue affecting about 3.2 million worldwide. Its increase is attributed to several factors, like increase in life expectancy, urbanization and adoption of western lifestyles, late diagnosis of breast cancer due to shortages of health personnel and infrastructure among oth-ers. However, incidences of breast cancer in Nigeria, particularly in its northern states, which includes Katsina states appears to be under reported due to lack of comprehensive statistics about number of women of reproductive age afflicted by the disease. Therefore, this paper assessed breast cancer burden amongst women of reproductive age at the General Hospital Katsina, Katsina state Nige-ria. The paper employed qualitative research method, where an in-depth inter-views were held with key informants (i.e. one Medical doctor/General Surgeon, a nurse in-charge of female surgical ward and a breast cancer patient respective-ly). The findings of the study indicates high rate of breast cancer prevalence amongst women of reproductive age attending the hospital for treatment, lack of specialized cancer unit fully equipped with medical facilities and personnel; can-cer cases are handled by general surgeons and nurses; advanced cancer cases beyond the reach of the hospital are referred to nearby teaching hospitals; certain factors associated with socio-economic and socio-cultural also affects early ac-cess to medical health care facilities, thus compounding issues. The study rec-ommends the following: establishment of specialized cancer center at the hospital fully equipped with medical facilities and professionals; collaboration with rele-vant stakeholders to address the problems of high cost of cancer treatment, pa-tients’ education and awareness, and other socio-economic and socio-cultural issues affecting healthcare access.

___

  • Abdulkareem, F. (2014). Epidemiology and Incidence of Common Can-cers in Nigeria. https://nairametrics.com/wp-content/uploads/2013/02/EPIDEMILO GY-AND-INCIDENCE-OF-COMMON.pdf
  • Adebamowo, C.A., and Adekunle, O.O. (1999) Case-controlled study of the epidemiological risk factors for breast cancer in Nigeria Br J Surg86:665–668.1999 [PubMed]
  • Adesunkanmi A.R., Lawal O.O., Adelusola K.A., (2006). The severity, outcome, and challenges of breast cancer in Nigeria Breast 15:399–409.2006 [PubMed]
  • Agnihotri, S. B. (2000). ‘Declining Infant and Child Mortality in India: How do girl children fare? Economic and Political Weekly 36(3) 228-33
  • Akinde O.R., Phillips A.A., Oguntunde O.A., (2015). Cancer mortality pattern in Lagos University Teaching Hospital, Lagos, Nigeria. J Cancer Epi-demiol :842032[PMC free article][PubMed]
  • Al- Jazeera (2010) Poor nations face Cancer burden. Retrieved from https://www.aljazeera.com/news/africa/2010/02/20102495010829528.html
  • American Cancer Society (2018). What Is Breast Cancer? https://www.cancer.org/cancer/breast-cancer/about/what-is-breast-cancer.html
  • Anderson, B.O., Yip C.H., Ramsey S.D. (2006). Breast cancer in limited-resource countries: Health care systems and public policy. Breast J 12: S54–S69. suppl 1 [PubMed]
  • Aneikwu, N.I. (2005). The Convention on the Elimination of All Forms of Discrimination Against Women and the Status of Implementation on the Right to Health Care in Nigeria. 13(3): 34 – 39
  • Anyanwu, S.N., (2000). Breast Cancer in Eastern Nigeria: A Ten-Year Review. West Afr J Med.19:120–125.
  • Arafat, T. Sally, T., Rachel, A., and Ali, S. (2010). Breast Cancer in Low- and Middle-Income Countries: An Emerging and Challenging Epidemic. Journal of Oncology Volume 2010, Article ID 490631, 5 pages. Retrieved https://www.hindawi.com/journals/jo/2010/490631
  • Arowolo, O.A., Akinkuolie, A.A., Lawal, O.O., Alatise, O.I., Salako, A.A., Adisa, A.O., (2010) The impact of neoadjuvant chemotherapy on patients with locally advanced breast cancer in a Nigerian semiurban teaching hospital: a single-center descriptive study. World J Surg.; 34:1771–1778.
  • Arrow, (2005). ICPD Ten Years on: Monitoring on sexual and Reproduc-tive Health and Rights in Asia Retrieved from http://www.sexogsamfund.dk/Files/Filer/Sex%20og%20Samfund/Diverse/ARROW_ICPD_Ten_Years_On_FINAL.pdf
  • Azubuike S, Okwuokei S. (2013). Knowledge, attitude, and practices of women towards breast cancer in Benin City. Nigeria Ann Med Health Sci Res 3:155–160. [PMC free article] [PubMed]
  • Christoph. A., et al. (2014). The Workforce for Health in a Globalized Context - global Shortages and International Migration, 7:23611 Retrieved from http://www.globalhealthaction.net/index.php/gha/article/view/23611
  • Ebadifard, F.R.S. and Rahmati, F. (2012) Effects of Training Breast-Cancer Screening on Female University Students' Beliefs [in Persian]. Iran J Ob-stetrics, Gynecology & Infertility; 15(23): 10-7
  • Federal Ministry of Health (2013) Cancer in Nigeria 2009-2013 Published in Nigeria by Nigerian National System of Cancer Registries Federal Ministry of Health of Nigeria, Federal Secretariat Complex Shehu Shagari Way, Garki, Abu-ja P.M.B. 083, Garki-Abuja Tel: 234-9-523-8367
  • FMH Federal Ministry of Health Nigeria (2004). Revised National Health Policy. Abuja retrieved from http://cheld.org/wp-content/uploads/2012/04/Nigeria-Revised-National-Health-Policy-2004.pdf
  • Freeman, H.P., Muth B.J., Kerner J.F. (1995). Expanding access to cancer screening and clinical follow-up among the medically underserved Cancer Pract 3:19–30.1995 [PubMed]
  • Galadanci, H.S.; Idris, S.A.; Sadauki, H.M.; Yakasai, I. A. (2010). Pro-grams and Policies for Reducing Maternal Mortality in Kano State, Nigeria: A Review. 14(3): 31
  • Gaudet M.M., Gapstur S.M., Sun J., Diver W.R., Hannan L.M., Thun M.J. (2013). Active smoking and breast cancer risk: original cohort data and me-ta-analysis. J Natl Cancer Inst.; 105:515–525. [PubMed]
  • Gender Nigeria Report (2012). Improving the Lives of Girls and Women in Nigeria. Retrieved from
  • Glanz, K.; Rimer, B.; and Viswanath, K. (2008) Health behaviour and health education: Theory, Research and Practice.
  • Global Burden of Disease Study 2015 (GBD 2015). Cancer Incidence, Mortality, Years of Life Lost, Years Lived with Disability, and Disability-Adjusted Life Years 1990-2015. Institute for Health Metrics and Evaluation (IHME). http://ghdx.healthdata.org/record/global-burden-disease-study-2015-gbd-2015-cancer-incidence-mortality-years-life-lost-years