Psychosocial and palliative care in African national cancer control plans: A qualitative study.

Journal: Psycho-oncology

Volume: 33

Issue: 5

Year of Publication: 2024

Affiliated Institutions:  Gerald Bronfman Department of Oncology, McGill University, Montreal, Quebec, Canada. Department of Counseling and Human Development Studies, University of Ibadan, Ibadan, Nigeria. Department of Psychology, McGill University, Montreal, Quebec, Canada. Faculty of Medicine, McGill University, Montreal, Quebec, Canada. Department of Family Medicine, McGill University, Montreal, Quebec, Canada. Department of Experimental Medicine, McGill University, Montreal, Quebec, Canada. Kenya Network of Cancer Organizations, A Fresh Chapter, Nairobi, Kenya. Clinical Psychology Department, University College Hospital, Ibadan, Oyo, Nigeria. Benue State University, Makurdi, Benue State, Nigeria. Department of Epidemiology & Population Health and Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York, USA. Enloe Cancer Center, Chico, California, USA. Nichols Enterprises, Chico, California, USA. School of Population and Global Health, McGill University, Montreal, Québec, Canada.

Abstract summary 

Low and middle income countries of Africa account for a disproportionate amount of the global health burden of cancer. Providing patients access to psychosocial oncology and palliative care through policy structures such as the National Cancer Control Plans (NCCP) is essential to improving the care provided to patients and their families. The first phase of this study sought to determine the extent to which palliative care and psychosocial oncology were integrated in NCCPs in African countries.A qualitative thematic analysis of the plans was used using Nvivo, with two-raters coding and continuous team discussions. Data were organized into an infographic map showing the coverage of themes across African countries.Fifty-eight NCCPs and NCD plans were analyzed in the 54 countries in Africa. The findings illustrate a lack of standardization across countries' NCCPs in addressing psychosocial oncology and palliative care themes. Certain areas presented good coverage across several plans, such as barriers to access, education, awareness, and health behaviors, coordination of care, families, caregivers and community involvement, and palliative care. Other themes presented low coverage, such as doctor-patient communication, mental health, bereavement, psychosocial care, survivorship care, and traditional medicine.One may consider further developing NCCP areas as they pertain to psychosocial oncology and palliative care to ensure their proper place on the policy agenda for a healthier Africa.

Authors & Co-authors:  Henry Melissa M Asuzu Chioma C Savard Sabrina S Devault-Tousignant Cyril C Timmermans Sydney S Khosravi Katrina K Amin Amina A Albert Justine J Krochmalnek Tara T Odiyo Phillip P Akin-Odanye Elizabeth Oluwatoyin EO Terwase Joyce J Lounsbury David D Nichols Scott S Nichols Sharon S Palmer Charles C

Study Outcome 

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Statistics
Citations :  Kamaraju S, Drope J, Sankaranarayanan R, Shastri S. Cancer prevention in low‐resource countries: an overview of the opportunity. Am Soc Clin Oncol Educ Book. 2020;40:1‐12. https://doi.org/10.1200/edbk_280625
Authors :  16
Identifiers
Doi : 10.1002/pon.6346
SSN : 1099-1611
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Africa;cancer;national cancer control plans;oncology;palliative care;policy;psycho‐oncology;qualitative study
Study Design
Study Approach
Country of Study
Publication Country
England