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埃塞俄比亚的癌症治疗状况:挑战与机遇

The Situation of Cancer Treatment in Ethiopia: Challenges and Opportunities.

作者信息

Haileselassie Werissaw, Mulugeta Tefera, Tigeneh Wondemagegnhu, Kaba Mirgissa, Labisso Wajana Lako

机构信息

Department of Reproductive Health and Health Service Management, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

J Cancer Prev. 2019 Mar;24(1):33-42. doi: 10.15430/JCP.2019.24.1.33. Epub 2019 Mar 30.

Abstract

BACKGROUND

Less attention is given to cancer treatment and control in Ethiopia.

METHODS

To investigate the challenges and opportunities facing cancer treatment services in Ethiopia. A purposive sampling technique was applied to recruit the study subjects from Black Lion Specialized Hospital Oncology Department. A semi-structured interview guide was used to investigate challenges and opportunities in oncology service in Ethiopia. Data was transcribed and coded by two independent coders and analyzed thematically in reference to the objectives.

RESULTS

Fifteen professionals from four different disciplines were interviewed on opportunities and challenges facing cancer treatment in Ethiopia. Out of these respondents 3 were senior clinical oncologists while 4 individuals were senior oncology residents. The rest were 2 medical Physicists, 2 radiotherapy technologists and 4 oncology nurses. Majority (80%) of the respondents were males. We demonstrate that the challenges of cancer treatment service in Ethiopia emanate from the patients themselves, the administrating body, the professionals, and the technology limitations. In general, the result of this study was grouped under the following five themes: Customer-related challenges, provider-related challenges, facility-related challenges, technology-related challenges and the opportunities.

CONCLUSIONS

Several assignments are waiting for the policy makers, the professionals, the communities and other concerned bodies to combat the alarmingly growing burden of cancer in Ethiopia. Escalating the awareness of the general population about cancer, expanding well-developed diagnostic and treatment centers, and producing well-trained competent oncology professionals are the forefront challenges in combating cancer in Ethiopia.

摘要

背景

埃塞俄比亚对癌症治疗与控制的关注较少。

方法

为调查埃塞俄比亚癌症治疗服务面临的挑战与机遇。采用目的抽样技术从黑狮专科医院肿瘤科招募研究对象。使用半结构化访谈指南调查埃塞俄比亚肿瘤学服务中的挑战与机遇。数据由两名独立编码员转录和编码,并根据目标进行主题分析。

结果

就埃塞俄比亚癌症治疗面临的机遇和挑战,对来自四个不同学科的15名专业人员进行了访谈。在这些受访者中,3名是高级临床肿瘤学家,4名是高级肿瘤学住院医师。其余为2名医学物理学家、2名放射治疗技师和4名肿瘤学护士。大多数(80%)受访者为男性。我们表明,埃塞俄比亚癌症治疗服务的挑战源于患者自身、管理机构、专业人员以及技术限制。总体而言,本研究结果分为以下五个主题:与客户相关的挑战、与提供者相关的挑战、与设施相关的挑战、与技术相关的挑战以及机遇。

结论

政策制定者、专业人员、社区和其他相关机构有多项任务要完成,以应对埃塞俄比亚癌症负担惊人增长的问题。提高普通民众对癌症的认识、扩大完善的诊断和治疗中心,以及培养训练有素的合格肿瘤学专业人员,是埃塞俄比亚抗击癌症面临的首要挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a53/6453587/9b4d7c3495fa/jcp-24-033f1.jpg

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