ArticleBMC health services research2018
Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Financial toxicity of cancer care in low- and middle-income countries: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- Experiencing financial toxicity associated with cancer in publicly funded healthcare systems: a systematic review of qualitative studies.Journal of cancer survivorship : research and practice · 2022Pooled it
- Financial toxicity and psychosocial distress of breast and cervical cancer patients at a tertiary healthcare facility in south-western Nigeria.BMC women's health · 2026Article
- Access to cancer medicines in Kenya: a scoping review of costs, financial toxicity, quality of life and policy impacts.Ecancermedicalscience · 2026Review
- The psychosocial implications of cervical cancer in women living in sub-Saharan Africa.Curationis · 2025Article
- Experiences of women living with HIV who underwent long loop excision of the transformation zone (LLETZ) in selected hospitals of Vhembe district, Limpopo province, South Africa.F1000Research · 2025Article
- Cervical cancer prevention and care in HIV clinics across sub-Saharan Africa: results of a facility-based survey.Journal of the International AIDS Society · 2024Article
- Experiences of caring for women with cervical cancer: A qualitative study among male partners in Dar es Salaam, Tanzania.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Cervical cancer management in a low resource setting: A 10-year review in a tertiary care hospital in Kenya.Gynecologic oncology reports · 2024Article
- Patient experiences of living with cancer before interaction with palliative care services in Zimbabwe: A qualitative secondary data analysis.European journal of cancer care · 2022Article
- Piloting a systems level intervention to improve cervical cancer screening, treatment and follow up in Kenya.Frontiers in medicine · 2022Article
- Competencies for Nurses Regarding Psychosocial Care of Patients With Cancer in Africa: An Imperative for Action.JCO global oncology · 2022Article
- Cervical cancer management in Zimbabwe (2019-2020).PloS one · 2022Article
- The Socioeconomic Impact of Cervical Cancer on Patients in Ethiopia: Evidence from Tikur Anbessa Specialized Hospital.Cancer management and research · 2022Article
- Economic Burden and Predictors of Cost Variability Among Adult Cancer Patients at Comprehensive Specialized Hospitals in West Amhara, Northwest Ethiopia, 2019.Cancer management and research · 2020Article
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2 authors.
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Abstract
backgroundThe number of cervical cancer cases is reported to increase among women of reproductive age in the recent past with patients facing challenges with care and management of the illness. However, little is known about the financial challenges these patients undergo in contexts such as western Kenya. This study assessed financial challenges and sources of financial assistance for cervical cancer patients in western Kenya.
methodsA cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. Structured questionnaire, in-depth interview guide and key informant interview guide were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 at a statistical significance of P ≤ 0.05, descriptive statistics and crosstabulations were performed. For qualitative data, the responses were transcribed verbatim and the content was then analyzed by searching for emerging themes on the financial challenges faced by cervical cancer patients. Qualitative data was presented in textual form with verbatim reports for illustrations.
resultsThe key financial challenges from the study were costs of medication 291 (87%), cost of travel 281 (84%) and cost of diagnostic tests 250 (75%). Other costs incurred by the patients were cost of cloths and wigs 91 (27%), and cost of home and child care 80 (24%). Most 304 (91%) of the cervical cancer patients admitted and referred to JOOTRH did not have insurance cover and only 30 (9%) had National Hospital Insurance Fund cover which catered for only bed component of inpatient costs. Results showed that no patient received any assistance from well-wishers. Only a few received assistance from charity organizations 43 (13%), friends 91 (27%) and colleagues 31 (9%). Some patients received some assistance from relatives 32 (10%) and church 32 (10%).
conclusionCervical cancer patients experience several financial challenges yet only few of them had insurance cover which catered for only bed component of inpatient costs. There is a need for the Kenyan health care system to develop mechanisms for provision of financial support for cervical cancer patients.
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