ArticleBMC health services research2021
Geospatial analysis and impact of targeted development of breast cancer care in The Gambia: a cross-sectional study.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Breast cancer screening uptake and its associated factors among women in Ghana: evidence from the 2022 Demographic and Health Survey.Archives of public health = Archives belges de sante publique · 2025Article
- Exploring breast cancer awareness and screening practices amongst rural women in The Gambia: Community-based cross-sectional study.PloS one · 2025Article
- Availability and Geographic Access to Hospital-Based Breast Cancer Diagnostic Services in Ghana.JCO global oncology · 2024Article
- Article
- Capacity assessment and spatial analysis of cervical cancer services in The Gambia.BMC women's health · 2023Article
- Population-Level Access to Breast Cancer Early Detection and Diagnosis in Nigeria.JCO global oncology · 2023Article
- Breast Cancer Screening: Knowledge, Attitudes, and Practices among Female University Students in The Gambia.BioMed research international · 2023Article
- Toward Equitable Access to Tertiary Cancer Care in Rwanda: A Geospatial Analysis.JCO global oncology · 2022Article
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Authors and funding
15 authors.
Funding
Abstract
backgroundThe Gambia has one of the lowest survival rates for breast cancer in Africa. Contributing factors are late presentation, delays within the healthcare system, and decreased availability of resources. We aimed to characterize the capacity and geographic location of healthcare facilities in the country and calculate the proportion of the population with access to breast cancer care.
methodsA facility-based assessment tool was administered to secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia. GPS coordinates were obtained, and proximity of service availability and population analysis were performed. Distance thresholds of 10, 20, and 45 km were chosen to determine access to screening, pathologic diagnosis, and surgical management. An additional population analysis was performed to observe the potential impact of targeted development of resources for breast cancer care.
resultsAll 102 secondary and tertiary healthcare facilities and private medical centers and clinics in The Gambia were included. Breast cancer screening is mainly performed through clinical breast examination and is available in 52 facilities. Seven facilities provide pathologic diagnosis and surgical management of breast cancer. The proportion of the Gambian population with access to screening, pathologic diagnosis, and surgical management is 72, 53, and 62%, respectively. A hypothetical targeted expansion of resources would increase the covered population to 95, 62, and 84%.
conclusionsAlmost half of the Gambian population does not have access to pathologic diagnosis and surgical management of breast cancer within the distance threshold utilized in the study. Mapping and population analysis can identify areas for targeted development of resources to increase access to breast cancer care.
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