Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana

Author:

Sanuade Olutobi A12,Ayettey Hannah3,Hewlett Sandra13,Dedey Florence13,Wu Lily3,Akingbola Titilola4,Ogedegbe Gbenga5,de-Graft Aikins Ama1ORCID

Affiliation:

1. University of Ghana, Ghana

2. University College London, UK

3. Korle-Bu Teaching Hospital, Ghana

4. University of Ibadan, Nigeria

5. NYU School of Medicine, USA

Abstract

Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (e.g. misinterpretation of symptoms, fear), (2) healthcare provider (e.g. negative attitudes) and (3) health systems (e.g. shortage of medicines). Addressing treatment delays will require multilevel interventions, including culturally congruent education, psychosocial counselling/support and strengthening health systems.

Funder

Fogarty International Center

Publisher

SAGE Publications

Subject

Applied Psychology

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