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Surveying and Mapping Breast Cancer Services in Ghana: A Cross-Sectional Pilot Study in the Eastern Region

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dc.contributor.author Moustafa, Moustafa
dc.contributor.author Mali, Meghan Eileen
dc.contributor.author Lopez-Verdugo, Fidel
dc.contributor.author Sanyang, Ousman
dc.contributor.author Nellermoe, Jonathan
dc.contributor.author Price, Raymond R
dc.contributor.author Manortey, Stephen
dc.contributor.author Biritwum-Nyarko, Alberta
dc.contributor.author Ofei, Irina
dc.contributor.author Sorensen, Justin
dc.contributor.author Goldsmith, Alison
dc.contributor.author Brownson, Kirstyn E
dc.contributor.author Kumah, Augustine
dc.contributor.author Sutherland, Edward
dc.date.accessioned 2023-02-14T09:59:36Z
dc.date.available 2023-02-14T09:59:36Z
dc.date.issued 2021-10-20
dc.identifier.citation Moustafa M, Mali ME, Lopez-Verdugo F, et al. Surveying and mapping breast cancer services in Ghana: a cross-sectional pilot study in the Eastern Region. BMJ Open 2021;11:e051122. doi:10.1136/ bmjopen-2021-051122 en_US
dc.identifier.issn 2044-6055
dc.identifier.uri https://bmjopen.bmj.com/content/11/11/e051122
dc.identifier.uri http://41.204.63.118:8080/xmlui/handle/123456789/40
dc.description Research Article en_US
dc.description.abstract Objectives: Define the services available for the care of breast cancer at hospitals in the Eastern Region of Ghana, identify areas of the region with limited access to care through geospatial mapping, and test a novel survey instrument in anticipation of a nationwide scale up of the study. Design: A cross-sectional, facility-based survey study. Setting: This study was conducted at 33 of the 34 hospitals in the Eastern Region of Ghana from March 2020 to May 2020. Participants: The 33 hospitals surveyed represented 97% of all hospitals in the region. This included private, government, quasi-government and faith-based organisation owned hospitals. Results: Sixteen hospitals (82%) surveyed provided basic screening services, 11 (33%) provided pathological diagnosis and 3 (9%) provided those services in addition to basic surgical care.53%, 64% and 78% of the population lived within 10 km, 25 km and 45 km of screening, diagnostic and treatment services respectively. Limited chemotherapy was available at two hospitals (6%), endocrine therapy at one hospital (3%) and radiotherapy was not available. Twenty-nine hospitals (88%) employed a general practitioner and 13 (39%) employed a surgeon. Oncology specialists, pathology personnel and a plastic surgeon were only available in one hospital (3%) in the Eastern Region. Conclusions: Although 16 hospitals (82%) provided screening, only half the population lived within reasonable distance of these services. Few hospitals offered diagnosis and surgical services, but 64% and 78% of the population lived within a reasonable distance of these hospitals. Geospatial analysis suggested two priorities to cost-effectively expand breast cancer services: (1) increase the number of health facilities providing screening services and (2) centralise basic imaging, pathological and surgical services at targeted hospitals. en_US
dc.language.iso en en_US
dc.publisher BMJ Open Journal en_US
dc.relation.ispartofseries Volume 11;Number 11
dc.subject Mapping en_US
dc.subject Breast Cancer en_US
dc.subject Eastern Region en_US
dc.subject Survey en_US
dc.subject Ghana en_US
dc.title Surveying and Mapping Breast Cancer Services in Ghana: A Cross-Sectional Pilot Study in the Eastern Region en_US
dc.type Article en_US


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