Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya
Abstract Background The 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...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-04-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3073-2 |
| _version_ | 1828196201186459648 |
|---|---|
| author | Jane A. Owenga Erick Otieno Nyambedha |
| author_facet | Jane A. Owenga Erick Otieno Nyambedha |
| author_sort | Jane A. Owenga |
| collection | DOAJ |
| description | Abstract Background The 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. Methods A 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. Results The 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%). Conclusion Cervical 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. |
| first_indexed | 2024-04-12T09:57:26Z |
| format | Article |
| id | doaj.art-6076e46529bf47d28801d92a228865fd |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T09:57:26Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-6076e46529bf47d28801d92a228865fd2022-12-22T03:37:39ZengBMCBMC Health Services Research1472-69632018-04-011811810.1186/s12913-018-3073-2Perception of Cervical Cancer Patients on their Financial Challenges in Western KenyaJane A. Owenga0Erick Otieno Nyambedha1Jaramogi Oginga Odinga University of Science and TechnologyDepartment of Sociology and Anthropology, Maseno UniversityAbstract Background The 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. Methods A 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. Results The 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%). Conclusion Cervical 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.http://link.springer.com/article/10.1186/s12913-018-3073-2Cervical cancerFinancial challengesKenya |
| spellingShingle | Jane A. Owenga Erick Otieno Nyambedha Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya BMC Health Services Research Cervical cancer Financial challenges Kenya |
| title | Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya |
| title_full | Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya |
| title_fullStr | Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya |
| title_full_unstemmed | Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya |
| title_short | Perception of Cervical Cancer Patients on their Financial Challenges in Western Kenya |
| title_sort | perception of cervical cancer patients on their financial challenges in western kenya |
| topic | Cervical cancer Financial challenges Kenya |
| url | http://link.springer.com/article/10.1186/s12913-018-3073-2 |
| work_keys_str_mv | AT janeaowenga perceptionofcervicalcancerpatientsontheirfinancialchallengesinwesternkenya AT erickotienonyambedha perceptionofcervicalcancerpatientsontheirfinancialchallengesinwesternkenya |