Evaluating barriers and opportunities in delivering high-quality oncology care in a resource-limited setting using a comprehensive needs assessment tool

Chika R. Nwachukwu, Omobola Mudasiru, Lynn Million, Shruti Sheth, Hope Qamoos, Joseph O. Onah, Anita Okemini, Mojisola Rhodes, Michele Barry, Adekunbiola A. Banjo, Muhameed Habeebu, Tajudeen A. Olasinde, Ami S. Bhatt

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Purpose Despite recognition of both the growing cancer burden in low-and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifes areas for improvement, and formulates recommendations for implementation. Methods Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: fnancial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specifc solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resourceconstrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.

Original languageEnglish (US)
JournalJournal of Global Oncology
Volume2018
Issue number4
DOIs
StatePublished - 2018

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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