Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households
The burden of NCDs in Kenya is rising rapidly, and now accounts for more than 50 percent of all hospital admissions, and nearly 30 percent of total deaths. Cancer is the second leading cause of NCD mortality in Kenya, with the incidence of cancer n...
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| Language: | English |
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World Bank, Washington, DC
2020
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| Online Access: | http://documents.worldbank.org/curated/en/964571592290457869/Economic-and-Social-Consequences-of-Cancer-in-Kenya-Case-Studies-of-Selected-Households http://hdl.handle.net/10986/33919 |
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okr-10986-339192021-09-16T21:12:56Z Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households Lehmann, Joel Machira, Yvonne Wangui Schneidman, Miriam Chuma, Jane CANCER LATE-STAGE DIAGNOSIS OUT-OF-POCKET EXPENSE IMPOVERISHMENT NON-COMMUNICABLE DISEASES The burden of NCDs in Kenya is rising rapidly, and now accounts for more than 50 percent of all hospital admissions, and nearly 30 percent of total deaths. Cancer is the second leading cause of NCD mortality in Kenya, with the incidence of cancer nearly doubling between 2008-2012. The illness affects Kenyans of all ages and socio-economic backgrounds, with an increasing risk of cancer as age progresses. Most cancer cases are diagnosed at an advanced stage when treatment options are limited, leading to poor prognosis and high fatality rates. This report uses a case study approach with focus group discussions and in-depth interviews to shed light on the patient journey, and better understand the direct and indirect costs families face; the difficult decisions and choices they need to make; and the socio-economic and psychological implications of having a family member afflicted by cancer. Key challenges identified include lack of awareness and poor knowledge of cancer; late health seeking behavior; inadequate health insurance coverage and gaps in the benefit package which limit access to critical diagnostic tests, treatments and drugs; and socio-cultural barriers, including stigma, fear and myths that impede patients from seeking care early. The main themes from the patient stories and focus group discussions, including the economic impact on patients and households are summarized and a series of recommendations to mitigate the cost of cancer to patients and families are proposed based on the findings from the case studies. 2020-06-17T13:29:40Z 2020-06-17T13:29:40Z 2020-05 Working Paper http://documents.worldbank.org/curated/en/964571592290457869/Economic-and-Social-Consequences-of-Cancer-in-Kenya-Case-Studies-of-Selected-Households http://hdl.handle.net/10986/33919 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Kenya |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
CANCER LATE-STAGE DIAGNOSIS OUT-OF-POCKET EXPENSE IMPOVERISHMENT NON-COMMUNICABLE DISEASES |
| spellingShingle |
CANCER LATE-STAGE DIAGNOSIS OUT-OF-POCKET EXPENSE IMPOVERISHMENT NON-COMMUNICABLE DISEASES Lehmann, Joel Machira, Yvonne Wangui Schneidman, Miriam Chuma, Jane Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| geographic_facet |
Africa Kenya |
| description |
The burden of NCDs in Kenya is rising
rapidly, and now accounts for more than 50 percent of all
hospital admissions, and nearly 30 percent of total deaths.
Cancer is the second leading cause of NCD mortality in
Kenya, with the incidence of cancer nearly doubling between
2008-2012. The illness affects Kenyans of all ages and
socio-economic backgrounds, with an increasing risk of
cancer as age progresses. Most cancer cases are diagnosed at
an advanced stage when treatment options are limited,
leading to poor prognosis and high fatality rates. This
report uses a case study approach with focus group
discussions and in-depth interviews to shed light on the
patient journey, and better understand the direct and
indirect costs families face; the difficult decisions and
choices they need to make; and the socio-economic and
psychological implications of having a family member
afflicted by cancer. Key challenges identified include lack
of awareness and poor knowledge of cancer; late health
seeking behavior; inadequate health insurance coverage and
gaps in the benefit package which limit access to critical
diagnostic tests, treatments and drugs; and socio-cultural
barriers, including stigma, fear and myths that impede
patients from seeking care early. The main themes from the
patient stories and focus group discussions, including the
economic impact on patients and households are summarized
and a series of recommendations to mitigate the cost of
cancer to patients and families are proposed based on the
findings from the case studies. |
| format |
Working Paper |
| author |
Lehmann, Joel Machira, Yvonne Wangui Schneidman, Miriam Chuma, Jane |
| author_facet |
Lehmann, Joel Machira, Yvonne Wangui Schneidman, Miriam Chuma, Jane |
| author_sort |
Lehmann, Joel |
| title |
Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| title_short |
Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| title_full |
Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| title_fullStr |
Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| title_full_unstemmed |
Economic and Social Consequences of Cancer in Kenya : Case Studies of Selected Households |
| title_sort |
economic and social consequences of cancer in kenya : case studies of selected households |
| publisher |
World Bank, Washington, DC |
| publishDate |
2020 |
| url |
http://documents.worldbank.org/curated/en/964571592290457869/Economic-and-Social-Consequences-of-Cancer-in-Kenya-Case-Studies-of-Selected-Households http://hdl.handle.net/10986/33919 |
| _version_ |
1764479799003185152 |