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

Olutobi A. Sanuade, Hannah Ayettey, Sandra Hewlett, Florence Dedey, Lily Wu, Titilola Akingbola, Gbenga Ogedegbe, Ama de-Graft Aikins

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalJournal of health psychology
DOIs
StateAccepted/In press - 2018

Keywords

  • Ghana
  • breast cancer
  • healthcare provider attitudes
  • healthcare systems
  • illness perception
  • treatment delays

ASJC Scopus subject areas

  • Applied Psychology

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  • Cite this

    Sanuade, O. A., Ayettey, H., Hewlett, S., Dedey, F., Wu, L., Akingbola, T., Ogedegbe, G., & de-Graft Aikins, A. (Accepted/In press). Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana. Journal of health psychology. https://doi.org/10.1177/1359105318814152