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024 7  10.1596/33919 |2doi
035    (CKB)4920000001210709
035    (The World Bank)33919
035    (US-djbf)33919
035    (EXLCZ)994920000001210709
040    DJBF |beng |cDJBF |erda
100 1  Lehmann, Joel.
245 10 Economic and Social Consequences of Cancer in Kenya : |bCase Studies of Selected Households / |cLehmann, Joel.
246    Economic and Social Consequences of Cancer in Kenya
264  1 Washington, D.C. : |bThe World Bank, |c2020.
336    text |btxt |2rdacontent
337    computer |bc |2rdamedia
338    online resource |bcr |2rdacarrier
347    data file |2rda
490 1  Other Papers
520 3  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.
650  4 Cancer
650  4 Health, Nutrition and Population
700 1  Chuma, Jane.
700 1  Lehmann, Joel.
700 1  Machira, Yvonne Wangui.
700 1  Schneidman, Miriam.
830  0 Other papers.
830  0 World Bank e-Library.
906    BOOK