Article written

  • on 14.09.2015
  • at 04:20 PM
  • by Naomi Cohen

Cancer could become Uganda’s next crisis 0

There is a huge disparity in diagnosis and treatment due to high costs involved

Cancer may become the next health crisis if Ugandans do not change their lifestyles, according to Dr. Gerald Mutungi, the Programme Manager Non-Communicable Diseases Prevention and Control at the Ministry of Health.

Mutungi says unlike in developed countries where cancers are common among the elderly, the cancer numbers in Uganda have been increasing over the years among young people. He says initially in the 1960s it was cancers of the esophagus that were common especially in men in Uganda but more cancers  like the lymphomas have increased with the  incidence of HIV.  Currently, the prevalence of cancer in Uganda is between 80,000 and 100,000 people. Of every 100,000 cancer patients, 200 will be newly diagnosed cases.  Worldwide, according to the World Health Organization (WHO), at least 7.6 million people die from cancer annually, 70% of the deaths occurring in poor and middle income countries.

Dr. Jackson Orem, the director of the Uganda Cancer Institute (UCI) says 80% of all the people diagnosed with cancer die.

Part of the explanation for this may be depend heavily on the status of sufferers, their awareness of symptoms, and the availability of timely care. Though many people from all walks of life are at risk, there is a huge disparity when it comes to diagnosis and treatment. Due to high costs involved, many people succumb to cancer without either being properly diagnosed or failing to afford timely.

High cost of care

Take the case of Jane Namulondo. The 39-year old who earns a living from sorting garbage at the Kampala City Council Authority (KCCA) landfill in Kiteezi, Wakiso district first felt the tumor in her breast in 2013.  “I felt something hard in my left breast. It kept going and coming back until I started feeling pain”, she said while opening her blouse exposing a swollen breast whose skin was peeling off and numerous tumors protruding.   Even when she eventually went to hospital in April 2014, Namulondo was not diagnosed immediately as doctors at the Mulago National Referral Hospital required her to undergo an ultrasound scan and several blood tests which went for Shs80,000. She did not have the money and had to save for it. By this time, she could no longer do any work because of too much pain in the chest.  When she eventually got the money, she was diagnosed with breast cancer but it was an advanced stage. The doctors proposed surgery at Shs800,000 which is completely out of reach for her.

Namulondo is a single mother of a 13-year old HIV positive daughter. She now lives in pain. When The Independent visited her on the afternoon of Sept. 03, the neat-looking petite woman with well-kept tinted short hair had just taken her daily dose of pain relievers – Brufen and Amitriptyline. She calls them her savior. But unfortunately she cannot afford them all the time.

Namulondo was saving money for the surgery when a doctor at Hospice Africa Uganda gave her more bad news. The surgery, the doctor told her, would not save anything because her cancer had spread to other parts of the body.

Namulondo’s type of cancer takes a particularly harsh toll. It is the world’s most common cancer in women and their leading cause of cancer death, with 1.6 million cases a year and more than 450,000 deaths.

She was initiated on palliative care – a type of care that focuses on easing pain and symptoms of the terminally ill while attending to their emotional and spiritual needs.

Dr. Samuel Guma, the Executive Director of Kawempe Home Care, a medical center that exclusively offers palliative care services, sees many cases similar to Namulondo’s.

Continue reading on The Independent

by Flavia Nassaka

Photo Credit: The Independent

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Direttore Responsabile Giuseppe Frangi