Mammography supply for breast cancer screening at the eve of Universal Health Coverage in Yaounde city (Cameroon, Central Africa)

Mammography supply for breast cancer screening in Yaounde city - Cameroon.

Authors

  • Moulion Tapouh Jean Roger Department of Radiology, Biophysics and Medical Imaging, Faculty of Medicine and Pharmaceutical Sciences, The University of Dschang, Cameroon
  • Djanteng Seuji Priscille La Rosiere Higher Institute, The University of Ngaoundere, Cameroon
  • Dongmo Fomekong Sylviane Department of Radiology, Faculty of Health Sciences, University of Buea, Cameroon
  • Nwatsock Joseph Francis Department of Radiology, Faculty of Medicine and Biomedical Sciences, The University of Yaounde 1, Cameroon
  • Onana Yannick Richard Faculty of Medicine and Biomedical Sciences, University of Garoua, Cameroon
  • Mbede Maggy Department of Radiology, Faculty of Medicine and Biomedical Sciences, The University of Yaounde 1, Cameroon
  • Maleu Mbah Félicité Department of Radiology, Biophysics and Medical Imaging, Faculty of Medicine and Pharmaceutical Sciences, The University of Dschang, Cameroon
  • Moifo Boniface Department of Radiology, Faculty of Medicine and Biomedical Sciences, The University of Yaounde 1, Cameroon

DOI:

https://doi.org/10.55715/jaim.v16i2.590

Keywords:

Mammography, Mammogram, Access, Breast, Cancer, Screening, Capacity, Yaoundé

Abstract

RÉSUMÉ

Introduction : Le cancer du sein reste le cancer le plus répandu chez les femmes dans le monde. Le Cameroun a adopté une politique annuelle de dépistage par mammographie pour les femmes âgées de 40 ans et plus.

Objectif : Évaluer la capacité de l'offre actuelle de mammographie à répondre aux besoins de dépistage du cancer du sein dans la ville de Yaoundé.

Méthodes : Etude transversale ciblant les services de radiologie comportant une unité de mammographie dans la ville de Yaoundé (Cameroun, Afrique Centrale) de janvier 2021 à juin 2021. Nous avons collecté la géolocalisation, le nombre de mammographies réalisées par mois et le coût d'une mammographie de dépistage dans chaque service radiologie. La capacité était définie comme le nombre d'unités de mammographie disponibles pour 10 000 femmes âgées de 40 ans et plus.

Résultats : A Yaoundé, 37,78% (17/45) des services de radiologie disposaient d'un appareil de mammographie, et 76,47% (13/17) de ces appareils étaient en état de fonctionnement au moment de l'étude. Le nombre médian de mammographies réalisées par mois dans chaque service était de 15 [8-60], et le coût médian d'une mammographie de dépistage était de 53.55 US dollars [48.68 - 64.9]. Les unités de mammographie étaient principalement situées dans le centre administratif, mais elles étaient accessibles à moins d'une heure de route depuis n'importe quel endroit de la ville. La capacité était estimée à 0,32 pour 10 000 femmes âgées de 40 ans, ce qui suffisait à peine à couvrir 19,54 % des besoins en mammographie de dépistage chez les femmes éligibles.

Conclusion : L'offre de services de mammographie dans la ville de Yaoundé était insuffisante pour couvrir les besoins en matière de dépistage du cancer du sein en 2021. Les unités de mammographie fonctionnelles étaient accessibles mais sous-utilisées. Des recherches supplémentaires sont nécessaires pour identifier les obstacles au dépistage par mammographie et la rareté des unités de mammographie à Yaoundé.

ABSTRACT

Background: Breast cancer remains the most common cancer among women worldwide. Cameroon has adopted an annual mammography screening policy for women aged 40 years and over.

Objective: To evaluate the capacity of the current mammography supply to meet the needs for breast cancer screening in Yaounde City.

Methods: Cross-sectional study targeting radiology departments containing a mammography unit in Yaounde (Cameroon, Central Africa) from January 2021 to June 2021. We collected the geolocation, number of mammograms performed per month, and cost of a screening mammogram for each radiology service. We calculated mammography capacity as the number of mammography units per 10,000 women aged 40 and above.

Results: In Yaounde, 37.78% (17/45) of radiology departments had a mammography unit, and 76.47% (13/17) of these units were in operating condition at the time of the study. The median number of mammograms performed per month in each service was 15 [8 - 60], and the median cost of a screening mammogram was 53.55 US dollars [48.68 - 64.9]. Mammography units were mainly located in the administrative center, but they were accessible within an hour's drive from any location in the city. The capacity was estimated to be 0.32 per 10,000 women aged 40, which was only enough to cover 19.54% of the needs for screening mammography in eligible women.

Conclusion: Mammography service supply in Yaounde was critically insufficient to cover breast cancer screening needs in 2021. Functional mammography units were accessible but underutilized. Further research is needed to identify the barriers to mammography screening and the scarcity of mammography units in Yaounde.

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Published

2024-06-18

How to Cite

Moulion Tapouh Jean Roger, Djanteng Seuji Priscille, Dongmo Fomekong Sylviane, Nwatsock Joseph Francis, Onana Yannick Richard, Mbede Maggy, … Moifo Boniface. (2024). Mammography supply for breast cancer screening at the eve of Universal Health Coverage in Yaounde city (Cameroon, Central Africa) : Mammography supply for breast cancer screening in Yaounde city - Cameroon . Journal Africain D Imagerie Médicale (J Afr Imag Méd) Journal Officiel De La Société De Radiologie d’Afrique Noire Francophone (SRANF), 16(2), 51–56. https://doi.org/10.55715/jaim.v16i2.590
Received 2024-04-13
Accepted 2024-06-17
Published 2024-06-18

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