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.

Downloads

Download data is not yet available.

References

Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 1 déc 2019;5(12):1749‑68.

International Agency for Research on Cancer (2021)|World Health Organization. Cameroon Fact Sheets (Globocan 2021). https://gco.iarc.fr/today/data/factsheets/populations/120-cameroon-fact-sheets.pdf [Internet]. 2021 mars [cité 29 mai 2022]. Disponible sur: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://gco.iarc.fr/today/data/factsheets/populations/120-cameroon-fact-sheets.pdf

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. mai 2021;71(3):209‑49.

Sancho-Garnier H, Colonna M. [Breast cancer epidemiology]. Presse Medicale Paris Fr 1983. oct 2019;48(10):1076‑84.

Kashyap D, Pal D, Sharma R, Garg VK, Goel N, Koundal D, et al. Global Increase in Breast Cancer Incidence: Risk Factors and Preventive Measures. BioMed Res Int. 2022;2022:9605439.

Hooshmand S, Reed WM, Suleiman ME, Brennan PC. A review of screening mammography: The benefits and radiation risks put into perspective. J Med Imaging Radiat Sci. mars 2022;53(1):147‑58.

Sarma EA. Barriers to screening mammography. Health Psychol Rev. 2015;9(1):42‑62.

Ministère de la Santé Publique. Orientations Stratégiques. Dépistage du Cancer du sein. In: Plan Stratégique National de Prévention et de Lutte contre le Cancer (PSNPLCa), 2020-2024. 2020. p. 45.

Eberth JM, Eschbach K, Morris JS, Nguyen HT, Hossain MM, Elting LS. Geographic disparities in mammography capacity in the South: a longitudinal assessment of supply and demand. Health Serv Res. févr 2014;49(1):171‑85.

Aleshire ME, Adegboyega A, Escontrías OA, Edward J, Hatcher J. Access to Care as a Barrier to Mammography for Black Women. Policy Polit Nurs Pract. févr 2021;22(1):28‑40.

Mandrik O, Tolma E, Zielonke N, Meheus F, Ordóñez-Reyes C, Severens JL, et al. Systematic reviews as a « lens of evidence »: Determinants of participation in breast cancer screening. J Med Screen. juin 2021;28(2):70‑9.

Ministère de la Santé Publique (Cameroun). Projections démographiques et estimations des cibles prioritaires des différents programmes et interventions de sante. Yaoundé; 2016. 144 p.

Expert Panel on Breast Imaging:, Mainiero MB, Moy L, Baron P, Didwania AD, diFlorio RM, et al. ACR Appropriateness Criteria® Breast Cancer Screening. J Am Coll Radiol JACR. nov 2017;14(11S):S383‑90.

Hricak H, Abdel-Wahab M, Atun R, Lette MM, Paez D, Brink JA, et al. Medical imaging and nuclear medicine: a Lancet Oncology Commission. Lancet Oncol. 1 avr 2021;22(4):e136‑72.

Elkin EB, Ishill NM, Snow JG, Panageas KS, Bach PB, Liberman L, et al. Geographic access and the use of screening mammography. Med Care. avr 2010;48(4):349‑56.

The World Bank. World Bank | Data. 2022 [cité 31 déc 2022]. World Bank | Cameroon | Data. Disponible sur: https://donnees.banquemondiale.org/pays/cameroun

Schueler KM, Chu PW, Smith-Bindman R. Factors associated with mammography utilization: a systematic quantitative review of the literature. J Womens Health 2002. nov 2008;17(9):1477‑98.

Gardner MP, Adams A, Jeffreys M. Interventions to increase the uptake of mammography amongst low income women: a systematic review and meta-analysis. PloS One. 2013;8(2):e55574.

Downloads

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

Similar Articles

<< < 1 2 3 4 

You may also start an advanced similarity search for this article.