Your browser doesn't support javascript.
loading
An analytical framework for breast cancer public policies in Sub-Saharan Africa: results from a comprehensive literature review and an adapted policy Delphi.
Gbenonsi, Gloria Yawavi; Martini, Jessica; Mahieu, Céline.
Afiliación
  • Gbenonsi GY; School of Public Health- Research centre for Social Approaches to Health, Université libre de Bruxelles, Brussels, Belgium. yawavi.gloria.gbenonsi@ulb.be.
  • Martini J; School of Public Health- Research centre for Social Approaches to Health, Université libre de Bruxelles, Brussels, Belgium.
  • Mahieu C; European Social Observatory (OSE), Brussels, Belgium.
BMC Public Health ; 24(1): 1535, 2024 Jun 07.
Article en En | MEDLINE | ID: mdl-38849808
ABSTRACT

BACKGROUND:

Breast cancer is the leading cause of death from cancer in women and is a major public health problem worldwide. Despite the lower incidence rates of breast cancer in resource-limited settings, especially sub-Saharan Africa, there is a higher mortality rate compared to high-resource countries where the disease has a higher incidence. This makes breast cancer the second deadliest cancer in African women. These poor results reflect the weakness in public health policies. The aim of this paper is to contribute to the effective control of breast cancer by designing a framework for a comprehensive and systemic analysis of these policies in Sub-Saharan Africa.

METHODS:

This research is based on a literature review that adopted a systematic approach followed by a modified policy Delphi involving breast cancer experts in Sub-Saharan Africa. We included narrative reviews and systematic reviews/meta-analyses published between 2015 and 2022 as well as official documents in the analysis. We integrated the World Health Organization's health system building blocks with Walt and Gilson's policy analysis triangle to analyse the information collected and develop our analytical framework.

RESULTS:

A total of 22 reviews and documents were included in the study. Sixteen breast cancer experts from Sub-Saharan Africa participated in the first Delphi round, and nine participated in the second round. The different components identified for a comprehensive and systemic analysis of effective breast cancer policies can be classified into policy content divided according to the health system building blocks and related policy processes; individual, organized national and international policy stakeholders; and policy contexts.

CONCLUSION:

This study enabled the design of a framework suitable for the comprehensive and systemic analysis of breast cancer control policies in Sub-Saharan Africa. This framework can be used as a checklist for stakeholders to guide the planning, implementation and evaluation of policies and specific breast cancer control programmes at the national and facility levels.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Asunto principal: Neoplasias de la Mama / Técnica Delphi / Política de Salud Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica

Texto completo: 1 Colección: 01-internacional Asunto principal: Neoplasias de la Mama / Técnica Delphi / Política de Salud Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica