Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries

PURPOSECancer continues to be a significant public health concern. Sub-Saharan Africa (SSA) struggles with a lack of proper infrastructure and adequate cancer care workforce. This has led to some countries relying on referrals of cancer care to countries with higher income levels. In some instances,...

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Main Authors: Fidel Rubagumya, Laura Carson, Daniel Afolayan, Eulade Rugengamanzi, Godwin Abdiel Nnko, Omar Abdihamid, Verna Vanderpuye, Nazik Hammad
Format: Article
Language:English
Published: American Society of Clinical Oncology 2024-12-01
Series:JCO Global Oncology
Online Access:https://ascopubs.org/doi/10.1200/GO.24.00131
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author Fidel Rubagumya
Laura Carson
Daniel Afolayan
Eulade Rugengamanzi
Godwin Abdiel Nnko
Omar Abdihamid
Verna Vanderpuye
Nazik Hammad
author_facet Fidel Rubagumya
Laura Carson
Daniel Afolayan
Eulade Rugengamanzi
Godwin Abdiel Nnko
Omar Abdihamid
Verna Vanderpuye
Nazik Hammad
author_sort Fidel Rubagumya
collection DOAJ
description PURPOSECancer continues to be a significant public health concern. Sub-Saharan Africa (SSA) struggles with a lack of proper infrastructure and adequate cancer care workforce. This has led to some countries relying on referrals of cancer care to countries with higher income levels. In some instances, patients refer themselves. Some countries have made it their goal to attract patients from other countries, a term that has been referred to as medical tourism. In this article, we explore the current status of oncology-related medical tourism in SSA.METHODSThis was a cross-sectional study. The study participants included oncologists, surgeons, and any other physicians who take care of patients with cancer. A predesigned questionnaire was distributed through African Organization for Research and Training in Cancer member mailing list and through study team personal contacts and social media.RESULTSA total of 52 participants from 17 African countries with a 1.6:2 male to female ratio responded to the survey. Most (55.8%) of the respondents were from Eastern African countries. The majority (92%) of study participants reported that they knew patients who referred themselves abroad, whereas 75% referred patients abroad, and the most common (94%) referral destination was India. The most common (93%) reason for referral was perception of a higher quality of care in foreign health institutions.CONCLUSIONThe findings suggest the need to improve local health care systems including building trust of the system among general population. The study highlights potential financial toxicity, and it adds to the current emphasis on return of investment on homegrown workforce and cancer treatment infrastructure.
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spelling doaj-art-7b2b567b5e794b1a8b07ca61e23f72802025-08-20T02:19:37ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412024-12-011010.1200/GO.24.00131Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African CountriesFidel Rubagumya0Laura Carson1Daniel Afolayan2Eulade Rugengamanzi3Godwin Abdiel Nnko4Omar Abdihamid5Verna Vanderpuye6Nazik Hammad7Department of Oncology, Rwanda Military Hospital, Kigali, RwandaDepartment of Oncology, Queen's University, Kingston, CanadaDepartment of Oncology, Queen's University, Kingston, CanadaDepartment of Oncology, Butaro Cancer Center of Excellence, Butaro, RwandaDepartment of Clinical Oncology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaDepartment of Oncology, Garissa Cancer Center, Garissa, KenyaDepartment of Oncology, Korle Bu University Teaching Hospital, Accra, GhanaDepartment of Oncology, University of Toronto, Toronto, CanadaPURPOSECancer continues to be a significant public health concern. Sub-Saharan Africa (SSA) struggles with a lack of proper infrastructure and adequate cancer care workforce. This has led to some countries relying on referrals of cancer care to countries with higher income levels. In some instances, patients refer themselves. Some countries have made it their goal to attract patients from other countries, a term that has been referred to as medical tourism. In this article, we explore the current status of oncology-related medical tourism in SSA.METHODSThis was a cross-sectional study. The study participants included oncologists, surgeons, and any other physicians who take care of patients with cancer. A predesigned questionnaire was distributed through African Organization for Research and Training in Cancer member mailing list and through study team personal contacts and social media.RESULTSA total of 52 participants from 17 African countries with a 1.6:2 male to female ratio responded to the survey. Most (55.8%) of the respondents were from Eastern African countries. The majority (92%) of study participants reported that they knew patients who referred themselves abroad, whereas 75% referred patients abroad, and the most common (94%) referral destination was India. The most common (93%) reason for referral was perception of a higher quality of care in foreign health institutions.CONCLUSIONThe findings suggest the need to improve local health care systems including building trust of the system among general population. The study highlights potential financial toxicity, and it adds to the current emphasis on return of investment on homegrown workforce and cancer treatment infrastructure.https://ascopubs.org/doi/10.1200/GO.24.00131
spellingShingle Fidel Rubagumya
Laura Carson
Daniel Afolayan
Eulade Rugengamanzi
Godwin Abdiel Nnko
Omar Abdihamid
Verna Vanderpuye
Nazik Hammad
Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
JCO Global Oncology
title Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
title_full Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
title_fullStr Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
title_full_unstemmed Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
title_short Medical Tourism for Cancer Treatment: Trends, Trajectories, and Perspectives From African Countries
title_sort medical tourism for cancer treatment trends trajectories and perspectives from african countries
url https://ascopubs.org/doi/10.1200/GO.24.00131
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