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High costs of treatment adds to Yemeni cancer patients’ suffering

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قديم 06-18-2008, 03:37 PM   #1
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افتراضي High costs of treatment adds to Yemeni cancer patients’ suffering

A new local study has disclosed that every Yemeni cancer patient spends an average of YR 350,000 on their treatment, even though most of them are very poor. The study was conducted on 992 cancer patients in different Sana’a hospitals over a period of one year.

The study aimed to evaluate the financial and social burdens of living with cancer, to find out the ways used to cover these costs by patients and to discover the impact of going abroad to seek treatment.

"We observed that this disease affects many Yemenis and threatens them with crippling financial burdens, said Dr. Amal Ghanem, one of the research team at the Faculty of Medicine and Health Sciences, at Sana'a University.

"We also recognized the lack of any previous study of this topic in Yemen, and we hope this will encourage other medical teams to further investigate the plight of cancer patients in our society," she said.

Worldwide, about 1,000 out of every one million people suffer from cancer, according to the World Health Organization (WHO) estimates. That suggests that out of Yemen’s population of 20 million, at least 20,000 suffer from some kind of cancer.

The study found that 99 percent of surveyed patients were treated in public hospitals. 74 percent of these patients were received in the National Oncology Center (NOC), which is the only center in Yemen equipped to treat cancer patients, the study found.

According to doctors working in the center, they can only receive 10 to 12 of the 50 to 60 patients who seek treatment at the center's external clinics. Patients come to the center and its clinics from all around the country. And many patients are still waiting for their round of treatment. The capacity of the center is only 40 beds, a paltry figure compared to the number of patients in the country.

Yemen is seeing an increasing rate of cancer cases. It has been found that a considerable number of the people afflicted by this disease, of both sexes, are qat addicts. In all probability the aggressive use of poisonous pesticides added to qat trees has helped to spread the disease. So, the study found that the same rate of both males and females are exposed to suffer several kinds of cancers.

To cover treatment expenses, the Yemeni cancer patient bears a heavy financial and social burden, the study said. It found that about 19 percent of the surveyed patients spent between YR 300,000 to 500,000 to be treated while another 27 percent spent over YR 1,000,000. According to the study, uriنقرتين لعرض الصورة في صفحة مستقلةy system cancer represents the highest average (YR 500,000) total treatment cost.

It was also found that about 72 percent of the study's patients were compelled to borrow money to cover the increased costs of treatment, 56 percent of who had initially tried to cover such costs from their savings. 46 percent were compelled to sell their belongings and only 18 percent have received external financial help, the study found.

The study then found that only 4 percent of the patients receive a monthly income of more than YR 60,000 while 33 percent earn less than YR 20,000 a month.

Such income pales in comparison compared to the costs of treatment. The study found that patients need an average of YR 70,000 per month to cover treatment costs in addition to other basic costs of living. Those who traveled abroad (14 percent) to get treatment were found to spend an average of YR 1,025,000.

Yemen is one of the poorest countries in the world. It ranks 150 out of 177 countries on the United Nations Development Program (UNDP) Human development index (2006). It is classified as one of the 49 least developed countries in the world, with nearly 42 percent of Yemen’s population living below the national poverty line. That percentage translates into about seven million people.

As stated by Yemen Poverty Assessment ñ a report prepared for Yemen’s government, the World Bank, and UNDP, the seven million figure mark is predicted to stay constant for at least the next seven years as a result of Yemen’s rapidly growing population. With a population increase of more than 3 percent annually, Yemen is the world’s fourth fastest growing population, according to the recent UNICEF report. This is also a factor behind the unemployment rate of around 37 percent.

The study, supervised by Dr. Adel al-Emad, an assistant professor in the Department of Medicine, recommended increasing the budget allocation for public health, especially the budget for cancer disease and improving the cancer treatment in Yemen by establishing free or low-cost centers in the capitals of the different governorates. He also proposed encouraging charitable associations to make more effort in the fight against cancer and also to conduct more studies to discuss the different kinds of cancers and their financial and social burdens.

The study was conducted by a team of Amal al-Haidary, Amal Ghanem, Reem al-Samawi, Zainab al-Khazzan, Salwa Abu-Monassar, Samar al-Shahidhy, Sanaa al-Kubati, Abeer al-Shargi, Fadiah al-Fakih and Fatimah al-Rammah.
التوقيع :
نقرتين لعرض الصورة في صفحة مستقلة
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