Volume 3, Issue 1, June 2019, Page: 15-22
Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya
Jane Adhiambo Owenga, Department of Public Health and Community Health and Development, School of Health Sciences, Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya
Received: Feb. 28, 2019;       Accepted: Apr. 3, 2019;       Published: May 6, 2019
DOI: 10.11648/j.ijes.20190301.13      View  17      Downloads  7
Abstract
Holistic health care is an integrated approach to healthcare that treats the whole person, not simply symptoms and disease. Mind and body are integrated and inseparable. In cancer care, this approach has been actualized through the implementation of palliative care. The study aimed to determine holistic care issues faced by cervical cancer patients in Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. Structured questionnaire, in-depth interview guide and key informant interview guide were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 at a statistical significance of P ≤ 0.05, descriptive statistics were performed. For qualitative data, the responses were transcribed verbatim and the content was then analyzed by searching for emerging themes on holistic care issues faced by cervical cancer patients. Qualitative data was presented in textual form with verbatim reports for illustrations. The key holistic care issues from the study were being bothered by discharge, bleeding and odor from vagina 260 (78%), being afraid to have sex 283 (85%), lack of access to counseling 314 (87%), minimal acceptance of their disease by family members 263 (79%), need for prayers from spiritual members 313 (94%) and having pain 324 (97%). The study concluded that cervical cancer patients are a facing a myriad of holistic care issues. Therefore there is a need for the ministry of health to develop interventions that can cushion them from such issues.
Keywords
Holistic Care, Cervical Cancer, Kenya
To cite this article
Jane Adhiambo Owenga, Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya, International Journal of European Studies. Vol. 3, No. 1, 2019, pp. 15-22. doi: 10.11648/j.ijes.20190301.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
NCCPP, Kenya National Cervical Cancer Prevention Program -Strategic Plan 2012-2015, M. o. P. H. a. S. a. M. o. M. services, Editor. 2012.
[2]
Murray, S. A., et al., Dying from cancer in developed and developing countries: lessons from two qualitative interview studies of patients and their carers. BMJ, 2003. 326(7385): p. 368.
[3]
Ntizimira, C. R., et al., Palliative care in Africa: a global challenge. Ecancermedicalscience, 2014. 8: p. 493.
[4]
Selman, E. L., Higginson, I. J., & Harding, R., Quality of life among patients receiving palliative care in South Africa and Uganda: a multi-centred study. Health Qual Life Outcomes, 2011.
[5]
GOK, Cancer Prevention and Control Act 2012.
[6]
Muiva, N. M., Assessment of the quality of life issues of women with gynaecological and breast cancers in Kenya., in Nursing Department. 2014, Nairobi University.
[7]
Masika, G. M., et al., Health-related quality of life and needs of care and support of adult Tanzanians with cancer: a mixed-methods study. Health Qual Life Outcomes, 2012. 10: p. 133.
[8]
Tadele, N., Evaluation of quality of life of adult cancer patients attending Tikur Anbessa specialized referral hospital, Addis Ababa Ethiopia. Ethiop J Health Sci, 2015. 25(1): p. 53-62.
[9]
UNAIDS, United Nations Program on HIV/AIDS -UNAIDS report of the global AIDS epidemic 2013. 2013.
[10]
KAIS, Kenya AIDS Indicator Survey 2014.
[11]
Agius, P. A., et al., Human papillomavirus and cervical cancer: Gardasil vaccination status and knowledge amongst a nationally representative sample of Australian secondary school students. Vaccine, 2010. 28(27): p. 4416-22.
[12]
Inzaule, S., et al., Incidence and predictors of first line antiretroviral regimen modification in western Kenya. PLoS One, 2014. 9(4): p. 93106.
[13]
Kamau, R. K., A. O. Osoti, and E. M. Njuguna, Effect of diagnosis and treatment of inoperable cervical cancer on quality of life among women receiving radiotherapy at Kenyatta National Hospital. East Afr Med J, 2007. 84(1): p. 24-30.
[14]
Ogoncho, I. M., Omuga, B. O., Wakasiaka, S., Muiva, M.,, Determinants of Quality of Life Among Gynaecological Cancer Patients on Follow Up at a Referral Hospital in Kenya. American Journal of Nursing Science, 2015. Vol. 4(No. 3, 2015): p. 127-130.
[15]
Lamb, M. A., Psychosexual issues: the woman with gynecologic cancer. Semin Oncol Nurs, 1990. 6(3): p. 237-43.
[16]
Ye, S., et al., A systematic review of quality of life and sexual function of patients with cervical cancer after treatment. Int J Gynecol Cancer, 2014. 24(7): p. 1146-57.
[17]
Aniebue, U., U., & Tonia, C. O., Ethical, Socioeconomic, and Cultural Considerations in Gynecologic Cancer Care in Developing Countries International Journal of Palliative Care 2014.
[18]
Rawlinson, F., et al., The current situation in education and training of health-care professionals across Africa to optimise the delivery of palliative care for cancer patients. Ecancermedicalscience, 2014. 8: p. 492.
[19]
Betty, R., Ferrell, Karen, H. D., Quality of Life Among Long-Term Cancer Survivors. Oncology, 1997. 11 (4): p. 565-571
[20]
Balboni, T. A., Paulk, M. E., Balboni, M. J., Phelps, A. C., Loggers, E. T., Wright, A. A., Block, S. D., Lewis, E. F., Peteet, J. R., and Prigerson, H. N., Provision of Spiritual Care to Patients With Advanced Cancer: Associations With Medical Care and Quality of Life Near Death. J Clin Oncol., 2010. 28( 3): p. 445–452.
[21]
Sepulveda, C., et al., Quality care at the end of life in Africa. BMJ, 2003. 327(7408): p. 209-13.
[22]
Arndt, V., et al., Quality of life in patients with colorectal cancer 1 year after diagnosis compared with the general population: a population-based study. J Clin Oncol, 2004. 22(23): p. 4829-36.
[23]
Arndt, V., et al., Persistence of restrictions in quality of life from the first to the third year after diagnosis in women with breast cancer. J Clin Oncol, 2005. 23(22): p. 4945-53.
[24]
Berkman, B. J. and S. E. Sampson, Psychosocial effects of cancer economics on patients and their families. Cancer, 1993. 72(9 Suppl): p. 2846-9.
[25]
Harding, R. and I. J. Higginson, Palliative care in sub-Saharan Africa. Lancet, 2005. 365(9475): p. 1971-7.
[26]
Sharma, K., et al., Pattern of palliative care, pain management and referral trends in patients receiving radiotherapy at a tertiary cancer center. Indian J Palliat Care, 2009. 15(2): p. 148-54.
[27]
Abrahamson, K., Durham, M., Fox, R., Managing the unmet psychosocial and information needs of patients with cancer. Patient Intelligence 2010.
Browse journals by subject