Abstract
Assessing perceptions of genetic risk and breast cancer of women diagnosed and undiagnosed with breast cancer in Ibadan, Nigeria
Highlights
Many district hospitals and medical centers in Ghana are limited with regard to the number of employed medical staff, hospital resources, and services available
A total of 36 cases e women self-reporting as diagnosed with breast cancer were recruited from the Surgery Out-Patient Oncological and 42 controls e women self-reporting as never diagnosed with breast cancer were recruited from the OB-GYN and Family Planning units
The qualitative results of this assessment reveal that patients have a desire to learn more about breast cancer
Summary
Seventeen orthopedic resources were selected from the World Health Organization’s Guidelines for Essential Trauma Care. Cost distance analyses were used to map population-level potential spatial access to orthopedic care. We identified facilities for targeted capability improvement that would have the greatest impact population-level spatial access to care using location-allocation modeling. Findings: Orthopedic care assessment demonstrated marked deficiencies. Some deficient resources were low-cost (e.g. spinal immobilization, closed reduction capabilities, prosthetics for amputees). Population-level spatial access to basic (i.e. closed reduction, traction), intermediate (i.e. fixation), and advanced (i.e. spine, pelvis, or hand surgery) orthopedic care within two hours was: 74.9% of Ghanaians [uncertainty interval (UI) 70.8e77.3%]; 74.6% (UI 69.9e77.1); and 59.4% (UI 50.0e68.3), respectively. Building basic orthopedic capacity at 15 target hospitals would improve spatial access to basic care from 74.9 to 83% of Ghanaians
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