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Research Article
Catastrophic expenditure related to the burden of cancer drugs on patients in Senegal
1 Department of Health Science, University Assane Seck of Ziguinchor, Ziguinchor, Senegal
2 Department of Oncology, University Hospital Center Aristide le Dantec, Dakar, Senegal
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Issa Wone
Associate Professor of Public Health, Department of Health Science, University of Ziguinchor, PB 12.873, Dakar,
Senegal
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Article ID: 100026P16IW2020
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Wone I, Diouf D, Adama HD, Dem A. Catastrophic expenditure related to the burden of cancer drugs on patients in Senegal. Edorium J Public Health 2020;7:100026P16IW2020.ABSTRACT
Aims: Among the non-communicable diseases, cancer is one of the most challenging in Senegal. It has a significant economic cost that is often overlooked. In Senegal, its epidemiologic and socioeconomic burdens are widely unknown. We explore, through the present work, the capacity of patients to afford chemical treatment, based on the six most frequent cancers in Senegal.
Methods: For this purpose, we conducted a retrospective study, based on the archives of the National Purchasing Office for Essential Drugs, and the archives of Drug Purchasing Centers for the pharmacies of Le Dantec and Fann Hospitals, the main ones in the Senegalese capital, Dakar. We used 40% of salary income as the threshold for catastrophic health expenses, compared to the average wage of a farm worker and the minimum wage of a civil servant of Senegal.
Results: To treat breast cancer, oncologists use three treatment protocols in Senegal. The salary days required for the treatment exceeded two times the catastrophic expenditure threshold for the agricultural worker and a civil servant for two protocols. For colorectal cancer, one of the protocol was applied with salary days required for treatment exceeding 12 times the catastrophic expenditure threshold for the agricultural worker and 10 times for a civil servant minimum wage.
Conclusion: Our results, which only considered the cost of drugs, confirm other studies in developing countries, particularly in Asia, which show how cancer
Keywords: Cancer, Catastrophic expenditure, Drug, Senegal
SUPPORTING INFORMATION
Author Contributions
Issa Wone - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Doudou Diouf - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Haoua Djouma Adama - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Ahmadou Dem - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Issa Wone et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
