@article{fdi:010088946,
  title = {{A}ccess to oncology care in {M}ali : a qualitative study on breast cancer},
  author = {{S}chantz, {C}l{\'e}mence and {C}oulibaly, {A}. and {T}raor{\'e}, {A}. and {T}raor{\'e}, {B}. {A}. and {F}aye, {K}. and {R}obin, {J}. and {T}eixeira, {L}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {B}reast cancer is the most common cancer in terms of incidence and mortality among women worldwide, including in {A}frica, and a rapid increase in the number of new cases of breast cancer has recently been observed in sub-{S}aharan {A}frica. {O}ncology is a relatively new discipline in many {W}est {A}frican countries, particularly {M}ali; thus, little is known about the current state of cancer care infrastructure and oncology practices in these countries.{M}ethods{T}o describe the challenges related to access to oncology care in {M}ali, we used a qualitative approach, following the {C}onsolidated {C}riteria for {R}eporting {Q}ualitative {R}esearch ({COREQ}). {T}hirty-eight semistructured interviews were conducted with health professionals treating cancer in {M}ali (n = 10), women with breast cancer (n = 25), and representatives of associations (n = 3), and 40 participant observations were conducted in an oncology unit in {B}amako. {W}e used the theoretical framework on access to health care developed by {L}evesque et al. a posteriori to organise and analyse the data collected.{R}esults{A}ccess to oncology care is partly limited by the current state of {M}ali's health infrastructure (technical platform failures, repeated strikes in university hospitals, incomplete free health care and the unavailability of medicines) and exacerbated by the security crisis that has been occurring the country since 2012. {T}he lack of specialist doctors, combined with limited screening campaigns and a centralised and fragmented technical platform in {B}amako, is particularly detrimental to breast cancer treatment. {W}omen's lack of awareness, lack of information throughout the treatment process, stereotypes and opposition to amputations all play a significant role in their ability to seek and access quality care, leading some women to therapeutically wander and others to want to leave {M}ali. {I}t also leaves them in debt and jeopardises the future of their children. {H}owever, the high level of trust in doctors, the involvement of international actors, the level of social support and the growing influence of civil society on the issue of cancer also represent great current opportunities to fight cancer in {M}ali. {C}onclusion {D}espite the efforts of successive {M}alian governments and the commitment of international actors, the provision of health care is still limited in the country, entrenching global inequalities in women's bodies.},
  keywords = {{C}ancer ; {M}ali ; {A}ccess to care ; {B}arriers ; {O}pportunities ; {MALI}},
  booktitle = {},
  journal = {{BMC} {C}ancer},
  volume = {24},
  numero = {1},
  pages = {81 [14 ]},
  year = {2024},
  DOI = {10.1186/s12885-024-11825-6},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088946},
}