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Tackling the Silent Epidemic of Breast Cancer in Vietnam: A qualitative study examining barriers to early diagnosis

Kalkan, Selma LU (2018) MIDM19 20181
LUMID International Master programme in applied International Development and Management
Department of Human Geography
Abstract
The increasing number of women being diagnosed with advanced stages of breast cancer in low- and middle-income countries is demanding an improvement in early detection strategies. This thesis examines the barriers to early diagnosis in Hanoi, Vietnam by analysing patients’ paths from symptom recognition to initiation of treatment. Semi-structured qualitative interviews with 20 breast cancer patients are used to acquire individual perspectives and experiences of access, diagnostic and treatment delays and barriers creating these delays. A socio-ecological lens is used to analyse the barriers in relation to different levels of influence. In addition, two key-informant interviews are used to provide information about barriers at the policy... (More)
The increasing number of women being diagnosed with advanced stages of breast cancer in low- and middle-income countries is demanding an improvement in early detection strategies. This thesis examines the barriers to early diagnosis in Hanoi, Vietnam by analysing patients’ paths from symptom recognition to initiation of treatment. Semi-structured qualitative interviews with 20 breast cancer patients are used to acquire individual perspectives and experiences of access, diagnostic and treatment delays and barriers creating these delays. A socio-ecological lens is used to analyse the barriers in relation to different levels of influence. In addition, two key-informant interviews are used to provide information about barriers at the policy level. The results indicate that several barriers exist, several of them cross-cutting across different levels of influence, potentially creating access and diagnostic delay. Low awareness among patients and health practitioners; stigma and misconceptions about breast cancer; financial and logistical barriers as well as sociocultural barriers are identified as the main barriers to early diagnosis. (Less)
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author
Kalkan, Selma LU
supervisor
organization
course
MIDM19 20181
year
type
H2 - Master's Degree (Two Years)
subject
keywords
barriers to early diagnosis, breast cancer, Vietnam, healthcare utilisation
language
English
id
8939629
date added to LUP
2018-09-03 11:28:47
date last changed
2018-09-03 11:28:47
@misc{8939629,
  abstract     = {The increasing number of women being diagnosed with advanced stages of breast cancer in low- and middle-income countries is demanding an improvement in early detection strategies. This thesis examines the barriers to early diagnosis in Hanoi, Vietnam by analysing patients’ paths from symptom recognition to initiation of treatment. Semi-structured qualitative interviews with 20 breast cancer patients are used to acquire individual perspectives and experiences of access, diagnostic and treatment delays and barriers creating these delays. A socio-ecological lens is used to analyse the barriers in relation to different levels of influence. In addition, two key-informant interviews are used to provide information about barriers at the policy level. The results indicate that several barriers exist, several of them cross-cutting across different levels of influence, potentially creating access and diagnostic delay. Low awareness among patients and health practitioners; stigma and misconceptions about breast cancer; financial and logistical barriers as well as sociocultural barriers are identified as the main barriers to early diagnosis.},
  author       = {Kalkan, Selma},
  keyword      = {barriers to early diagnosis,breast cancer,Vietnam,healthcare utilisation},
  language     = {eng},
  note         = {Student Paper},
  title        = {Tackling the Silent Epidemic of Breast Cancer in Vietnam: A qualitative study examining barriers to early diagnosis},
  year         = {2018},
}