Challenges in the Management of Adult Haematological Malignancies in a Tertiary Health Facility in South–South Nigeria.

Abstract

Background: The burden of haematological cancers is of immense public health concern worldwide. The management of these cancers in resource-limited settings like ours is daunting and significantly affects outcomes.

Aim: This study aims to identify the challenges to the effective diagnosis and management of adults with haematological malignancies in the
University of Uyo Teaching Hospital, Uyo, Nigeria and proffer measures that may positively impact their quality of life
and survival.

Methods: The case notes of adults with haematological malignancies managed in the Department of Haematology, University of Uyo Teaching Hospital, Uyo, Nigeria from January 2020 to December 2022 were reviewed.

Result: Of the fifty-one (51) patients seen, 27(52.9%) were males. Most patients, 38(75%) were 40 years and above. The vast majority presented at an advanced stage of disease. The socio-economic class of the patients was mostly low (72.5%), a good number were self-employed (45.1%), some were unemployed (17.6%) and all treatments were self-sponsored or borne by caregivers, with 52.9% leaving against medical advice due to financial constraints and other reasons. Twelve patients (23.5%) were lost to follow-up while 10 (19.6%) patients died during therapy.

Conclusion: Greater awareness about haematological cancers, intensified advocacy for government involvement through optimization of healthcare infrastructure, and health insurance policies for all and sundry would improve outcomes.