Scandinavian Working Papers in Economics

IHE Report / IHE Rapport,
IHE - The Swedish Institute for Health Economics

No 2024:6: Improving Breast Cancer Care in the Middle East and Africa

Andrea Manzano, Katarina Gralén, Nils Wilking and Thomas Hofmarcher
Additional contact information
Andrea Manzano: IHE - The Swedish Institute for Health Economics
Katarina Gralén: IHE - The Swedish Institute for Health Economics
Nils Wilking: Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden
Thomas Hofmarcher: IHE - The Swedish Institute for Health Economics

Abstract: This report describes the current state of breast cancer care in the Middle East and Africa. Nine countries (Algeria, Egypt, Jordan, Israel, Morocco, Saudi Arabia, South Africa, Türkiye, and United Arab Emirates) are included. The report builds on a comprehensive analysis of secondary literature and interviews with 41 local experts and patient organizations in these countries.

The report provides a detailed review of the burden of breast cancer and the challenges patients face along the care pathway in each country. The analysis covers the three pillars of the WHO Global Breast Cancer Initiative – detection, diagnostic process, treatment – and complements this with a description of the organization of breast cancer care as well as an overview of the health systems and the governance of breast cancer care. Country-specific recommendations on how to improve the current state of breast cancer care are also provided.

A list of the 41 local experts and patient organizations is on page 11-12 of the report. We would like to express our gratitude to all experts for sharing their insights and contributions.

Country cards in the Appendix of the report provide short and illustrative summaries of the main findings and recommendations for each country.

Keywords: breast cancer; diagnostic; early detection; screening; medicines; radiation therapy; genetic counseling; BRCA; WHO; Global Breast Cancer Initiative; Africa; Middle East; Algeria; Egypt; Israel; Jordan; Morocco; Saudi Arabia; South Africa; Türkiye; United Arab Emirates

Language: English

198 pages, 2024

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IHE-REPORT-2024_6_.pdf PDF-file Full text

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