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Issue Number 23 • November 2011
Issue Number 23 • November 2011
EDITORIAL Kenyans must awake to the reality of cancer
M
ore than ever before, Kenyans now have more reasons to focus on a national campaign and strategy to combat cancer which is the third leading cause of deaths in the country. A bill on enhancing cancer treatment is already in Parliament. In the past month, the silent killer has claimed hundreds of lives of men, women and children. However, among these deaths were renowned leaders like Nobel Laureate Professor Wangari Maathai, freedom fighter Wambui Otieno, paediatrician cum author, Dr Margaret Ogola and a former Kenyan diplomat Ambassador Michael Okeyo. During the same month the world mourned ‘Steve Jobs, the American who founded the Apple Inc. that has revolutionised how ordinary people use information technology. While the aforementioned were not lucky, others like Medical Services Minister Professor Peter Anyan’g Nyong’o seem to have survived the killer disease. Nyong’o, has not only gone public to declare his status, he has demystified the disease by calling on Kenyans to come out and have medical examinations often. The minister has also gone the extra mile by committing the Government to increase funds for cancer research, purchase of equipments and drugs in addition to providing the necessary qualified medical personnel.
It is critical for women’s empowerment to include family planning
Situation At the moment, the country only has only two private hospitals that are well equipped to deal with cancer cases — MP Shah and Aga Khan University Hospital. However cost of treatment in private hospitals are prohibitive forcing most cancer patients to troop to Kenyatta National Hospital for help. According to the latest data, Cancer ranks third as one of the most common diseases causing death in Kenya today. The common types of cancers are that of the breast, cervix, oesophagus, neck and prostrate. The mysterious disease has not spared children, the most common cancers for them being blood cancer and lymphomas. Statistics in Kenya has shown that about 50 Kenyans die daily from various forms of cancers. According Pact Kenya Cancer Assessment in Africa and Asia (2010), about 80,000 cases of cancer are diagnosed each year. In the same breadth, the International Atomic Energy Agency (2010), states that the cancer situation in Kenya is dire with a severe lack of medical practitioners and a large number of new cancer cases being diagnosed annually. A study by KEMRI (2010), found that of the 2,292 cancer-related deaths recorded in Nairobi during a twoyear period, oral tumours claimed the biggest percentage of victims. According to Kenyatta National Hospital Cancer Treatment Centre, four to six radiotherapy machines are needed to cater for Cancer cases. KNH has only one paediatric oncology unit (with 28 beds) that caters for only 25 percent of paediatric cancer cases.
Family planning champions from Africa during a Reproductive Health training organised by CEDPA in Washington DC. Pictures: Courtesy CEDPA Correspondent.
path to empowerment. Women’s organisations must work in partnership with other organisations including the United States on this matter,” said Sadik who is the Special Advisor to the UN Secretary General with additional responsibilities as Special Envoy for HIV/AIDS in Asia. Sadik, a former Executive Director of the United Nations Population Fund (UNFPA) regretted that family planning progress remained low. “In many countries, the poorest lag behind where pregnancy and child birth remain a major risk.”
…By Jane Godia
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n reproductive health, women have the opportunity to plan the number of children they want as well as space births as per the time they desire to have children. While women’s development and empowerment in the political scene has taken centre stage, the issue of women’s reproductive and sexual rights remains an area that has been largely ignored. However, looking at the development space, women’s empowerment remains a half-baked loaf because many women’s organisations talk of empowering them but fail to address the issue of family planning. This includes not only access and availability but also options in choices that are available.
Cancer drugs
Health
Unfortunately cancer drugs are not always available at many public hospitals. Where they are found, the costs are prohibitive. The Kenya Cancer Association maintains that there are only three oncologists, one for every 12 million people. Kenyans should now make it a normal practice to promote public awareness about the disease, go for regular tests and for those who are infected should form and/ or join support groups while the Government increases funding for research and for quipping and manning public hospitals. With early detection, chances of being saved are usually higher. As the adage goes: “prevention is better than cure!” now is the time.
Speaking to family planning and reproductive health champions in Washington DC, Dr Nafis Sadik reiterated the need to work with women’s organisations to improve their condition and reproductive health. She noted that women are key to development in every aspect and that civil society organisations must provide leadership in family planning and listen closely to what women are saying. “Access to sexual and reproductive health and family planning is an essential
Resources “One of the challenges we need to address is that we seem to be reaching out to young married women for family planning. We must also reach out to young unmarried women because delaying a pregnancy will reduce complications.” — Dr Nafis Sadik
Sadik regretted that resources for family planning are a big problem and they keep shrinking. She noted that without family planning there will be no full reduction in maternal mortality. “Family planning is stagnating and we must get resources for it. We should start using family planning to bring back emphasis on it as a whole,” stressed Sadik. This must include not just commodities but also education, planning and follow up. “We need to think of how we can provide a one stop shop for women. In the same place where they fetch water and firewood, they must also find family planning and reproductive health services in one place to save time and effort,” said Sadik. Continued on page 2