Abstract
Cancer is still perceived as synonymous with a death sentence in Zimbabwe, due mainly to the consequences of patients presenting late. Most of these patients and their families have a knowledge deficit with regard to cancer prevention, diagnosis, treatment, and palliation. The HIV epidemic and the resultant surge in the prevalence of HIV-related cancers have led to new communication challenges in managing patients with both HIV infection and cancer. These patients face two potentially life-threatening diseases simultaneously, and these diseases both have stigmas within the community. While families can be very supportive to these and other cancer patients, the extended family dynamics need to be understood and taken into account in decisions to involve family in patient management. Cancer treatments themselves are often misunderstood by all. The negative perception of these treatments, radiotherapy in particular, may be the cause of poor uptake of and compliance with treatment out of fear of harm. Future changing communication needs with cancer patients in Zimbabwe will have to be anticipated and planned for as we move into introducing a comprehensive cancer control program and the conduct of clinical trials in cancer. Communicating with cancer patients who have concurrent HIV infection needs further study, since little is known about the special communication needs of such patients and how they can be addressed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aderounmu AO, Egbewale BE, Ojofeitimi EO, Fadiora SO, Oguntola AS, Asekun-Olarinmoye EO, et al. Knowledge, attitudes and practices of the educated and non-educated women to cancer of the breast in semi-urban and rural areas of SouthWest, Nigeria. Niger Postgrad Med J. 2006;13(3):182–8.
Masanganise R, Rusakaniko S, Makunike R, Hove M, Chokunonga E, Borok MZ, et al. A historical perspective of registered cases of malignant ocular tumors in Zimbabwe (1990 to 1999). Is HIV infection a factor? Cent Afr J Med. 2008;54(5–8):28–32.
Chokunonga E, Levy LM, Bassett MT, Borok MZ, Mauchaza BG, Chirenje MZ, et al. Aids and cancer in Africa: the evolving epidemic in Zimbabwe. AIDS. 1999;13(18):2583–8.
Muguti GI. Experience with breast cancer in Zimbabwe. J R Coll Surg Edinb. 1993;38(2): 75–8.
Nkrumah FK, Danzo AK, Kumar R. Wilms’ tumour (nephroblastoma) in Zimbabwe. Ann Trop Paediatr. 1989;9(2):89–92.
Ndlovu N, Kambarami R. Factors associated with tumour stage at presentation in invasive cervical cancer. Cent Afr J Med. 2003;49(9–10):107–11.
Donovan-Kicken E, Caughlin JP. Breast cancer patients’ topic avoidance and psychological distress: the mediating role of coping. J Health Psychol. 2011;16(4):596–606.
Turner M, Payne S, O’Brien T. Mandatory communication skills training for cancer and palliative care staff: does one size fit all? Eur J Oncol Nurs. 2010;15(5):398–403.
Selman L, Higginson IJ, Agupio G, Dinat N, Downing J, Gwyther L, et al. Meeting information needs of patients with incurable progressive disease and their families in South Africa and Uganda: multicentre qualitative study. BMJ. 2009;338:b1326.
Kagawa-Singer M, Dadia AV, Yu MC, Surbone A. Cancer, culture, and health disparities: time to chart a new course? CA Cancer J Clin. 2010;60(1):12–39.
Butow P, Bell M, Goldstein D, Sze M, Aldridge L, Abdo S, et al. Grappling with cultural differences: communication between oncologists and immigrant cancer patients with and without interpreters. Patient Educ Couns. 2011;84(3):398–405.
Sharma V, Gaye PM, Wahab SA, Ndlovu N, Ngoma T, Vanderpuye V, et al. Palliative radiation therapy practice for advanced esophageal carcinoma in Africa. Dis Esophagus. 2010;23(3):240–3.
Steenland K, Goodman M, Liff J, Diiorio C, Butler S, Roberts P, et al. The effect of race and rural residence on prostate cancer treatment choice among men in Georgia. Urology. 2011; 77(3):581–7.
Levy LM. Communication with the cancer patient in Zimbabwe. Ann N Y Acad Sci. 1997; 809:133–41.
Clegg-Lamptey JN, Dakubo JC, Attobra YN. Psychosocial aspects of breast cancer treatment in Accra, Ghana. East Afr Med J. 2009;86(7):348–53.
Ly M, Diop S, Sacko M, Baby M, Diop CT, Diallo DA. Breast cancer: factors influencing the therapeutic itinerary of patients in a medical oncology unit in Bamako (Mali). Bull Cancer. 2002;89(3):323–6.
Zikmund-Fisher BJ, Windschitl PD, Exe N, Ubel PA. “I’ll do what they did”: social norm information and cancer treatment decisions. Patient Educ Couns. 2011;85(2):225–9.
Hohneker J, Shah-Mehta S, Brandt PS. Perspectives on adherence and persistence with oral medications for cancer treatment. J Oncol Pract. 2011;7(1):65–7.
Goodin S, Griffith N, Chen B, Chuk K, Daouphars M, Doreau C, et al. Safe handling of oral chemotherapeutic agents in clinical practice: recommendations from an international pharmacy panel. J Oncol Pract. 2011;7(1):7–12.
Phillips SG, Della LJ, Sohn SH. What does cancer treatment look like in consumer cancer magazines? An exploratory analysis of photographic content in consumer cancer magazines. J Health Commun. 2011;16(4):416–30.
de Leeuw J, Prins JB, Merkx MA, Marres HA, van Achterberg T. Discharge advice in cancer patients: posttreatment patients’ report. Cancer Nurs. 2011;34(1):58–66.
Thompson SC, Shahid S, Bessarab D, Durey A, Davidson PM. Not just bricks and mortar: planning hospital cancer services for Aboriginal people. BMC Res Notes. 2011;4:62.
Young RF, Schwartz K, Booza J. Medical barriers to mammography screening of African American women in a high cancer mortality area: implications for cancer educators and health providers. J Cancer Educ. 2011;26(2):262–9.
Wegwarth O, Gaissmaier W, Gigerenzer G. Deceiving numbers: survival rates and their impact on doctors’ risk communication. Med Decis Making. 2011;31(3):386–94.
Shah S, Montgomery H, Smith C, Madge S, Walker P, Evans H, et al. Cervical screening in HIV-positive women: characteristics of those who default and attitudes towards screening. HIV Med. 2006;7(1):46–52.
Surbone A. Cultural competence in oncology: where do we stand? Ann Oncol. 2010;21(1):3–5.
Miller JD, Kotowski MR, Comis RL, Smith SW, Silk KJ, Colaizzi DD, et al. Measuring cancer clinical trial understanding. Health Commun. 2011;26(1):82–93.
Jenkins V, Farewell D, Batt L, Maughan T, Branston L, Langridge C, et al. The attitudes of 1066 patients with cancer towards participation in randomised clinical trials. Br J Cancer. 2010;103(12):1801–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Ndlovu, N. (2013). Communication with Cancer Patients in Zimbabwe. In: Surbone, A., Zwitter, M., Rajer, M., Stiefel, R. (eds) New Challenges in Communication with Cancer Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-3369-9_37
Download citation
DOI: https://doi.org/10.1007/978-1-4614-3369-9_37
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4614-3368-2
Online ISBN: 978-1-4614-3369-9
eBook Packages: MedicineMedicine (R0)