Factors Influencing Uptake of Oncology Specialized Health Care Services in Uasin Gishu County, Kenya

Main Article Content

Linner Chepngetich Soy
Eunice Muthoni Mwangi
Musa Oluoch


In Kenya, absence or poor access for oncology services has escalated the total national mortality rate in Kenya. Despite numerous studies on the increased prevalence and incidence of cancers, there is insufficient empirical literature explaining the factors influencing the increased absence or poor of access to oncology tertiary healthcare services in Uasin Gishu County, a research gap filled by this study. This study determined factors influencing access to oncology specialized healthcare services among patients in Uasin Gishu. Using descriptive research design, the study employed a census survey on population of 142 screened oncology patients in the 18 level 3 and 4 facilities in Uasin Gishu County. Data was collected using structured questionnaires. Data was analysed using descriptive statistics and then inferential analysis with results presented in form of tables and figures. The data was analysed with assistance of Statistical Package for Social Sciences (SPSS) software version 22.0. The study reveals that at 0.05 (5%) level of significance, there exists a significant relationship between each of; affordability of oncology services, location of oncology services, acceptability of oncology services, and availability of oncology specialized healthcare services and uptake of oncology specialized healthcare services in Uasin Gishu County. The study recommends that since health is a devolved function, the county government of Uasin Gishu should seek to provide affordable oncology services through establishment of a strategy for low income oncology patients and stakeholder participations.

Acceptability of oncology services, affordability of oncology services, availability of oncology specialized healthcare services, location of oncology services, oncology services, tertiary healthcare services, uptake of oncology specialized healthcare services.

Article Details

How to Cite
Soy, L. C., Mwangi, E. M., & Oluoch, M. (2020). Factors Influencing Uptake of Oncology Specialized Health Care Services in Uasin Gishu County, Kenya. International Research Journal of Oncology, 3(4), 10-23. Retrieved from https://journalirjo.com/index.php/IRJO/article/view/30139
Original Research Article


Mwangi KJ. Use of GIS in mapping of cancer prevalence a case study of Uasin Gishu County [Masters project report] Nairobi, Kenya: University of Nairobi; 2014.

Academic Model Providing Access to Healthcare [AMPATH]. Primary care & chronic diseases. Indiana University, Indianapolis: AMPATH; 2015.

Ali F, Kuelker R, Wassie B. Understanding cervical cancer in the context of developing countries. Ann Trop Med Public Health. 2012; 5 (1): 3-15.

Global medicine report. Cancer crisis in Kenya. IFMSA-NL magazine on global health, 2012. Available from http://www.globalmedicine.nl/index.php/global-medicine-11/207-cancer-crisis-in-kenya.

Pusoentsi M. Meeting the challenge of cancer care in Botswana. Cancer Symposium report May 6-8, 2014 Ministry of health, Botswana.

Wangigi NB. Factors influencing access to health care services among cervical cancer patients at Kenyatta national hospital [Masters Dissertation], Nairobi, Kenya:University of Nairobi; 2014.

Levesque JF, Harris MF, Russell G. Patient-centred access to health care: Conceptualising access at the interface of health systems and populations;2013.

Aneshensel CS. Univariate analysis: Central tendency, spread, and associations. Los Angeles: University of California; 2004.

Mugenda OM, Mugenda, AG. Research, qualitative and quantitative approaches. Nairobi: ACTS Press; 2003.

Denny L, Quinn M, Sankaranarayanan R. (2006). Screening for cervical cancer in developing countries. Vaccine. 2006; 24 (3):71-77.

Ngugi C, Boga H, Muigai A. Factors affecting access to cervical cancer early detection measures among women in Thika, Kenya. Health Care Women Int. 2012;33(7):595-613.

Shengelia B, Murray CJL, Adams OB. Beyond access and utilization: Defining and measuring health system coverage. In Health Systems Performance Assessment. Debates, methods and empiricism. Edited by Murray CJL, Evans DB. Geneva: World health organization; 2003.

Ntekim A. Cervical cancer in sub sahara Africa. in: Rajkumar, R. eds. 2012. Topics on cervical cancer with an Advocacy for Prevention. In Tech; 2012.

Maranga I, Hampson I, Olive A, Gamal A, Gichang P, Opiyo A et al.. Analysis of factors contributing to the low survival of cervical cancer patients undergoing radiotherapy in Kenya. PLOS ONE. 2013;8 (10).

Shahnazi H, Saryazdi H, Sharifirad G, Hasanzadeh A, Charkazi A, Moodi M. The survey of nurse’s knowledge and attitude toward cancer pain management: Application of health belief model. J Edu Health Promot. 2012;1(15).

Farmer P, Frenk J. Knaul F. Expansion of cancer care and control in countries of low and middle income: A call to action. Lancet. 2012;376:1186.

Mwasi B. Factors affecting access to rural health services- A case study of baringo area of kenya using GIS. Ethiopia: OSSREA; 2010.

Ware VA. Improving the accessibility of health services in urban and regional settings for Indigenous people. Sydney: Australian government; 2013.

Mushtaq, Gull, Shad, Akram. Dietary behaviours, physical activity and sedentary lifestyle, Pakistan. 2011; 8: 130.

[20] O’Brien P, Gostin L. Health worker shortages and global justice. New York: Milbank Memorial Fund; 2011. Available:http://www.milbank.org/uploads/documents/HealthWorkerShortagesfinal.pdf.

Freeman H. Poverty, culture, and social injustice: Determinants of cancer disparities. CA: A Cancer Journal for Clinicians, 2004;54(2):72-77.

Kloku CA. Awareness and prevention of cervical cancer among female health professionals: A study of three health institutions in Winneba, Ghana [Masters dissertation] Accra, Ghana: Kwame Nkrumah University of science and technology; 2014.

Roshandel G, Majdzadeh R, Keshtkar A, Aramesh K, Sedaghat, SM, Semnani S. Healthcare utilization in patients with esophageal cancer in a high risk area in Northeast of Iran. Asian Pacific Journal of Cancer Prevention. 2011;12:2437-2442

Mulemi B. Coping with cancer and adversity: Hospital ethnography in Kenya. Netherlands: African Studies Centre; 2010.

MOPHS & MOMS. National cervical cancer prevention program- strategic plan 2012-2015. Nairobi, Kenya: Republic of Kenya; 2012.

Opwora A, Nyabola L, Olenja J, Laving A. Who is to blame? perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya. BMC Public Health. 2011;11(272):1-10.