Fatalism, Distrust, and Breast Cancer Treatment Refusal in Ghana

Waliu Jawula Salisu, Jila Mirlashari, Khatereh Seylani, Shokoh Varaei, Sally Thorne

Abstract


Following recent advancements in science and technology, cancer treatment options have increased remarkably alongside improved success rates. This study aimed to explore how breast cancer patient's personal beliefs and ideas influence their decisions to refuse medical treatment. Thirteen participant interviews were selected from a larger cohort for a secondary analysis using the grounded theory approach. The decision to forgo medical treatment was influenced mainly by personal beliefs and ideas, which we framed as; 1. Triangle of religion, superstition, and ignorance 2. The African traditional belief system 3. My destiny 4. Frail patient-staff relationships 5. Futile appointments 6. Endless journey). Together, these fitted into two significant findings– Fatalism and Poor communication patterns between healthcare providers and patients. Personal beliefs and some managerial lapses within the health system mainly influence the growing trend of refusal for medical treatment among breast cancer patients in Ghana. These highlights the need for breast cancer education, professional counseling, and psychological support services.

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