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Table 7 Dimensions of removing barriers

From: Identifying important breast cancer control strategies in Asia, Latin America and the Middle East/North Africa

Dimension Representative quote
Out-of-pocket costs "The government hospital will pay for a large portion of treatment, but women have to pay for the initial mammography and biopsy. They have to have a positive diagnosis before the government will start paying. That is a huge deterrent."
[Policy maker from Middle East/North Africa]
Disparities in access "Managing breast cancer among underserved populations is poor across the board. These populations are undereducated and the government is not focusing on them."
[Patient advocate from Australia]
High cost to payers "Our government will not pay for breast cancer for the majority of the population." [Surgeon from Latin America]
Early detection "We need better strategies to encourage women of all ages to regularly practice self-detection. We estimate fewer than 5% of women do this." [Surgeon from Asia]
Reimbursement "The most significant challenge is being able to demonstrate the cost-benefit of breast cancer therapy in an objective way. There is a particular issue around the affordability of drugs and associated pathology testing--particularly new drugs."
[Hospital manager from Canada]