TITLE:
Breast Cancer Patients’ Perspectives on Care Quality in Cameroon: A Mixed-Methods Study from Yaoundé Referral Hospitals
AUTHORS:
Junie Annick Ntsama Metogo, Mohammed Awal Sule, Mboua Batoum Véronique, Eyoum Christian, Wilfried Loic Meukem Tatsipie, Meka Ngo Um Esther
KEYWORDS:
Breast Cancer, Perspective, Care Quality, Cameroon
JOURNAL NAME:
Advances in Breast Cancer Research,
Vol.15 No.3,
July
20,
2026
ABSTRACT: Background: Breast cancer is the leading cause of female cancer mortality in sub-Saharan Africa, where over 70% of women present at advanced stages due to late diagnosis and financial barriers. Despite progress in oncology, few studies document patient perspectives on care quality in this region. Understanding these experiences is crucial because satisfaction influences adherence, trust, and outcomes. This study evaluated women’s perceptions of breast-cancer-care quality and the factors shaping satisfaction in Yaoundé, Cameroon. Methods: A mixed-methods, cross-sectional study was conducted between January and May 2025 at the Yaoundé General Hospital (HGY) and the Yaoundé Gynaeco-Obstetric and Paediatric Hospital (HGOPY). Eligible participants were women with histologically confirmed breast cancer receiving active treatment and/or follow-up care within the preceding five years. Data were collected using a locally adapted questionnaire derived from validated quality-of-life instruments (EORTC QLQ-C30/BR23 and FACT-B) and qualitative focus-group discussions. Dimensions assessed included communication, timeliness, psychosocial support, and financial hardship. Data were analysed with SPSS v26 using χ2 tests and logistic regression; qualitative data underwent thematic analysis. Ethical approval was granted by the FMBS-UYI Ethics Committee. Results: Of 389 participants (mean age 45.2 ± 13 years), overall satisfaction was 65.4%. Independent predictors of satisfaction were good provider-patient communication (aOR 3.03, 95% CI 1.92 - 4.77; p p = 0.007), shorter waiting time (aOR 1.89, 1.21 - 2.95; p = 0.005), and higher income (aOR 2.79, 1.60 - 4.87; p “We are treated for the body, but no one asks about our fears”. Conclusion: Patient satisfaction with breast-cancer care in Yaoundé is moderate. Weak communication, inadequate psychosocial services, and financial strain limit perceived quality. Integrating psycho-oncology, improving provider-patient communication, and expanding financial protection are priorities for quality improvement in sub-Saharan Africa.