Cancer Crisis and Treatment Ambiguity in Kenya
2015
In her recent ethnography of a cancer ward in Botswana, Julie Livingston
(2012) writes that cancer in Africa is an epidemic that will profoundly shape
the future of global health. Low-and middle-income nations now bear the
majority of the worldwide cancer burden; yet, even though two-thirds of
the world’s cancer patients live in developing countries, less than 10% of
cancer care resources are available to them (Murray, Grant, Grant & Kendall, 2003, p. 4). This chapter presents a case study of the cancer ward of the
Kenyatta National Hospital (KNH), the largest public referral hospital in
Nairobi, Kenya, to illustrate the negotiations and challenges that emerge as
people attempt to deal with cancer in a low-resource setting where profound
inequities exist in access to care. For many of those diagnosed with the disease, cancer becomes a collective burden shared within families.
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