By Dedi Esbon Samuel.
October 30, 2024
South Sudan Ministry of Health has raised alarm over the lack of effective early detection cancer centers in the country, contributing to the increase in cancer cases.
Cancer comprises a range of diseases characterized by abnormal cell growth that can invade or spread to other parts of the body, in contrast to not harmful tumors, which do not spread from one part of the body to another.
Signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in bowel movements. While these symptoms may indicate cancer, they can also have other causes.
Responding to questions about the disease in Juba on Monday, Yolanda Awel Deng highlighted that the country currently has no specialized units or centers for cancer detection and treatment, complicating the management of cancer cases.
Minister Awel however said that South Sudan’s referral centers only provide screening to people with cancer like-symptoms and when found positive, patients are referred to the neighboring countries to peruse their treatment.
“Cancer, as a whole, has actually become very much prevalent in our country because of so many reasons. We have seen a lot of cases of cancer in our country” Yolanda said adding “We do not have a proper way of actually detecting earlier and treating it” she said.
“However, through the referral health institutions like Juba teaching hospital, we have screening and also when women go to primary health care centers, our health care personnel are very well equipped to try and help women screen themselves” Awel added.
She noted that “The problem is that when we screen and detect that you have cancer or detect something that you think is cancer, we don’t have a proper unit to be able to treat it. We send these people outside” she added.
The minister acknowledged that so many lives are being lost to cancer mainly because the country does not have the capacity to handle or detect the disease at an early stage. She said while most women die of breast cancer, men are also dying from the disease.
““Most of our women are dying of cancer. You know, this is both cervical and like breast cancer. And you can also see men. You know cancer is related to the liver and everything else. People are dying in silently.”
According to a report published by the global Cancer observatory body, an International Agency for Research on cancer, indicated that in 2022, the number of new cases in South Sudan was 6,874, while the number of deaths was 5,081, and prevalence 11,547.
The pie charts below show the data on the number of cancer cases in South Sudan in 2022 as per the projection of the International Agency for research on Cancer.
Table 1: Male Absolute numbers, Incidence, Male, in 2022
CANCER SITE | Number of cases | PERCENTAGE |
Prostrate | 591 | 20.70% |
Liver | 220 | 7.70% |
Colorectum | 199 | 7.00% |
oesophagus | 184 | 6.40% |
NHL | 164 | 5.70% |
Others | 1499 | 52.50% |
Table 2: Female Absolute numbers, Incidence, Female, in 2022
CANCER SITE | Number of cases | PERCENTAGE |
Breast | 1073 | 26.70% |
cervix | 749 | 18.60% |
colorectum | 189 | 4.70% |
Oesophagus | 166 | 4.10% |
Ovary | 163 | 4.10% |
Others | 1677 | 41.70% |
Possible Causes
Kendienda Chuong, director general for preventive health services in the ministry attributed the rise in cases of cancer in South Sudan to consumption of contaminated foods.
Chuong called on the National Bureau of standard to ensure food commodities imported into the country meet the international requirements.
“Cancer is also related to the type of food we eat at home. So, those are some of the things. But we also want to invite the media to help us in educating the public and also reporting so that responsible agencies [South Sudan Bureau of standards] act on time” Chuong said.
Chuong further called on the citizens to ensure they eat health foods as a preventive measure.
Dr. Maker Isaac Wel, the medical director at Juba Teaching Hospital (JTH), confirmed there’re so many cases of cancer even in JTH. However, he said health institutions refer patients to either Uganda or India.
“There’re so many cases of cancer all the time everywhere. But unfortunately we refer them. We have no treatment for cancer here. We either refer them to Uganda or India if they want chemotherapy of radiotherapy” said Wel.
According to Dr. Wel, the country lacks the infrastructure especially radiotherapy.
“We don’t have radiotherapy. We have to build the system where you can get rid of the radioactive bacteria.”
Radiotherapy is a cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors. It can be used to treat primary or advanced cancer, and can also be used to relieved pain and other symptoms.
The Fragility in South Sudan’s health sector is always attributed to Inadequate health infrastructure and poor health service utilization, posing poor health indicators. According to World health organization (WHO), report on Strengthening primary health care in fragile settings: South Sudan, besides cancer, maternal, infant and child mortality rates are some of the highest in South Sudan.
Health Sector’s Budget
The health sector has long been facing funding constrains as the country’s budget allocation to the ministry of health has always been low. In the proposed fiscal year budget for 2024/25, the health ministry’s budget is projected to 50.7 Billion South Sudan pounds.