Review Article

Improving Outcomes from Breast Cancer in a Low-Income Country: Lessons from Bangladesh

Table 4

Broad themes influencing outcomes from breast cancer in rural Bangladesh.

Health Systems: Limited and dysfunctional facilities which dictate limited access; practitioner absenteeism; weak primary care, widely prevalent alternative care systems, fragmented care, catch as catch can versus organization structured on results and value, limited use of evidence-based care (both system and for host issues in this population of people)
Human Rights—aka “structural violence”: Extreme poverty; gender discrimination-cultural norm; class discrimination; market discrimination
Societal Governance: Lack of transparency and corruption; lack of independence of clinical medicine from pharmaceutical companies