The Financial Strain of Cancer Care in Eastern Nigeria: Assessing Household Impacts and Coping Mechanisms

Cancer care in Eastern Nigeria imposes significant financial strain on affected households, exacerbating economic instability and limiting access to life-saving treatment. This study assesses the financial burden of cancer care on households in Eastern Nigeria, exploring the direct and indirect costs associated with diagnosis, treatment, and supportive care. The research further examines the coping mechanisms employed by families, including out-of-pocket payments, asset liquidation, borrowing, and reliance on community-based financial support. Findings highlight the inadequacies of the National Health Insurance Scheme (NHIS) in covering cancer treatment, leading many families to experience financial distress and catastrophic health expenditures. Additionally, the study identifies systemic barriers such as limited specialized cancer care centers, high costs of treatment, and inconsistent government funding as key challenges contributing to the financial hardship of cancer patients and their families. To mitigate these effects, policy recommendations include expanding NHIS coverage for cancer care, increasing government investment in oncology services, subsidizing cancer treatment costs, and strengthening community-based financial aid programs. Addressing these issues is crucial for improving cancer care accessibility, reducing economic hardship, and enhancing patient outcomes in Eastern Nigeria. Keywords: Cancer care, financial strain, household economic impact, coping mechanisms.