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THE STANDARD In 2017, Grace, a 45-year-old mother of five, discovered a painless mass in her right breast. She trekked 80km from home to the Kakamega County Hospital where doctors called for surgical removal of the mass – without explaining it could be cancerous. Not realising the full extent of her risk and lacking accurate information, Grace declined to have the procedure.  A few months later, Grace experienced growing pain that became incapacitating. She turned to her family to cover living expenses. When she was finally diagnosed with Stage II breast cancer, the mama mboga could not afford the cost of treatment as she had no NHIF coverage. Fortunately, through support from a local NGO and late registration in the NHIF, Grace was able to access treatment.

Kenya generalKenya household health expenditureWorld bankNational cancer control strategyKakamega county hospitalSocial consequencesCase studiesHousehold health expenditureUtilisation surveySaharan africanAccess acceleratedWorld bank fundedWorld cancer dayகேந்ய ஜநரல்கேந்ய வீட்டு ஆரோக்கியம் செலவுஉலகம் வங்கி