{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T11:56:05Z","timestamp":1781697365150,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Hematology\/Oncology Nursing"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric cancers cause significant morbidity and mortality among children in Tanzania. Chemotherapy remains the primary treatment, but it often leads to treatment-induced toxicities that necessitate supportive care medicines. This study assessed patient-reported concerns about access to supportive medicines and evaluated symptom management outcomes among children with cancer at a major referral hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a descriptive cross-sectional study over 6 months among children with cancer receiving chemotherapy at Bugando Medical Centre. Data on access to and utilization of supportive care medicines and symptom relief were collected through a semi-structured questionnaire, cleaned in Microsoft Excel 2019, and analyzed with STATA Version 15.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 120 participants (61 female, 59 male), access to supportive care medicines was poor for 68.33%. Utilization was high at 99.17%. Most patients (62.50%) reported good symptom resolution after using supportive care medicines, whereas 37.50% continued to experience disruptions to daily activities due to chemotherapy-induced toxicities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Financial difficulties and limited insurance coverage contributed to poor access to supportive medicines. Despite this, utilization was high and associated with symptomatic improvement for most participants. These findings suggest that improved financial support and availability of supportive medicines could enhance symptom-management outcomes for children with cancer in Tanzania.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27527530251398467","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T18:21:55Z","timestamp":1770661315000},"page":"170-177","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Concerns on Access to Supportive Care Medicines and Symptom Management Outcomes Among Children with Cancer in Tanzania"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0704-4036","authenticated-orcid":false,"given":"Deogratias M.","family":"Katabalo","sequence":"first","affiliation":[{"name":"Catholic University of Health and Allied Sciences"},{"name":"Bugando Medical Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquline","family":"Chuwa","sequence":"additional","affiliation":[{"name":"Catholic University of Health and Allied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0563-6705","authenticated-orcid":false,"given":"Stanley","family":"Mwita","sequence":"additional","affiliation":[{"name":"Catholic University of Health and Allied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony","family":"H. Liwa","sequence":"additional","affiliation":[{"name":"Catholic University of Health and Allied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benson R.","family":"Kidenya","sequence":"additional","affiliation":[{"name":"Catholic University of Health and Allied Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Bugando Medical Centre"},{"name":"Duke University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1487"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100321"},{"key":"e_1_3_2_4_1","doi-asserted-by":"crossref","DOI":"10.1200\/GO.23.00439","article-title":"Cancer care disparities: Overcoming barriers to cancer control in low- and middle-income countries","volume":"10","author":"Bamodu O. A.","year":"2024","unstructured":"Bamodu O. A., Chung C.-C. (2024). Cancer care disparities: Overcoming barriers to cancer control in low- and middle-income countries. JCO Global Oncology, 10,Article e2300439. https:\/\/doi.org\/10.1200\/go.23.00439","journal-title":"JCO Global Oncology"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-017-3866-6"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221292"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.110079.1"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29345"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-023-07577-x"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-5279-z"},{"key":"e_1_3_2_11_1","doi-asserted-by":"crossref","DOI":"10.1200\/GO.22.00263","article-title":"Childhood and adolescent cancer care at a tertiary hospital in Northern Tanzania: A retrospective study","volume":"9","author":"Majaliwa E.","year":"2023","unstructured":"Majaliwa E., Smith E. R., Cotache-Condor C., Rice H., Gwanika Y., Canick J., Chao N., Schroeder K., Rice H. E., Staton C., Mmbaga B. T. (2023). Childhood and adolescent cancer care at a tertiary hospital in Northern Tanzania: A retrospective study. JCO Global Oncology, 9,Article e2200263. https:\/\/doi.org\/10.1200\/GO.22.00263","journal-title":"JCO Global Oncology"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-12404-5"},{"key":"e_1_3_2_13_1","doi-asserted-by":"crossref","DOI":"10.1200\/GO.23.00397","article-title":"Assessment of financial toxicity and coping strategies associated with cancer treatment among caregivers of patients with cancer from a lower-middle-income country","volume":"10","author":"Mathew M.","year":"2024","unstructured":"Mathew M., Rao A. P., Pai A., Sumit K., Lewis S. (2024). Assessment of financial toxicity and coping strategies associated with cancer treatment among caregivers of patients with cancer from a lower-middle-income country. JCO Global Oncology, 10,Article e2300397. https:\/\/doi.org\/10.1200\/go.23.00397","journal-title":"JCO Global Oncology"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.06.006"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.14617"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276735"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.30001"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.phoj.2020.06.005"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00637-9"},{"key":"e_1_3_2_20_1","first-page":"1","article-title":"Pediatric cancer in northern Tanzania: Evaluation of diagnosis, treatment, and outcomes","volume":"4","author":"Schroeder K.","year":"2017","unstructured":"Schroeder K., Saxton A., McDade J., Chao C., Masalu N., Chao C., Wechsler D. S., Likonda B., Chao N. (2017). Pediatric cancer in northern Tanzania: Evaluation of diagnosis, treatment, and outcomes. Journal of Global Oncology, 4, 1\u201310. https:\/\/doi.org\/10.1200\/JGO.2016.009027","journal-title":"Journal of Global Oncology"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43159-022-00163-6"},{"key":"e_1_3_2_22_1","unstructured":"World Health Organization. (2021). CureAll framework: WHO global initiative for childhood cancer. https:\/\/www.who.int\/publications-detail-redirect\/9789240025271"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S413546"}],"container-title":["Journal of Pediatric Hematology\/Oncology Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27527530251398467","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/27527530251398467","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27527530251398467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T11:16:26Z","timestamp":1781694986000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/27527530251398467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,9]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/27527530251398467"],"URL":"https:\/\/doi.org\/10.1177\/27527530251398467","relation":{},"ISSN":["2752-7530","2752-7549"],"issn-type":[{"value":"2752-7530","type":"print"},{"value":"2752-7549","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,9]]}}}