“Experiences, Barriers, and Support Needs of Women with Ovarian Cancer in Bangladesh- a Cross-Sectional Study”

Author(s): Dr. Farhana Haque, Dr. Dilruba Yeasmin, Dr. Rahela Khatun, Dr. Farhana Kalam, Dr Rumana Afroz, Dr Farhana Israt Jahan, ?Dr Shahana Pervin, Dr. Tasnim Mahmud

Background:

Ovarian cancer remains a major health concern in Bangladesh, where late diagnosis, limited awareness, and financial barriers continue to affect patient outcomes.

Objective:

The aim was to explore sociodemographic characteristics, diagnostic pathways, treatment experiences, and support needs among women with ovarian cancer receiving care at a national cancer hospital.

Method:

A cross-sectional design was used, and 57 women aged 18 years or older with confirmed ovarian cancer were interviewed through a structured questionnaire consisting of 58 items. Descriptive statistics summarized sociodemographic factors, symptom experiences, healthcare interactions, treatment decisions, and emotional and practical support needs.

Result:

Findings showed that most participants had secondary-level or lower education and belonged to low- or average-income households. Travel to the hospital required 2–5 hours for the majority, highlighting significant geographic barriers. Awareness of ovarian cancer was limited, with many women unable to recognize early symptoms. Delays in seeking care were common, and multiple healthcare visits were often required before diagnosis. Treatment decisions were largely influenced by physicians, followed by financial considerations. Nausea, vomiting, hair loss, and fatigue were the most challenging treatment-related side effects.

Conclusion:

Although many women received emotional support from family members, considerable practical and financial needs persisted, including treatment expenses, income loss, and reliance on loans or asset sales. The findings point to the need for improved community awareness, more efficient referral systems, decentralized oncology services, and strengthened psychosocial and financial support mechanisms to enhance care for women with ovarian cancer in Bangladesh.