A critical appraisal of mammography utilization in Nigeria: Challenges and prospects

Abstract

Background: Mammography is a critical tool for the early detection of breast cancer, reducing morbidity and mortality rates.However, in Nigeria, its utilization remains limited due to infrastructural deficits, financial barriers, and sociocultural factors.Addressing these challenges is vital to improving women's health outcomes and aligning with global standards for cancer control.Objective: To critically appraise mammography utilization in Nigeria, focusing on challenges, current trends, and potential strategies to enhance uptake and accessibility.Methods: A review of literature was conducted using databases such as PubMed, Scopus, and Google Scholar, focusing on studies published between 2013 and 2024.Search terms included "mammography utilization," "breast cancer screening in Nigeria," and "barriers to mammography."Articles highlighting infrastructural gaps, demographic disparities, financial constraints, and policy implementation in Nigeria were prioritized.Comparative insights from other low-and middle-income countries were also reviewed.Conclusion: Nigeria faces significant challenges in mammography utilization, including inequitable distribution of equipment, insufficient skilled personnel, and financial and sociocultural barriers.However, opportunities exist in adopting digital mammography, leveraging public-private partnerships, and implementing community-based awareness programs.Strengthening national cancer screening policies and integrating mammography into universal health coverage schemes can further enhance accessibility and affordability.A multi-stakeholder approach involving policymakers, healthcare providers, and community leaders is crucial to improving breast cancer screening services, reducing mortality rates, and advancing health equity for Nigerian women.