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Table 2 Boundaries limiting healthcare implementation of Mohs surgery in Africa

From: Challenges and opportunities for Mohs surgery implementation in African healthcare systems

Barriers

Examples

References

Healthcare system

• Lack of well-trained surgical physicians

• Lack of good equipment and technologies

[25]

Funding and costs

• Cost of skin cancer management is approximately 15.7 million US dollars per a year

• Lack of funds to implement improved imaging and surgical technologies

[34]

Cultural beliefs

• Skin cancer cannot happen to dark skin.

• Sunscreen is not needed and cannot prevent skin cancer

[24]