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Connecting research, policy and partnerships for better access to cancer medicines

Tinashe Zigomo, a PhD candidate at the University of the Western Cape School of Public Health, reflects on a four-week visiting scholar period at ITM Antwerp, focused on access to essential breast cancer medicines in low-resource settings.
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For many years, global health conversations in sub-Saharan Africa were necessarily shaped by the urgent fight against communicable diseases. That work remains essential. Yet the region is now facing a fast-growing burden of non-communicable diseases, including cancer, and this shift demands the same level of policy attention, scientific rigour and health-system collaboration.

Against this backdrop, my four-week visiting scholar placement at the Institute of Tropical Medicine in Antwerp, from 29 June to 24 July 2026, was both timely and deeply valuable. The visit formed part of my doctoral training at the University of the Western Cape School of Public Health and was hosted within ITM's Department of Public Health, with support from the Unit of Pharmaceutical Public Health.

My PhD focuses on barriers and solutions to accessing essential breast cancer medicines in low-resource settings, with a particular focus on Zimbabwe and sub-Saharan Africa. During the visit, I benefited from protected scholarly time and close academic mentorship, which helped accelerate two important parts of the doctoral work. The scoping review advanced from study selection into structured evidence extraction, while the first draft of the policy analysis protocol was completed and shared for review.

The placement also sharpened the policy relevance of the work. Discussions with ITM colleagues helped broaden the analysis beyond medicine availability and affordability alone, towards questions of policy architecture, regulation, procurement, reimbursement, financial protection and implementation. A 360-degree policy discussion with Professor Didier Verhoeven from the University of Antwerp, together with Professor Raffaella Ravinetto and myself, added valuable clinical and global cancer perspectives on essential medicines prioritisation, financial toxicity, pricing, national essential medicines lists and value-based access.

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What made the experience especially meaningful was the privilege of being part of the collaboration between the University of the Western Cape School of Public Health and ITM's Department of Public Health. This partnership creates an important opportunity to connect African public health priorities with international pharmaceutical policy expertise, and to generate evidence that can support more equitable access to cancer medicines in low-resource settings.

As cancer becomes an increasingly urgent public health challenge in sub-Saharan Africa, access to essential cancer medicines must move closer to the centre of policy and research agendas. My time at ITM strengthened my conviction that rigorous evidence, thoughtful policy analysis and sustained institutional partnerships can help translate this challenge into practical solutions for patients and health systems.


Tinashe Zigomo
, PhD Candidate
University of the Western Cape, South Africa

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