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The hidden cost of cancer on caregivers

One of the tests doctors use to confirm breast cancer is a breast biopsy—a procedure where a thin, hollow needle draws out a small bit of tissue for closer examination under a microscope.

Photo credit: Shutterstock

When we talk about cancer, we often focus on the patient—the diagnosis, the treatment, the survival. But behind every patient is a caregiver quietly carrying a heavy, often invisible burden. This is the hidden cost of cancer that society rarely discusses.

Caregivers are the unsung heroes of the cancer journey. They wake up early to prepare medication, spend long hours in hospitals, manage finances, and provide emotional support. Yet, while doing all this, they are slowly breaking down. Research shows that caregiving can lead to anxiety, depression and even post-traumatic stress due to the constant emotional and physical strain.

One of the biggest challenges caregivers face is exhaustion—both physical and mental. Many sacrifice sleep, proper meals and their own health. Over time, this leads to what experts call “caregiver burnout”, a state of complete exhaustion that affects their ability to function. This burnout is rarely recognised.

Financial strain is another silent burden. Many caregivers are forced to reduce working hours or quit their jobs altogether. A significant number experience reduced productivity or job loss due to caregiving responsibilities, deepening economic hardship. In countries like Kenya, where healthcare costs are already high, this makes the burden heavier.

Emotionally, caregivers live in constant fear and uncertainty. They watch their loved ones suffer, often feeling helpless. At the same time, they must remain strong, hiding their own pain. This emotional suppression creates long-term psychological damage.

Caregivers often suffer in silence. Cultural expectations and family roles push them to “be strong” and not complain. Many do not seek help, either because they feel guilty or because support systems are lacking.

It is time we change this narrative. Caregivers need recognition, mental health support and practical assistance. Hospitals should include caregiver support programmes, and communities must step in to share the burden. Simple acts like checking in, offering help or providing relief can make a big difference.

As we fight cancer, we must also care for those who stand behind the patients before they, too, become victims of the disease.

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Antonella Kiprotich, Elgeyo-Marakwet