Skip to Content
U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BANGLADESH

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Head & Neck Lung Breast Esophagus Hematological Malignancies Stomach Colorectal Urological Liver
New Cancer Cases 141086 20346 20256 19529 17781 8014 7611 5651 4988 4812 4166
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 56.67 44 25 100.0 20 0 33 70 73.75 5
Number (#) of patients needing surgery 60302.51 11529 8913 4882 17781 1603 0 1865 3492 3549 208
Average length of stay (ALOS) for surgery 6.91 6.33 6.8 10 5 9 0 5 9 8 10
# of surgery beds/day 1141.39 199.92 165.93 133.67 243.41 39.49 0.00 25.53 86.04 77.73 5.70
CHEMOTHERAPY % of patients requiring chemo 71.12 66.67 66 50 100 90 100 66 90 62.5 20
# of patients requiring chemo 100335.66 13564 13369 9765 17781 7213 7611 3730 4489 3008 833
ALOS for chemo 3.44 3 3.4 3 3 3 6.5 3 3 3.5 3
# of chemo beds/day 944.98 111.41 124.45 80.20 146.05 59.24 135.45 30.63 36.87 28.82 6.84
RADIOTHERAPY % of patients requiring RT 55.98 40 71 90 100 90 32.5 50 25 41.25 20
# of patients 78972.89 8138 14382 17576 17781 7213 2474 2826 1247 1985 833
# of admitted patients 19743.22 2035 3595 4394 4445 1803 618 706 312 496 208
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 270.27 27.85 49.22 60.15 60.85 24.68 8.47 9.67 4.27 6.79 2.85
ONCOLOGY BEDS Maximum # of beds/day 2357 340 340 275 451 124 144 66 128 114 16
# of 24 bed oncology wards 99 15 15 12 19 6 6 3 6 5 1
ONCOLOGISTS Hematologist Oncologists 16 0 0 0 0 0 16 0 0 0 0
Surgical Oncologists 126 25 19 11 38 4 0 4 8 8 1
Radiation/Clinical Oncologists 706 102 102 98 89 41 39 29 25 25 21
Urologic Oncologists 10 0 0 0 0 0 0 0 0 10 0
Gynecologic Oncologist 41 41 0 0 0 0 0 0 0 0 0
Pathologists 283 41 41 40 36 17 16 12 10 10 9
PHARMACY Onco-Pharmacists 396 60 60 48 76 24 24 12 24 20 4
Onco-Pharmacy Technicians 594 90 90 72 114 36 36 18 36 30 6
PALLIATIVE CARE Palliative Care Specialists 283 41 41 40 36 17 16 12 10 10 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 948 98 173 211 214 87 30 34 15 24 10
Medical Physicists 316 33 58 71 72 29 10 12 5 8 4
Linac Engineers 79 9 15 18 18 8 3 3 2 2 1
Radiation Oncology Nurses 316 33 58 71 72 29 10 12 5 8 4
Linacs / Co 60 Megavolt Units 158 17 29 36 36 15 5 6 3 4 2
# of Brachytherapy units 79 9 15 18 18 8 3 3 2 2 1
# CT simulators 79 9 15 18 18 8 3 3 2 2 1
# of treatment planning computers 79 9 15 18 18 8 3 3 2 2 1
# of dosimetry/QA package 79 9 15 18 18 8 3 3 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1485 225 225 180 285 90 90 45 90 75 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Dhaka Chittagong
Population 7033075 2592439
New Cancer Cases 6202 2286
SURGERY % of patients needing surgery 42.74 42.74
# of patients needing surgery 2651 977
ALOS for surgery 6.91 6.91
# of surgery beds/day 50.17 18.49
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 4411 1626
ALOS for chemo 3.44 3.44
# of chemo beds/day 41.54 15.31
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 3472 1280
# of admitted patients 868 320
ALOS 5 5
# of RT beds/day 11.88 4.38
ONCOLOGY BEDS Maximum # of beds/day 104 39
# of 24 bed oncology wards 5 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 6 3
Radiation/Clinical Oncologists 32 12
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Pathologists 13 5
PHARMACY Onco-Pharmacists 20 8
Onco-Pharmacy Technicians 30 12
PALLIATIVE CARE Palliative Care Specialists 13 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 42 16
Medical Physicists 14 6
Linac Engineers 4 2
Radiation Oncology Nurses 14 6
Linacs / Co 60 Megavolt Units 7 3
# of Brachytherapy units 4 2
# CT simulators 4 2
# of treatment planning computers 4 2
# of dosimetry/QA package 4 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 30

Key to Calculations

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery + beds for chemotherapy + beds for radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist oncologists = (2/1000)*hematologic malignancy cases
  5. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  6. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  7. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  10. Number of pathologist = (2/1000)*total number of cancer cases
  11. Number of Pharmacists = 4* number of 24 bed oncology wards
  12. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  13. Number of Palliative Care Specialists = (2/1000)*total number of cancer cases 14.   Number of Medical Physicists = (4/1000) * number of patients requiring radiation therapy
  14. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  15. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  16. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  17. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  18. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  19. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  20. The table below lists the estimated percentage of patients requiring surgery, chemotherapy and radiation therapy for the different types of cancers as well as the average length of stay (ALOS) in hospital (in days) for each of these treatments.
Type of cancer % of patients requiring Surgery ALOS % of patients requiring Chemotherapy ALOS % of patients requiring Radiation therapy ALOS
Cervix uteri Gynecological 20 5 80 3 80 5
Corpus uteri Gynecological 80 5 20 3 20 5
Ovary Gynecological 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & Neck 90 7 20 5 20 5
Head and Neck cancers 44 6.8 66 3.4 71 5
Hodgkin lymphoma Hematological Malignancy 0 0 100 5 40 5
Leukaemia Hematological Malignancy 0 0 100 7 20 5
Multiple myeloma Hematological Malignancy 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancy 0 0 100 7 50 5
Hematological Malignancies 0 0 100 6.5 32.5 5
Bladder Urological 100 9 50 3 50 5
Kidney Urological 75 9 50 3 20 5
Prostate Urological 20 9 50 3 65 5
Testis Urological 100 5 100 5 30 5
Urologica cancers 73.75 8 62.5 3.5 41.25 5
Brain, nervous system 100 9 100 3 100 5
Breast 100 5 100 3 100 5
Colorectal 70 9 90 3 25 5
Gallbladder 33 9 66 3 50 5
Kaposi sarcoma 0 0 70 3 50 5
Liver 5 10 20 3 20 5
Lung 25 10 50 3 90 5
Melanoma of skin 100 3 50 3 50 5
Esophagus 20 9 90 3 90 5
Pancreas 10 10 50 5 50 5
Stomach 33 5 66 3 50 5
All cancers excl. non-melanoma skin cancer average of top 10 cancers