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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ETHIOPIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Hematological Malignancies Breast Kaposi sarcoma Head & Neck Esophagus Colorectal Urological Liver Melanoma of skin
New Cancer Cases 51707 5877 5689 4935 3673 3464 3279 2829 2647 2395 1583
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 46.94 56.67 0 100.0 0 44 20 70 73.75 5 100
Number (#) of patients needing surgery 24272.13 3330 0 4935 0 1524 656 1980 1952 120 1583
Average length of stay (ALOS) for surgery 5.71 6.33 0 5 0 6.8 9 9 8 10 3
# of surgery beds/day 379.67 57.75 0.00 67.56 0.00 28.38 16.16 48.80 42.76 3.28 13.00
CHEMOTHERAPY % of patients requiring chemo 71.52 66.67 100 100 70 66 90 90 62.5 20 50
# of patients requiring chemo 36979.12 3918 5689 4935 2571 2286 2951 2546 1654 479 792
ALOS for chemo 3.44 3 6.5 3 3 3.4 3 3 3.5 3 3
# of chemo beds/day 348.28 32.18 101.24 40.53 21.12 21.28 24.24 20.91 15.85 3.93 6.50
RADIOTHERAPY % of patients requiring RT 51.98 40 32.5 100 50 71 90 25 41.25 20 50
# of patients 26874.71 2351 1849 4935 1837 2459 2951 707 1092 479 792
# of admitted patients 6718.68 588 462 1234 459 615 738 177 273 120 198
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 91.97 8.05 6.33 16.89 6.29 8.42 10.10 2.42 3.74 1.64 2.71
ONCOLOGY BEDS Maximum # of beds/day 820 98 108 125 28 59 51 73 63 9 23
# of 24 bed oncology wards 35 5 5 6 2 3 3 4 3 1 1
ONCOLOGISTS Hematologist Oncologists 12 0 12 0 0 0 0 0 0 0 0
Surgical Oncologists 51 7 0 11 0 4 2 5 5 1 4
Radiation/Clinical Oncologists 259 30 29 25 19 18 17 15 14 12 8
Urologic Oncologists 6 0 0 0 0 0 0 0 6 0 0
Gynecologic Oncologist 12 12 0 0 0 0 0 0 0 0 0
Pathologists 104 12 12 10 8 7 7 6 6 5 4
PHARMACY Onco-Pharmacists 140 20 20 24 8 12 12 16 12 4 4
Onco-Pharmacy Technicians 210 30 30 36 12 18 18 24 18 6 6
PALLIATIVE CARE Palliative Care Specialists 104 12 12 10 8 7 7 6 6 5 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 323 29 23 60 23 30 36 9 14 6 10
Medical Physicists 108 10 8 20 8 10 12 3 5 2 4
Linac Engineers 27 3 2 5 2 3 3 1 2 1 1
Radiation Oncology Nurses 108 10 8 20 8 10 12 3 5 2 4
Linacs / Co 60 Megavolt Units 54 5 4 10 4 5 6 2 3 1 2
# of Brachytherapy units 27 3 2 5 2 3 3 1 2 1 1
# CT simulators 27 3 2 5 2 3 3 1 2 1 1
# of treatment planning computers 27 3 2 5 2 3 3 1 2 1 1
# of dosimetry/QA package 27 3 2 5 2 3 3 1 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 525 75 75 90 30 45 45 60 45 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2013

Adis Abeba
Population 3103700
New Cancer Cases 1989
SURGERY % of patients needing surgery 46.94
# of patients needing surgery 934
ALOS for surgery 5.71
# of surgery beds/day 14.60
CHEMOTHERAPY % of patients requiring chemo 71.52
# of patients requiring chemo 1422
ALOS for chemo 3.44
# of chemo beds/day 13.40
RADIOTHERAPY % of patients requiring RT 51.98
# of patients 1034
# of admitted patients 258
ALOS 5
# of RT beds/day 3.54
ONCOLOGY BEDS Maximum # of beds/day 32
# of 24 bed oncology wards 2
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 2
Radiation/Clinical Oncologists 10
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 4
PHARMACY Onco-Pharmacists 8
Onco-Pharmacy Technicians 12
PALLIATIVE CARE Palliative Care Specialists 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 13
Medical Physicists 5
Linac Engineers 2
Radiation Oncology Nurses 5
Linacs / Co 60 Megavolt Units 3
# of Brachytherapy units 2
# CT simulators 2
# of treatment planning computers 2
# of dosimetry/QA package 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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
  15. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  16. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  17. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  18. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  19. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  20. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. 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