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U.S. National Institutes of Health
Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ETHIOPIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Hematological Urological Colorectal Head and Neck Kaposi sarcoma Esophagus Lung Stomach
New Cancer Cases 60960 12956 10181 6916 4030 3805 3695 3268 1622 1533 1478
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.24 100 56.67 0 73.75 70 44 0 20 25 33
Number (#) of patients needing surgery 25751 12956 5769 0 2972 2664 1626 0 324 383 488
Average length of stay (ALOS) for surgery 5.91 5 6.33 0 8 9 6.8 0 9 10 5
# of surgery beds/day 416.90 177.36 100.04 0.00 65.10 65.63 30.27 0.00 7.99 10.49 6.68
CHEMOTHERAPY % of patients requiring chemo 76.12 100 66.67 100 62.5 90 66 70 90 50 66
# of patients requiring chemo 46400.92 12956 6788 6916 2519 3425 2439 2288 1460 767 975
ALOS for chemo 3.44 3 3 6.5 3.5 3 3.4 3 3 3 3
# of chemo beds/day 437.01 106.41 55.75 123.08 24.14 28.13 22.70 18.79 11.99 6.30 8.01
RADIOTHERAPY % of patients requiring RT 58.98 100 40 32.5 41.25 25 71 50 90 90 50
# of patients 35951.16 12956 4072 2248 1662 951 2623 1634 1460 1380 739
# of admitted patients 8987.79 3239 1018 562 416 238 656 409 365 345 185
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 123.04 44.34 13.94 7.69 5.69 3.26 8.98 5.59 5.00 4.72 2.53
ONCOLOGY BEDS Maximum # of beds/day 977 329 170 131 95 98 62 25 25 22 18
# of 24 bed oncology wards 41 14 8 6 4 5 3 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 14 0 0 14 0 0 0 0 0 0 0
Surgical Oncologists 54 27 13 0 7 6 4 0 1 1 2
Radiation/Clinical Oncologists 305 65 51 35 21 20 19 17 9 8 8
Urologic Oncologists 9 0 0 0 9 0 0 0 0 0 0
Gynecologic Oncologist 21 0 21 0 0 0 0 0 0 0 0
Pathologists 122 26 21 14 9 8 8 7 4 4 3
PHARMACY Onco-Pharmacists 164 56 32 24 16 20 12 8 8 4 4
Onco-Pharmacy Technicians 246 84 48 36 24 30 18 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 122 26 21 14 9 8 8 7 4 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 432 156 49 27 20 12 32 20 18 17 9
Medical Physicists 144 52 17 9 7 4 11 7 6 6 3
Linac Engineers 36 13 5 3 2 1 3 2 2 2 1
Radiation Oncology Nurses 144 52 17 9 7 4 11 7 6 6 3
Linacs / Co 60 Megavolt Units 72 26 9 5 4 2 6 4 3 3 2
# of Brachytherapy units 36 13 5 3 2 1 3 2 2 2 1
# CT simulators 36 13 5 3 2 1 3 2 2 2 1
# of treatment planning computers 36 13 5 3 2 1 3 2 2 2 1
# of dosimetry/QA package 36 13 5 3 2 1 3 2 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 615 210 120 90 60 75 45 30 30 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE 2013

Adis Abeba Mek'ele
Population 3103700 286600
New Cancer Cases 2187 202
SURGERY % of patients needing surgery 42.24 42.24
Number (#) of patients needing surgery 924 85
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 14.96 1.38
CHEMOTHERAPY % of patients requiring chemo 76.12 76.12
# of patients requiring chemo 1665 154
ALOS for chemo 3.44 3.44
# of chemo beds/day 15.68 1.45
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 1290 119
# of admitted patients 322 30
ALOS 5 5
# of RT beds/day 4.41 0.41
ONCOLOGY BEDS Maximum # of beds/day 36 4
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 11 2
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 5 1
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 5 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 16 2
Medical Physicists 6 1
Linac Engineers 2 1
Radiation Oncology Nurses 6 1
Linacs / Co 60 Megavolt Units 3 1
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 15

KEY TO CALCULATIONS

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery, chemotherapy or radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist Oncologists = (2/1000)*hematology 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 Gynecologic Oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neurologic Oncologists = (2/1000)* brain cancer cases
  10. Number of Pathologists = (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 = 1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward.
  21. The table below lists the estimated number 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 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 GYN cancer 20 5 80 3 80 5
Corpus uteri GYN cancer 80 5 20 3 20 5
Ovary GYN cancer 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head and neck 50 9 50 3 75 5
Lip, oral cavity Head and neck 40 9 80 3 80 5
Nasopharynx Head and neck 0 0 100 3 100 5
Other pharynx Head and neck 40 9 80 3 80 5
Thyroid Head and 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
Urological 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