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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GHANA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Breast Liver Urological Hematological Head and Neck Colorectal Stomach Lung Pancreas
New Cancer Cases 15820 3677 2260 1923 1460 1223 889 637 463 348 190
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 56.67 100 5 73.75 0 44 70 33 25 10
Number (#) of patients needing surgery 6604 2084 2260 96 1077 0 391 446 153 87 19
Average length of stay (ALOS) for surgery 7.01 6.33 5 10 8 0 6.8 9 5 10 10
# of surgery beds/day 126.80 36.13 30.94 2.63 23.58 0.00 7.28 10.99 2.09 2.38 0.52
CHEMOTHERAPY % of patients requiring chemo 67.12 66.67 100 20 62.5 100 66 90 66 50 50
# of patients requiring chemo 10617.91 2451 2260 385 913 1223 587 573 306 174 95
ALOS for chemo 3.64 3 3 3 3.5 6.5 3.4 3 3 3 5
# of chemo beds/day 105.82 20.14 18.56 3.16 8.74 21.76 5.46 4.71 2.51 1.43 1.30
RADIOTHERAPY % of patients requiring RT 51.98 40 100 20 41.25 32.5 71 25 50 90 50
# of patients 8222.45 1471 2260 385 602 397 631 159 232 313 95
# of admitted patients 2055.61 368 565 96 151 99 158 40 58 78 24
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 28.14 5.03 7.73 1.32 2.06 1.36 2.16 0.55 0.79 1.07 0.33
ONCOLOGY BEDS Maximum # of beds/day 261 62 58 8 35 24 15 17 6 5 3
# of 24 bed oncology wards 11 3 3 1 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 3 0 0 0 0 0
Surgical Oncologists 14 5 5 1 3 0 1 1 1 1 1
Radiation/Clinical Oncologists 80 19 12 10 8 7 5 4 3 2 1
Urologic Oncologists 3 0 0 0 3 0 0 0 0 0 0
Gynecologic Oncologist 8 8 0 0 0 0 0 0 0 0 0
Pathologists 32 8 5 4 3 3 2 2 1 1 1
PHARMACY Onco-Pharmacists 44 12 12 4 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 66 18 18 6 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 32 8 5 4 3 3 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 99 18 28 5 8 5 8 2 3 4 2
Medical Physicists 33 6 10 2 3 2 3 1 1 2 1
Linac Engineers 9 2 3 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 33 6 10 2 3 2 3 1 1 2 1
Linacs / Co 60 Megavolt Units 17 3 5 1 2 1 2 1 1 1 1
# of Brachytherapy units 9 2 3 1 1 1 1 1 1 1 1
# CT simulators 9 2 3 1 1 1 1 1 1 1 1
# of treatment planning computers 9 2 3 1 1 1 1 1 1 1 1
# of dosimetry/QA package 9 2 3 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 45 45 15 30 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Accra Kumasi
Population 2070463 2035064
New Cancer Cases 1283 1261
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 536 526
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 10.28 10.11
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 861 846
ALOS for chemo 3.64 3.64
# of chemo beds/day 8.58 8.43
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 667 655
# of admitted patients 167 164
ALOS 5 5
# of RT beds/day 2.28 2.24
ONCOLOGY BEDS Maximum # of beds/day 22 21
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation/Clinical Oncologists 7 7
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 3
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 8
Medical Physicists 3 3
Linac Engineers 1 1
Radiation Oncology Nurses 3 3
Linacs / Co 60 Megavolt Units 2 2
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 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