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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GHANA

Cancer All except melanoma Gynecological Liver Breast Urological Hematological Malignancies Head & Neck Stomach Colorectal Lung Kaposi sarcoma
New Cancer Cases 16580 3473 2589 2062 1660 1082 846 600 577 431 276
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.74 56.67 5 100.0 73.75 0 44 33 70 25 0
Number (#) of patients needing surgery 6754.97 1968 129 2062 1224 0 372 198 404 108 0
Average length of stay (ALOS) for surgery 6.01 6.33 10 5 8 0 6.8 5 9 10 0
# of surgery beds/day 111.21 34.13 3.54 28.23 26.81 0.00 6.93 2.71 9.95 2.95 0.00
CHEMOTHERAPY % of patients requiring chemo 69.12 66.67 20 100 62.5 100 66 66 90 50 70
# of patients requiring chemo 11459.54 2315 518 2062 1038 1082 558 396 519 216 193
ALOS for chemo 3.44 3 3 3 3.5 6.5 3.4 3 3 3 3
# of chemo beds/day 107.93 19.02 4.25 16.94 9.94 19.26 5.20 3.25 4.27 1.77 1.59
RADIOTHERAPY % of patients requiring RT 51.98 40 20 100 41.25 32.5 71 50 25 90 50
# of patients 8617.46 1389 518 2062 685 352 601 300 144 388 138
# of admitted patients 2154.36 347 129 516 171 88 150 75 36 97 35
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 29.49 4.75 1.77 7.06 2.34 1.20 2.06 1.03 0.49 1.33 0.47
ONCOLOGY BEDS Maximum # of beds/day 249 58 10 53 40 21 15 7 15 7 3
# of 24 bed oncology wards 11 3 1 3 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 3 0 0 0 0 0
Surgical Oncologists 15 5 1 5 3 0 1 1 1 1 0
Radiation/Clinical Oncologists 83 18 13 11 9 6 5 3 3 3 2
Urologic Oncologists 4 0 0 0 4 0 0 0 0 0 0
Gynecologic Oncologist 7 7 0 0 0 0 0 0 0 0 0
Pathologists 34 7 6 5 4 3 2 2 2 1 1
PHARMACY Onco-Pharmacists 44 12 4 12 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 66 18 6 18 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 34 7 6 5 4 3 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 104 17 7 25 9 5 8 4 2 5 2
Medical Physicists 35 6 3 9 3 2 3 2 1 2 1
Linac Engineers 9 2 1 3 1 1 1 1 1 1 1
Radiation Oncology Nurses 35 6 3 9 3 2 3 2 1 2 1
Linacs / Co 60 Megavolt Units 18 3 2 5 2 1 2 1 1 1 1
# of Brachytherapy units 9 2 1 3 1 1 1 1 1 1 1
# CT simulators 9 2 1 3 1 1 1 1 1 1 1
# of treatment planning computers 9 2 1 3 1 1 1 1 1 1 1
# of dosimetry/QA package 9 2 1 3 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 45 15 45 30 15 15 15 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Accra Kumasi
Population 2070463 2035064
New Cancer Cases 1471 1446
SURGERY % of patients needing surgery 40.74 40.74
# of patients needing surgery 599 589
ALOS for surgery 6.01 6.01
# of surgery beds/day 9.87 9.70
CHEMOTHERAPY % of patients requiring chemo 69.12 69.12
# of patients requiring chemo 1017 999
ALOS for chemo 3.44 3.44
# of chemo beds/day 9.58 9.41
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 765 752
# of admitted patients 191 188
ALOS 5 5
# of RT beds/day 2.62 2.57
ONCOLOGY BEDS Maximum # of beds/day 23 22
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation/Clinical Oncologists 8 8
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 10 10
Medical Physicists 4 4
Linac Engineers 1 1
Radiation Oncology Nurses 4 4
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 + 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