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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KENYA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Breast Kaposi sarcoma Esophagus Urological Hematological Head and Neck Stomach Colorectal Liver
New Cancer Cases 40999 6193 4465 3850 3432 3297 3283 2941 1811 1784 1120
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 100 0 20 73.75 0 44 33 70 5
Number (#) of patients needing surgery 16499 3509 4465 0 686 2432 0 1294 598 1249 56
Average length of stay (ALOS) for surgery 5.91 6.33 5 0 9 8 0 6.8 5 9 10
# of surgery beds/day 267.11 60.85 61.12 0.00 16.91 53.26 0.00 24.09 8.18 30.77 1.53
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 100 70 90 62.5 100 66 66 90 20
# of patients requiring chemo 29977.24 4129 4465 2695 3089 2061 3283 1941 1195 1606 224
ALOS for chemo 3.44 3 3 3 3 3.5 6.5 3.4 3 3 3
# of chemo beds/day 282.33 33.91 36.67 22.14 25.37 19.75 58.42 18.07 9.82 13.19 1.84
RADIOTHERAPY % of patients requiring RT 51.98 40 100 50 90 41.25 32.5 71 50 25 20
# of patients 21309.23 2477 4465 1925 3089 1360 1067 2088 906 446 224
# of admitted patients 5327.31 619 1116 481 772 340 267 522 226 112 56
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 72.93 8.48 15.28 6.59 10.57 4.65 3.65 7.15 3.10 1.53 0.77
ONCOLOGY BEDS Maximum # of beds/day 623 104 114 29 53 78 63 50 22 46 5
# of 24 bed oncology wards 26 5 5 2 3 4 3 3 1 2 1
ONCOLOGISTS Hematologist Oncologists 7 0 0 0 0 0 7 0 0 0 0
Surgical Oncologists 35 8 10 0 2 6 0 3 2 3 1
Radiation/Clinical Oncologists 205 31 23 20 18 17 17 15 10 9 6
Urologic Oncologists 7 0 0 0 0 7 0 0 0 0 0
Gynecologic Oncologist 13 13 0 0 0 0 0 0 0 0 0
Pathologists 82 13 9 8 7 7 7 6 4 4 3
PHARMACY Onco-Pharmacists 104 20 20 8 12 16 12 12 4 8 4
Onco-Pharmacy Technicians 156 30 30 12 18 24 18 18 6 12 6
PALLIATIVE CARE Palliative Care Specialists 82 13 9 8 7 7 7 6 4 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 256 30 54 24 38 17 13 26 11 6 3
Medical Physicists 86 10 18 8 13 6 5 9 4 2 1
Linac Engineers 22 3 5 2 4 2 2 3 1 1 1
Radiation Oncology Nurses 86 10 18 8 13 6 5 9 4 2 1
Linacs / Co 60 Megavolt Units 43 5 9 4 7 3 3 5 2 1 1
# of Brachytherapy units 22 3 5 2 4 2 2 3 1 1 1
# CT simulators 22 3 5 2 4 2 2 3 1 1 1
# of treatment planning computers 22 3 5 2 4 2 2 3 1 1 1
# of dosimetry/QA package 22 3 5 2 4 2 2 3 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 390 75 75 30 45 60 45 45 15 30 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2009

Nairobi Mombasa
Population 3133518 915101
New Cancer Cases 3006 878
SURGERY % of patients needing surgery 40.24 40.24
Number (#) of patients needing surgery 1210 353
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 19.58 5.72
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 2198 642
ALOS for chemo 3.44 3.44
# of chemo beds/day 20.70 6.05
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 1562 456
# of admitted patients 391 114
ALOS 5 5
# of RT beds/day 5.35 1.56
ONCOLOGY BEDS Maximum # of beds/day 46 14
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 1
Radiation/Clinical Oncologists 16 5
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 7 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 7 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 19 6
Medical Physicists 7 2
Linac Engineers 2 1
Radiation Oncology Nurses 7 2
Linacs / Co 60 Megavolt Units 4 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