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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KENYA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Hematological Malignancies Esophagus Urological Head & Neck Kaposi sarcoma Liver Stomach Colorectal
New Cancer Cases 27897 8649 8077 3287 2349 1845 1740 1455 1294 1292 958
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 100.00 56.67 0 20 73.75 44 0 5 33 70
Number (#) of patients needing surgery 11226.22 8649 4577 0 470 1361 766 0 65 426 671
Average length of stay (ALOS) for surgery 5.91 5 6.33 0 9 8 6.8 0 10 5 9
# of surgery beds/day 181.75 118.40 79.36 0.00 11.58 29.80 14.25 0.00 1.77 5.84 16.52
CHEMOTHERAPY % of patients requiring chemo 73.12 100 66.67 100 90 62.5 66 70 20 66 90
# of patients requiring chemo 20397.45 8649 5385 3287 2114 1153 1148 1019 259 853 862
ALOS for chemo 3.44 3 3 6.5 3 3.5 3.4 3 3 3 3
# of chemo beds/day 192.11 71.04 44.23 58.50 17.36 11.05 10.69 8.37 2.13 7.00 7.08
RADIOTHERAPY % of patients requiring RT 51.98 100 40 32.5 90 41.25 71 50 20 50 25
# of patients 14499.47 8649 3231 1068 2114 761 1235 728 259 646 240
# of admitted patients 3624.87 2162 808 267 529 190 309 182 65 162 60
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 49.62 29.60 11.06 3.66 7.24 2.60 4.23 2.49 0.89 2.21 0.82
ONCOLOGY BEDS Maximum # of beds/day 424 220 135 63 37 44 30 11 5 16 25
# of 24 bed oncology wards 18 10 6 3 2 2 2 1 1 1 2
ONCOLOGISTS Hematologist Oncologists 7 0 0 7 0 0 0 0 0 0 0
Surgical Oncologists 24 19 10 0 1 3 2 0 1 1 2
Radiation/Clinical Oncologists 140 44 41 17 12 10 9 8 7 7 5
Urologic Oncologists 4 0 0 0 0 4 0 0 0 0 0
Gynecologic Oncologist 17 0 17 0 0 0 0 0 0 0 0
Pathologists 56 18 17 7 5 4 4 3 3 3 2
PHARMACY Onco-Pharmacists 72 40 24 12 8 8 8 4 4 4 8
Onco-Pharmacy Technicians 108 60 36 18 12 12 12 6 6 6 12
PALLIATIVE CARE Palliative Care Specialists 56 18 17 7 5 4 4 3 3 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 174 104 39 13 26 10 15 9 4 8 3
Medical Physicists 58 35 13 5 9 4 5 3 2 3 1
Linac Engineers 15 9 4 2 3 1 2 1 1 1 1
Radiation Oncology Nurses 58 35 13 5 9 4 5 3 2 3 1
Linacs / Co 60 Megavolt Units 29 18 7 3 5 2 3 2 1 2 1
# of Brachytherapy units 15 9 4 2 3 1 2 1 1 1 1
# CT simulators 15 9 4 2 3 1 2 1 1 1 1
# of treatment planning computers 15 9 4 2 3 1 2 1 1 1 1
# of dosimetry/QA package 15 9 4 2 3 1 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 270 150 90 45 30 30 30 15 15 15 30

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2009

Nairobi Mombasa
Population 3133518 915101
New Cancer Cases 2256 659
SURGERY % of patients needing surgery 40.24 40.24
# of patients needing surgery 908 265
ALOS for surgery 5.91 5.91
# of surgery beds/day 14.70 4.29
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 1650 482
ALOS for chemo 3.44 3.44
# of chemo beds/day 15.54 4.54
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 1173 343
# of admitted patients 293 86
ALOS 5 5
# of RT beds/day 4.01 1.17
ONCOLOGY BEDS Maximum # of beds/day 35 11
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 12 4
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Pathologists 5 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 5 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 15 5
Medical Physicists 5 2
Linac Engineers 2 1
Radiation Oncology Nurses 5 2
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 + 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