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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MALI

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Breast Urological Hematological Stomach
New Cancer Cases 9354 2249 1349 1142 695 651
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 52.68 56.67 100 73.75 0 33
Number (#) of patients needing surgery 4928 1274 1349 842 0 215
Average length of stay (ALOS) for surgery 4.87 6.33 5 8 0 5
# of surgery beds/day 65.66 22.10 18.47 18.45 0.00 2.94
CHEMOTHERAPY % of patients requiring chemo 79.03 66.67 100 62.5 100 66
# of patients requiring chemo 7392.84 1499 1349 714 695 430
ALOS for chemo 3.80 3 3 3.5 6.5 3
# of chemo beds/day 76.91 12.32 11.08 6.84 12.37 3.53
RADIOTHERAPY % of patients requiring RT 52.75 40 100 41.25 32.5 50
# of patients 4934.24 900 1349 471 226 326
# of admitted patients 1233.56 225 337 118 56 81
ALOS 5.00 5 5 5 5 5
# of RT beds/day 16.89 3.08 4.62 1.61 0.77 1.11
ONCOLOGY BEDS Maximum # of beds/day 160 38 35 27 14 8
# of 24 bed oncology wards 7 2 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0
Surgical Oncologists 11 3 3 2 0 1
Radiation/Clinical Oncologists 47 12 7 6 4 4
Urologic Oncologists 3 0 0 3 0 0
Gynecologic Oncologist 5 5 0 0 0 0
Pathologists 19 5 3 3 2 2
PHARMACY Onco-Pharmacists 28 8 8 8 4 4
Onco-Pharmacy Technicians 42 12 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 19 5 3 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 60 11 17 6 3 4
Medical Physicists 20 4 6 2 1 2
Linac Engineers 5 1 2 1 1 1
Radiation Oncology Nurses 20 4 6 2 1 2
Linacs / Co 60 Megavolt Units 10 2 3 1 1 1
# of Brachytherapy units 5 1 2 1 1 1
# CT simulators 5 1 2 1 1 1
# of treatment planning computers 5 1 2 1 1 1
# of dosimetry/QA package 5 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30 30 30 15 15

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

Bamako Sikasso
Population 1810366 226618
New Cancer Cases 1038 130
SURGERY % of patients needing surgery 52.68 52.68
Number (#) of patients needing surgery 547 68
Average length of stay (ALOS) for surgery 4.87 4.87
# of surgery beds/day 7.29 0.91
CHEMOTHERAPY % of patients requiring chemo 79.03 79.03
# of patients requiring chemo 820 103
ALOS for chemo 3.80 3.80
# of chemo beds/day 8.54 1.07
RADIOTHERAPY % of patients requiring RT 52.75 52.75
# of patients 548 69
# of admitted patients 137 17
ALOS 5 5
# of RT beds/day 1.87 0.23
ONCOLOGY BEDS Maximum # of beds/day 18 3
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 6 1
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 1
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 7 1
Medical Physicists 3 1
Linac Engineers 1 1
Radiation Oncology Nurses 3 1
Linacs / Co 60 Megavolt Units 2 1
# 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 5 cancers