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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TANZANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Esophagus Head & Neck Hematological Malignancies Breast Liver Urological Kaposi sarcoma Stomach Colorectal
New Cancer Cases 21180 6595 2358 2117 1875 1307 675 589 568 434 409
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 20 44 0 100 5 73.75 0 33 70
Number (#) of patients needing surgery 8523.19 3737.17 471.6 931.48 0 1307 33.75 434.39 0 143.22 286.3
Average length of stay (ALOS) for surgery 5.91 6.33 9 6.8 0 5 10 8 0 5 9
# of surgery beds/day 137.99 64.80 11.62053 17.34172 0 17.89 0.92 9.51 0 1.96 7.05
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 90 66 100 100 20 62.5 70 66 90
# of patients requiring chemo 15486.18 4396.89 2122.2 1397.22 1875 1307 135 368.125 397.6 286.44 368.1
ALOS for chemo 3.44 3 3 3.4 6.5 3 3 3.5 3 3 3
# of chemo beds/day 145.85 36.11 17.43 13.01 33.37 10.74 1.11 3.53 3.27 2.35 3.02
RADIOTHERAPY % of patients requiring RT 51.975 40 90 71 32.5 100 20 41.25 50 50 25
# of patients 11008.31 2638 2122.2 1503.07 609.38 1307 135 242.96 284 217 102.25
# of admitted patients 2752.08 659.5 530.55 375.7675 152.34 326.75 33.75 60.74 71 54.25 25.5625
ALOS 5 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 37.67 9.03 7.26 5.14 2.09 4.47 0.46 0.83 0.97 0.74 0.35
ONCOLOGY BEDS Maximum # of beds/day 322 110 37 36 36 34 3 14 5 6 11
# of 24 bed oncology wards 14 5 2 2 2 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 4 0 0 0 0 0 0
Surgical Oncologists 18 8 1 2 0 3 1 1 0 1 1
Radiation/Clinical Oncologists 106 33 12 11 10 7 4 3 3 3 3
Urologic Oncologists 2 0 0 0 0 0 0 2 0 0 0
Gynecologic Oncologist 14 14 0 0 0 0 0 0 0 0 0
Pathologists 43 14 5 5 4 3 2 2 2 1 1
PHARMACY Onco-Pharmacists 56 20 8 8 8 8 4 4 4 4 4
Onco-Pharmacy Technicians 84 30 12 12 12 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 43 14 5 5 4 3 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 133 32 26 19 8 16 2 3 4 3 2
Medical Physicists 45 11 9 7 3 6 1 1 2 1 1
Linac Engineers 12 3 3 2 1 2 1 1 1 1 1
Radiation Oncology Nurses 45 11 9 7 3 6 1 1 2 1 1
Linacs / Co 60 Megavolt Units 23 6 5 4 2 3 1 1 1 1 1
# of Brachytherapy units 12 3 3 2 1 2 1 1 1 1 1
# CT simulators 12 3 3 2 1 2 1 1 1 1 1
# of treatment planning computers 12 3 3 2 1 2 1 1 1 1 1
# of dosimetry/QA package 12 3 3 2 1 2 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 210 75 30 30 30 30 15 15 15 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Dar es Salaam
Population 4364541
New Cancer Cases 2176
SURGERY % of patients needing surgery 40.24167
# of patients needing surgery 875.66
ALOS for surgery 5.91
# of surgery beds/day 14.18
CHEMOTHERAPY % of patients requiring chemo 73.12
# of patients requiring chemo 1591.03
ALOS for chemo 3.44
# of chemo beds/day 14.98
RADIOTHERAPY % of patients requiring RT 51.98
# of patients 1130.98
# of admitted patients 282.74
ALOS 5
# of RT beds/day 3.87
ONCOLOGY BEDS Maximum # of beds/day 34
# of 24 bed oncology wards 2
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 2
Radiation/Clinical Oncologists 11
Urologic Oncologists 1
Gynecologic Oncologist 2
Pathologists 5
PHARMACY Onco-Pharmacists 8
Onco-Pharmacy Technicians 12
PALLIATIVE CARE Palliative Care Specialists 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 14
Medical Physicists 5
Linac Engineers 2
Radiation Oncology Nurses 5
Linacs / Co 60 Megavolt Units 3
# of Brachytherapy units 2
# CT simulators 2
# of treatment planning computers 2
# of dosimetry/QA package 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30

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