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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TANZANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Kaposi sarcoma Urological Head and Neck Breast Esophagus Hematological Colorectal Stomach Liver
New Cancer Cases 33884 7756 5266 4347 2926 2732 2173 1247 1239 752 595
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 0 73.75 44 100 20 0 70 33 5
Number (#) of patients needing surgery 13635 4395 0 3206 1287 2732 435 0 867 248 30
Average length of stay (ALOS) for surgery 5.91 6.33 0 8 6.8 5 9 0 9 5 10
# of surgery beds/day 220.76 76.21 0.00 70.22 23.97 37.40 10.71 0.00 21.37 3.40 0.81
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 70 62.5 66 100 90 100 90 66 20
# of patients requiring chemo 24774.96 5171 3686 2717 1931 2732 1956 1247 1115 496 119
ALOS for chemo 3.44 3 3 3.5 3.4 3 3 6.5 3 3 3
# of chemo beds/day 233.34 42.47 30.28 26.03 17.98 22.44 16.06 22.19 9.16 4.08 0.98
RADIOTHERAPY % of patients requiring RT 51.98 40 50 41.25 71 100 90 32.5 25 50 20
# of patients 17611.21 3102 2633 1793 2077 2732 1956 405 310 376 119
# of admitted patients 4402.80 776 658 448 519 683 489 101 77 94 30
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 60.27 10.62 9.01 6.14 7.11 9.35 6.69 1.39 1.06 1.29 0.41
ONCOLOGY BEDS Maximum # of beds/day 515 130 40 103 50 70 34 24 32 9 3
# of 24 bed oncology wards 22 6 2 5 3 3 2 1 2 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 0 0 3 0 0 0
Surgical Oncologists 29 10 0 7 3 6 1 0 2 1 1
Radiation/Clinical Oncologists 170 39 27 22 15 14 11 7 7 4 3
Urologic Oncologists 9 0 0 9 0 0 0 0 0 0 0
Gynecologic Oncologist 16 16 0 0 0 0 0 0 0 0 0
Pathologists 68 16 11 9 6 6 5 3 3 2 2
PHARMACY Onco-Pharmacists 88 24 8 20 12 12 8 4 8 4 4
Onco-Pharmacy Technicians 132 36 12 30 18 18 12 6 12 6 6
PALLIATIVE CARE Palliative Care Specialists 68 16 11 9 6 6 5 3 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 212 38 32 22 25 33 24 5 4 5 2
Medical Physicists 71 13 11 8 9 11 8 2 2 2 1
Linac Engineers 18 4 3 2 3 3 2 1 1 1 1
Radiation Oncology Nurses 71 13 11 8 9 11 8 2 2 2 1
Linacs / Co 60 Megavolt Units 36 7 6 4 5 6 4 1 1 1 1
# of Brachytherapy units 18 4 3 2 3 3 2 1 1 1 1
# CT simulators 18 4 3 2 3 3 2 1 1 1 1
# of treatment planning computers 18 4 3 2 3 3 2 1 1 1 1
# of dosimetry/QA package 18 4 3 2 3 3 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 330 90 30 75 45 45 30 15 30 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Dar es Salaam Mwanza
Population 4364541 706453
New Cancer Cases 3104 503
SURGERY % of patients needing surgery 40.24 40.24
Number (#) of patients needing surgery 1249 202
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 20.22 3.28
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 2270 368
ALOS for chemo 3.44 3.44
# of chemo beds/day 21.38 3.46
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 1613 261
# of admitted patients 403 65
ALOS 5 5
# of RT beds/day 5.52 0.89
ONCOLOGY BEDS Maximum # of beds/day 48 8
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 1
Radiation/Clinical Oncologists 16 3
Urologic Oncologists 1 1
Gynecologic Oncologist 2 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 20 4
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