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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UGANDA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Colorectal Gynecological Head and Neck Hematological Malignancies Kaposi sarcoma Liver Esophagus Stomach Urological
New Cancer Cases 27116 2035 782 4466 1220 2282 5215 1222 1529 1179 2011
Rank 4 10 2 8 3 1 7 6 9 5
SURGERY % of patients needing surgery 40.24 100.00 70 56.67 44 0 0 5 20 33 73.75
Number (#) of patients needing surgery 10912 2035 547 2531 537 0 0 61 306 389 1483
Average length of stay (ALOS) for surgery 5.91 5 9 6.33 6.8 0 0 10 9 5 8
# of surgery beds/day 176.66 27.86 13.49 43.88 9.99 0.00 0.00 1.67 7.54 5.33 32.48
CHEMOTHERAPY % of patients requiring chemo 73.12 100 90 66.67 66 100 70 20 90 66 62.5
# of patients requiring chemo 19826.41 2035 704 2977 805 2282 3651 244 1376 778 1257
ALOS for chemo 3.44 3 3 3 3.4 6.5 3 3 3 3 3.5
# of chemo beds/day 186.73 16.71 5.78 24.46 7.50 40.61 29.98 2.01 11.30 6.39 12.04
RADIOTHERAPY % of patients requiring RT 51.98 100 25 40 71 32.5 50 20 90 50 41.25
# of patients 14093.54 2035 196 1786 866 742 2608 244 1376 590 830
# of admitted patients 3523.39 509 49 447 217 185 652 61 344 147 207
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 48.23 6.96 0.67 6.11 2.96 2.54 8.92 0.84 4.71 2.02 2.84
ONCOLOGY BEDS Maximum # of beds/day 412 52 20 75 21 44 39 5 24 14 48
# of 24 bed oncology wards 18 3 1 4 1 2 2 1 1 1 2
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 5 0 0 0 0 0
Surgical Oncologists 23 5 2 6 2 0 0 1 1 1 4
Radiation / Clinical Oncologists 136 11 4 23 7 12 27 7 8 6 11
Urologic Oncologists 5 0 0 0 0 0 0 0 0 0 5
Gynecologic Oncologist 9 0 0 9 0 0 0 0 0 0 0
Pathologists 55 5 2 9 3 5 11 3 4 3 5
PHARMACY Onco-Pharmacists 72 12 4 16 4 8 8 4 4 4 8
Onco-Pharmacy Technicians 108 18 6 24 6 12 12 6 6 6 12
PALLIATIVE CARE Palliative Care Specialists 55 5 2 9 3 5 11 3 4 3 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 170 25 3 22 11 9 32 3 17 8 10
Medical Physicists 57 9 1 8 4 3 11 1 6 3 4
Linac Engineers 15 3 1 2 1 1 3 1 2 1 1
Radiation Oncology Nurses 57 9 1 8 4 3 11 1 6 3 4
Linacs / Co 60 Megavolt Units 29 5 1 4 2 2 6 1 3 2 2
# of Brachytherapy units 15 3 1 2 1 1 3 1 2 1 1
# CT simulators 15 3 1 2 1 1 3 1 2 1 1
# of treatment planning computers 15 3 1 2 1 1 3 1 2 1 1
# of dosimetry/QA package 15 3 1 2 1 1 3 1 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 270 45 15 60 15 30 30 15 15 15 30

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Kampala
Population 1659600
New Cancer Cases 1422
SURGERY % of patients needing surgery 40.24
Number (#) of patients needing surgery 572
Average length of stay (ALOS) for surgery 5.91
# of surgery beds/day 9.26
CHEMOTHERAPY % of patients requiring chemo 73.12
# of patients requiring chemo 1040
ALOS for chemo 3.44
# of chemo beds/day 9.79
RADIOTHERAPY % of patients requiring RT 51.98
# of patients 739
# of admitted patients 185
ALOS 5
# of RT beds/day 2.53
ONCOLOGY BEDS Maximum # of beds/day 22
# of 24 bed oncology wards 1
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 2
Radiation / Clinical Oncologists 8
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 3
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9
Medical Physicists 3
Linac Engineers 1
Radiation Oncology Nurses 3
Linacs / Co 60 Megavolt Units 2
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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 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 Malignancies 0 0 100 5 40 5
Leukaemia Hematological Malignancies 0 0 100 7 20 5
Multiple myeloma Hematological Malignancies 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancies 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 10 most frequently occurring cancers