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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UGANDA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Kaposi sarcoma Urological Hematological Breast Esophagus Head and Neck Liver Colorectal Stomach
New Cancer Cases 29380 4753 3909 3330 3013 2420 2377 1360 1351 1055 720
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 0 73.75 0 100 20 44 5 70 33
Number (#) of patients needing surgery 11823 2693 0 2456 0 2420 475 598 68 739 238
Average length of stay (ALOS) for surgery 5.91 6.33 0 8 0 5 9 6.8 10 9 5
# of surgery beds/day 191.41 46.70 0.00 53.79 0.00 33.13 11.71 11.14 1.85 18.20 3.25
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 70 62.5 100 100 90 66 20 90 66
# of patients requiring chemo 21481.77 3169 2736 2081 3013 2420 2139 898 270 950 475
ALOS for chemo 3.44 3 3 3.5 6.5 3 3 3.4 3 3 3
# of chemo beds/day 202.32 26.03 22.47 19.94 53.62 19.88 17.57 8.36 2.22 7.80 3.90
RADIOTHERAPY % of patients requiring RT 51.98 40 50 41.25 32.5 100 90 71 20 25 50
# of patients 15270.26 1901 1955 1374 979 2420 2139 966 270 264 360
# of admitted patients 3817.56 475 489 343 245 605 535 241 68 66 90
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 52.26 6.51 6.69 4.70 3.35 8.28 7.32 3.30 0.92 0.90 1.23
ONCOLOGY BEDS Maximum # of beds/day 446 80 30 79 57 62 37 23 5 27 9
# of 24 bed oncology wards 19 4 2 4 3 3 2 1 1 2 1
ONCOLOGISTS Hematologist Oncologists 7 0 0 0 7 0 0 0 0 0 0
Surgical Oncologists 25 6 0 6 0 6 1 2 1 2 1
Radiation/Clinical Oncologists 147 24 20 17 16 13 12 7 7 6 4
Urologic Oncologists 7 0 0 7 0 0 0 0 0 0 0
Gynecologic Oncologist 10 10 0 0 0 0 0 0 0 0 0
Pathologists 59 10 8 7 7 5 5 3 3 3 2
PHARMACY Onco-Pharmacists 76 16 8 16 12 12 8 4 4 8 4
Onco-Pharmacy Technicians 114 24 12 24 18 18 12 6 6 12 6
PALLIATIVE CARE Palliative Care Specialists 59 10 8 7 7 5 5 3 3 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 184 23 24 17 12 30 26 12 4 4 5
Medical Physicists 62 8 8 6 4 10 9 4 2 2 2
Linac Engineers 16 2 2 2 1 3 3 1 1 1 1
Radiation Oncology Nurses 62 8 8 6 4 10 9 4 2 2 2
Linacs / Co 60 Megavolt Units 31 4 4 3 2 5 5 2 1 1 1
# of Brachytherapy units 16 2 2 2 1 3 3 1 1 1 1
# CT simulators 16 2 2 2 1 3 3 1 1 1 1
# of treatment planning computers 16 2 2 2 1 3 3 1 1 1 1
# of dosimetry/QA package 16 2 2 2 1 3 3 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 285 60 30 60 45 45 30 15 15 30 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Kampala Kira
Population 1659600 179800
New Cancer Cases 1369 149
SURGERY % of patients needing surgery 40.24 40.24
Number (#) of patients needing surgery 551 60
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 8.92 0.97
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 1001 109
ALOS for chemo 3.44 3.44
# of chemo beds/day 9.43 1.03
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 712 77
# of admitted patients 178 19
ALOS 5 5
# of RT beds/day 2.44 0.27
ONCOLOGY BEDS Maximum # of beds/day 21 3
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 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 9 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 10 cancers