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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ZIMBABWE

Cancer All cancers
excl. non-melanoma
skin cancer
Kaposi sarcoma Gynecological Urological Breast Hematological Esophagus Colorectal Stomach Liver Head and Neck
New Cancer Cases 15520 3511 2955 1668 1136 981 735 648 600 548 477
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 0 56.67 73.75 100 0 20 70 33 5 44
Number (#) of patients needing surgery 6246 0 1675 1230 1136 0 147 454 198 27 210
Average length of stay (ALOS) for surgery 5.91 0 6.33 8 5 0 9 9 5 10 6.8
# of surgery beds/day 101.11 0.00 29.04 26.94 15.55 0.00 3.62 11.18 2.71 0.75 3.91
CHEMOTHERAPY % of patients requiring chemo 73.12 70 66.67 62.5 100 100 90 90 66 20 66
# of patients requiring chemo 11347.76 2458 1970 1043 1136 981 662 583 396 110 315
ALOS for chemo 3.44 3 3 3.5 3 6.5 3 3 3 3 3.4
# of chemo beds/day 106.88 20.19 16.18 9.99 9.33 17.46 5.43 4.79 3.25 0.90 2.93
RADIOTHERAPY % of patients requiring RT 51.98 50 40 41.25 100 32.5 90 25 50 20 71
# of patients 8066.52 1756 1182 688 1136 319 662 162 300 110 339
# of admitted patients 2016.63 439 296 172 284 80 165 41 75 27 85
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 27.61 6.01 4.05 2.35 3.89 1.09 2.26 0.55 1.03 0.38 1.16
ONCOLOGY BEDS Maximum # of beds/day 236 27 50 40 29 19 12 17 7 3 8
# of 24 bed oncology wards 10 2 3 2 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 14 0 4 3 3 0 1 1 1 1 1
Radiation/Clinical Oncologists 78 18 15 9 6 5 4 4 3 3 3
Urologic Oncologists 4 0 0 4 0 0 0 0 0 0 0
Gynecologic Oncologist 6 0 6 0 0 0 0 0 0 0 0
Pathologists 32 8 6 4 3 2 2 2 2 2 1
PHARMACY Onco-Pharmacists 40 8 12 8 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 60 12 18 12 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 32 8 6 4 3 2 2 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 97 22 15 9 14 4 8 2 4 2 5
Medical Physicists 33 8 5 3 5 2 3 1 2 1 2
Linac Engineers 9 2 2 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 33 8 5 3 5 2 3 1 2 1 2
Linacs / Co 60 Megavolt Units 17 4 3 2 3 1 2 1 1 1 1
# of Brachytherapy units 9 2 2 1 2 1 1 1 1 1 1
# CT simulators 9 2 2 1 2 1 1 1 1 1 1
# of treatment planning computers 9 2 2 1 2 1 1 1 1 1 1
# of dosimetry/QA package 9 2 2 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 30 45 30 30 15 15 15 15 15 15

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

Harare Bulawayo
Population 1485231 653337
New Cancer Cases 1772 780
SURGERY % of patients needing surgery 40.24 40.24
Number (#) of patients needing surgery 713 314
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 11.54 5.08
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 1296 570
ALOS for chemo 3.44 3.44
# of chemo beds/day 12.20 5.37
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 921 405
# of admitted patients 230 101
ALOS 5 5
# of RT beds/day 3.15 1.39
ONCOLOGY BEDS Maximum # of beds/day 27 12
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 9 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 12 5
Medical Physicists 4 2
Linac Engineers 1 1
Radiation Oncology Nurses 4 2
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 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