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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ZIMBABWE

Cancer All cancers
excl. non-melanoma
skin cancer
Kaposi sarcoma Gynecological Urological Hematological Malignancies Esophagus Breast Liver Head & Neck Colorectal Stomach
New Cancer Cases 11915 2661 2174 1196 860 658 638 496 433 372 351
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 0 56.67 73.75 0 20 100.0 5 44 70 33
Number (#) of patients needing surgery 4794.79 0 1232 882 0 132 638 25 191 260 116
Average length of stay (ALOS) for surgery 5.91 0 6.33 8 0 9 5 10 6.8 9 5
# of surgery beds/day 77.63 0.00 21.36 19.32 0.00 3.24 8.73 0.68 3.55 6.42 1.59
CHEMOTHERAPY % of patients requiring chemo 73.12 70 66.67 62.5 100 90 100 20 66 90 66
# of patients requiring chemo 8711.85 1863 1449 748 860 592 638 99 286 335 232
ALOS for chemo 3.44 3 3 3.5 6.5 3 3 3 3.4 3 3
# of chemo beds/day 82.05 15.30 11.90 7.16 15.30 4.86 5.24 0.81 2.66 2.75 1.90
RADIOTHERAPY % of patients requiring RT 51.98 50 40 41.25 32.5 90 100 20 71 25 50
# of patients 6192.82 1331 870 493 280 592 638 99 307 93 176
# of admitted patients 1548.21 333 217 123 70 148 160 25 77 23 44
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 21.19 4.55 2.98 1.69 0.96 2.03 2.18 0.34 1.05 0.32 0.60
ONCOLOGY BEDS Maximum # of beds/day 181 20 37 29 17 11 17 2 8 10 5
# of 24 bed oncology wards 8 1 2 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0 0 0 0 0 0
Surgical Oncologists 10 0 3 2 0 1 2 1 1 1 1
Radiation/Clinical Oncologists 60 14 11 6 5 4 4 3 3 2 2
Urologic Oncologists 3 0 0 3 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 5 0 0 0 0 0 0 0 0
Pathologists 24 6 5 3 2 2 2 1 1 1 1
PHARMACY Onco-Pharmacists 32 4 8 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 48 6 12 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 24 6 5 3 2 2 2 1 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 75 16 11 6 4 8 8 2 4 2 3
Medical Physicists 25 6 4 2 2 3 3 1 2 1 1
Linac Engineers 7 2 1 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 25 6 4 2 2 3 3 1 2 1 1
Linacs / Co 60 Megavolt Units 13 3 2 1 1 2 2 1 1 1 1
# of Brachytherapy units 7 2 1 1 1 1 1 1 1 1 1
# CT simulators 7 2 1 1 1 1 1 1 1 1 1
# of treatment planning computers 7 2 1 1 1 1 1 1 1 1 1
# of dosimetry/QA package 7 2 1 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 15 30 30 15 15 15 15 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Harare Bulawayo
Population 1468767 655675
New Cancer Cases 1405 627
SURGERY % of patients needing surgery 40.24 40.24
# of patients needing surgery 565 252
ALOS for surgery 5.91 5.91
# of surgery beds/day 9.15 4.08
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 1027 458
ALOS for chemo 3.44 3.44
# of chemo beds/day 9.68 4.32
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 730 326
# of admitted patients 183 81
ALOS 5 5
# of RT beds/day 2.50 1.12
ONCOLOGY BEDS Maximum # of beds/day 22 10
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 8 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 2
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 4
Medical Physicists 3 2
Linac Engineers 1 1
Radiation Oncology Nurses 3 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 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 + 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