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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MOZAMBIQUE

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Kaposi sarcoma Hematological Esophagus Head and Neck Breast Urological Liver Lung Pancreas
New Cancer Cases 22014 5860 4481 2362 1245 1235 1095 821 658 363 337
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 33.44 56.67 0 0 20 44 100 73.75 5 25 10
Number (#) of patients needing surgery 7362 3321 0 0 249 543 1095 605 33 91 34
Average length of stay (ALOS) for surgery 6.51 6.33 0 0 9 6.8 5 8 10 10 10
# of surgery beds/day 131.28 57.58 0.00 0.00 6.14 10.12 14.99 13.26 0.90 2.48 0.92
CHEMOTHERAPY % of patients requiring chemo 67.52 66.67 70 100 90 66 100 62.5 20 50 50
# of patients requiring chemo 14863.19 3907 3137 2362 1121 815 1095 513 132 182 169
ALOS for chemo 3.64 3 3 6.5 3 3.4 3 3.5 3 3 5
# of chemo beds/day 148.12 32.09 25.76 42.03 9.20 7.59 8.99 4.92 1.08 1.49 2.31
RADIOTHERAPY % of patients requiring RT 58.48 40 50 32.5 90 71 100 41.25 20 90 50
# of patients 12872.69 2344 2241 768 1121 877 1095 339 132 327 169
# of admitted patients 3218.17 586 560 192 280 219 274 85 33 82 42
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 44.05 8.02 7.67 2.63 3.83 3.00 3.75 1.16 0.45 1.12 0.58
ONCOLOGY BEDS Maximum # of beds/day 324 98 34 45 20 21 28 20 3 6 4
# of 24 bed oncology wards 14 5 2 2 1 1 2 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 5 0 0 0 0 0 0 0
Surgical Oncologists 16 7 0 0 1 2 3 2 1 1 1
Radiation/Clinical Oncologists 111 30 23 12 7 7 6 5 4 2 2
Urologic Oncologists 2 0 0 0 0 0 0 2 0 0 0
Gynecologic Oncologist 12 12 0 0 0 0 0 0 0 0 0
Pathologists 45 12 9 5 3 3 3 2 2 1 1
PHARMACY Onco-Pharmacists 56 20 8 8 4 4 8 4 4 4 4
Onco-Pharmacy Technicians 84 30 12 12 6 6 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 45 12 9 5 3 3 3 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 155 29 27 10 14 11 14 5 2 4 3
Medical Physicists 52 10 9 4 5 4 5 2 1 2 1
Linac Engineers 13 3 3 1 2 1 2 1 1 1 1
Radiation Oncology Nurses 52 10 9 4 5 4 5 2 1 2 1
Linacs / Co 60 Megavolt Units 26 5 5 2 3 2 3 1 1 1 1
# of Brachytherapy units 13 3 3 1 2 1 2 1 1 1 1
# CT simulators 13 3 3 1 2 1 2 1 1 1 1
# of treatment planning computers 13 3 3 1 2 1 2 1 1 1 1
# of dosimetry/QA package 13 3 3 1 2 1 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 210 75 30 30 15 15 30 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Maputo Matola
Population 1225900 893000
New Cancer Cases 1103 804
SURGERY % of patients needing surgery 33.44 33.44
Number (#) of patients needing surgery 369 269
Average length of stay (ALOS) for surgery 6.51 6.51
# of surgery beds/day 6.58 4.79
CHEMOTHERAPY % of patients requiring chemo 67.52 67.52
# of patients requiring chemo 745 543
ALOS for chemo 3.64 3.64
# of chemo beds/day 7.42 5.41
RADIOTHERAPY % of patients requiring RT 58.48 58.48
# of patients 645 470
# of admitted patients 161 118
ALOS 5 5
# of RT beds/day 2.21 1.61
ONCOLOGY BEDS Maximum # of beds/day 17 12
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 1 1
Radiation/Clinical Oncologists 6 5
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 8 6
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, 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