van Heerden Jaques, Lisa Christine Irumba, Downing Julia, Davidson Alan, Hessissen Laila, Schoeman Judy, Ladas Elena J, Abdelhafeez Hafeez, Georgia Odongo Arao Shauna, Fentie Atalay Mulu, Kamal Sherif, Parkes Jeannette, Naiker Thurandrie, Ludick Adri, Balagadde-Kambugu Joyce, Geel Jennifer
Pediatric Hematology and Oncology, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
Pediatric Hematology and Oncology, Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium.
Pediatr Hematol Oncol. 2023 Apr;40(3):224-241. doi: 10.1080/08880018.2022.2117882. Epub 2022 Sep 9.
Education of the pediatric oncology workforce is an important pillar of the World Health Organization CureAll technical package. This is not only limited to healthcare workers, but all stakeholders in the childhood cancer management process. It includes governmental structures, academic institutions, parents and communities. This review evaluated the current educational and advocacy training resources available to the childhood cancer community, the contribution of SIOP Africa in the continental educational needs and evaluated future needs to improve the management of pediatric malignancies in reaching the Global Initiative for Childhood Cancer goals. Childhood cancer, unlike adult cancers, has not been prioritized in African cancer control plans nor the teaching and advocacy surrounding pediatric oncology. The availability of formal training programs for pediatric oncologists, pediatric surgeons and radiotherapy specialists are limited to particular countries. In pharmacy and nutritional services, the exposure to pediatric oncology is limited while training in advocacy doesn't exist. Many nonacademic stakeholders are creating the opportunities in Africa to gain experience and train in these various fields, but formal training programs should still be advocated for. LEARNING POINTSThe African continent has various resources to increase the capacity of childhood cancer care stakeholders to increase their knowledge.African pediatric oncology teams rely on a multitude of international sources for training while developing their own.There is a greater need for formal, standardized cancer training especially for pediatric surgeons, radio-oncologists and nurses.Greater inclusion of pathologists, pediatric oncology pharmacists and dieticians into multidisciplinary care and childhood cancer training should be facilitated and resourced.Successful advocacy programs and tool kits exist in parts of Africa, but the training in advocacy is still underdeveloped.
儿科肿瘤专业人员的教育是世界卫生组织“治愈所有”技术包的重要支柱。这不仅限于医护人员，还包括儿童癌症管理过程中的所有利益相关者。其中包括政府机构、学术机构、家长和社区。本综述评估了目前可供儿童癌症群体使用的教育和宣传培训资源，国际小儿肿瘤学会非洲分会在非洲大陆教育需求方面的贡献，并评估了未来在实现全球儿童癌症倡议目标过程中改善小儿恶性肿瘤管理的需求。与成人癌症不同，儿童癌症在非洲癌症控制计划以及围绕儿科肿瘤学的教学和宣传中并未得到优先考虑。儿科肿瘤学家、儿科外科医生和放疗专家的正规培训项目仅在特定国家才有。在药学和营养服务方面，接触儿科肿瘤学的机会有限，而宣传培训则不存在。许多非学术利益相关者正在非洲创造机会，让人们在这些不同领域获得经验和培训，但仍应倡导正规培训项目。
学习要点
非洲大陆有各种资源来提高儿童癌症护理利益相关者的能力，增加他们的知识。
非洲儿科肿瘤团队在发展自身培训的同时，依赖多种国际资源进行培训。
尤其对于儿科外科医生、放射肿瘤学家和护士，更需要正规、标准化的癌症培训。
应促进并提供资源，让病理学家、儿科肿瘤药剂师和营养师更多地参与多学科护理和儿童癌症培训。
非洲部分地区存在成功的宣传项目和工具包，但宣传培训仍不发达。
