资源匮乏地区的放射治疗服务：尼日利亚的情况。

Radiotherapy services in low resource settings: The situation in Nigeria.

作者信息

Akinwande Abidoye Matthew, Ugwuanyi Daniel Chimuanya, Chiegwu Hyacienth Uche, Idigo Felicitas, Ogolodom Michael Promise, Anakwenze Chidinma Pamela, Abi Roland, Odukoya Oluwaponmile

机构信息

Department of Radiography and Radiological Sciences, Faculty of Health Sciences and Technology, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria.

Department of Radiation Oncology, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

SAGE Open Med. 2023 Feb 7;11:20503121231153758. doi: 10.1177/20503121231153758. eCollection 2023.

DOI:10.1177/20503121231153758

PMID:36778199

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9909043/

Abstract

OBJECTIVE

About 50%-60% of all cancer cases will require radiotherapy during their treatment. Nonetheless, radiotherapy facilities are limited in low- and middle-income countries and despite high cancer burden in these regions of the world, only 5% have access to radiation therapy. This study identified the location of radiotherapy centers, the types of radiotherapy machines available and the personnel available in each radiotherapy center in Nigeria.

METHODS

A cross-sectional questionnaire-based study conducted across the six geopolitical zones of Nigeria from May 2020 to April 2021. A questionnaire having sections on facility profile, status of facility, and human resources, was used to elucidate information for the study. Descriptive statistics (frequency and proportion) were used to describe facilities' characteristics, status, and human resources available.

RESULTS

Out of nine radiotherapy centers evaluated, the majority 33.3% ( = 3) were found in the southwest geopolitical zone of Nigeria. Out of 10 equipment and accessories evaluated for availability, Ahmadu Bello University Teaching Hospital and University of Benin Teaching Hospital had the highest number of available equipment and accessories 90% ( = 9) each respectively. Out of the nine centers evaluated, only four centers had at least one functional equipment. The highest number 64.3% ( = 9) out of the 14 required number of staff in each center was found at University College Hospital. Out of 31 medical physicists identified, the majority 22.6% ( = 7) was found at University of Nigeria Teaching Hospital.

CONCLUSION

A high percentage of radiotherapy centers in Nigeria lacks the equipment and manpower to function optimally and is located within the southwest geopolitical zone of Nigeria. Therefore, proper investment in the radiotherapy service through private-public partnership, staff training, and equipment upgrade and maintenance could substantially improve the state of cancer care.

摘要

目的

所有癌症病例中约50%-60%在治疗期间需要放疗。然而，低收入和中等收入国家的放疗设施有限，尽管世界这些地区癌症负担沉重，但只有5%的人能够获得放射治疗。本研究确定了尼日利亚放疗中心的位置、可用放疗设备的类型以及每个放疗中心的人员配备情况。

方法

2020年5月至2021年4月在尼日利亚六个地缘政治区开展了一项基于问卷调查的横断面研究。使用一份包含设施概况、设施状况和人力资源部分的问卷来获取该研究的信息。描述性统计（频率和比例）用于描述设施的特征、状况和可用人力资源。

结果

在评估的九个放疗中心中，大多数（33.3%，即3个）位于尼日利亚的西南地缘政治区。在评估的10种设备及配件的可用性方面，阿哈穆杜·贝洛大学教学医院和贝宁大学教学医院拥有的可用设备及配件数量最多，各有90%（即9种）。在评估的九个中心中，只有四个中心至少有一台功能正常的设备。每个中心所需的14名工作人员中，数量最多的（64.3%，即9名）在大学学院医院。在确定的31名医学物理师中，大多数（22.6%，即7名）在尼日利亚大学教学医院。