Childhood cancer in Africa: an overview of resources.
BACKGROUND
Information about pediatric oncology in most of Africa is not widely available. The aim of this study was to provide an overview of childhood cancer and resources for patient care in a cross-section of African hospitals.


METHODS
Between 2011 and 2013, 49 health professionals involved in the care of children with cancer, from 38 hospitals in 29 African countries, were asked to respond to a questionnaire about the types and number of childhood cancers seen in their facilities; types and numbers of health care professionals; diagnostic, therapeutic, and palliative capabilities; survival statistics and compliance with treatment; support from parent groups; opportunities for ongoing medical training; and perceived challenges to care delivery.


RESULTS
New diagnoses annually ranged from 10 to 350, with nephroblastoma, leukemia, retinoblastoma, and Burkitt lymphoma being the most common in most centers. Care was provided often by nonpediatric oncologists. Radiotherapy was available in 21/38 hospitals, palliation in 27/38, and tumor registries in 21/38 centers.


CONCLUSIONS
Capabilities for care of children with cancer varied widely. Recommendations for improving care are discussed.
Department of Paediatrics and Child Health, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.
Daniela C
DC
Stefan
D000349:Africa; D002648:Child; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D005260:Female; D006282:Health Personnel; D006295:Health Resources; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy*; D010166:Palliative Care; D011379:Prognosis; D012042:Registries; D011795:Surveys and Questionnaires; D015996:Survival Rate