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Opportunities and Challenges in starting an Oncology Program at Aga Khan Hospital, Dar Es SalaamTanzania
Amyn Alidina, Medical Oncologist, Aga Khan Hospital, Dares Salaam
David MakumiEast African Regional Manager, AKUH Cancer Programs.
Prostate29%
Colorectal19%
Urinary bladder6%
Esophagus6%
lymphoma6%
Kaposis sarcoma
6%
Multiple myeloma
5%
liver3%
Pancreas5%
others14%
Male sites: AKH Dar jan –Sept 2014
Breast37%
Colon & rectul11%
Cervical9%
lym-phoma
8%
En-dometr
ium5%
Ovarian3%
leukemia
5%
Stomach3%
Pan-creas5%
Others15%
FEMALE SITES: AKH DAR JAN –SEPT 2014
10 to 20 20 to 30 30 to 40 40 to 50 50 to 60 60 to 70 70 to 800
5
10
15
20
25
30
AKUH Dar -Cancer Patients age Distribution
Prevention screening Diagnostics treatment Survivorship&Follow-up
Psychosocial support & Palliative Care
Cancer Control elements & Regional Cancer programs
Cancer information &
Awareness
Education & Research, Surveillance, Legislation & Policy
Mentorship & Education
• Knowledge transfer:
• Pharmacists• Nurses • Cancer Registry staff• Medical Officers
Mentored on Site Attachment with specific learning objectives.
Institutional and country specific adaptation of:
•Oncology Documentation tools•Oncology Policies & standards•Guidelines
• Once a week• 3 sites / 2 countries• Oncology topics of mutual
interest.• Cost effective model of
capacity building for oncology nurses.
• Initial investment in VC equipment
Nursing Education video conference
COMPUTERIZED PHYSICIAN ORDER ENTRY FOR ONCOLOGY DRUGS
Consultant Review/ Request
Doctor Prescribe Medication
Pharmacy Dispense
Medication
Nurse Administer Medication
Opportunities
• Research• Education• Common regional specific guidelines • Product evaluation • Cancer registry
Conclusion
• Implementation of a new program is challenging at the best of times, implementation on a region-wide basis brings new challenges.
• Strong leadership participation is required to articulate a clear vision and ownership of the processes.
• All institutions have their own cultures and ways of doing business; this can be challenging when trying to standardize best practices.
• Do not re-invent the wheel: learn from others.