Integration of the services of a CPP into the hematology-oncology clinics has helped achieve goals set by physician, nursing, and pharmacy leaders.

The movement to deliver cancer care in resource-limited settings is gaining momentum, with particular emphasis on the creation of cost-effective, rational algorithms utilizing affordable chemotherapeutics to treat curable disease. The delivery of cancer care in resource-replete settings is a concerted effort by a team of multidisciplinary care providers. The oncology pharmacy, which is now considered integral to cancer care in resourced medical practice, developed over the last several decades in an effort to limit healthcare provider exposure to workplace hazards and to limit risk to patients. In developing cancer care services in resource-constrained settings, creation of oncology pharmacies can help to both mitigate the risks to practitioners and patients, and also limit the costs of cancer care and the environmental impact of chemotherapeutics. This article describes the experience and lessons learned in establishing a chemotherapy pharmacy in western Kenya.

f USAID-AMPATH Partnership gression. Conclusions: Treatment options in the resourceconstrained setting are limited, both by financial constraints as well as the need to avoid myelotoxicity, which is associated with high morbidity in this treatment setting. This work shows that gemcitabine has promising activity in KS, with both objective responses and clinical benefit observed in this care setting. Gemcitabine as a single agent merits further investigation for AIDS-associated KS.

AimsTo establish current physical activity (PA) behaviours in childhood cancer survivors attending a tertiary hospital “late effects” clinic.To highlight their perceived barriers to increasing physical activity levels.To identify their preferred interventions to support physical activity participation.To establish whether medical teams are providing physical activity advice as perceived by the patient.MethodsQuestionnaires were administered through a tertiary hospital ‘Late Effects Clinic’ for childhood cancer survivors. Questions were devised after review of previous publications relating to PA measurement and interventions.1 Results32 responses; 17 males and 15 females between 17–45 years (median: 28 years). 56% of respondents stated becoming more physically active was a priority for them. 26% failed to meet government guidelines for PA.2 41% cited barriers to PA were ‘competing priorities’ (work, study or family/friends); 29.3% cited ‘physical barriers’ (pain, concerns about injury or medication side-effects); 19% cited ‘social barriers’ (pressure from family/friends, don't feel confident, lack of encouragement) and 10.3% cited ‘other factors’ (financial or lack of facilities/equipment).59% stated a preference to exercise ‘on their own’ rather than through ‘group’ exercise programs which is reflected in the responses given for preferred resources to help increase PA levels; paper 33%, interactive DVD 30%, mobile phone app/online website/online website with video each 11%, podcast 4%.2 ConclusionsPA is a high priority for this population and barriers broadly reflect those cited by other populations.3 Technological resources as aids to help improve PA levels need to be considered by clinicians as an important tool and should become a fundamental component of the patient pathway. Greater collaboration between SEM and other medical specialties could help identify and address the needs of specific patient groups in increasing PA levels.