Implementing radiotherapy in Africa: Focus on the needs in Rwanda

Kamanzi, Joyce; Adeduntan, R.; Antoni, D.; Musafiri, Sanctus; Noël, Georges

doi:10.1016/j.canrad.2016.01.010

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Governments must recognize radiotherapy as a critical driver of economic growth . A well‐managed facility can function for almost 40 years and the equipment can operate for about 20 years . However, equipment becomes less efficient after 10 years and spare parts are harder to obtain and more costly.…”

Section: Discussionmentioning

confidence: 99%

“…This qualitative study provides novel exploratory insights into the barriers and facilitators to establishing and sustaining radiotherapy ser- 23 However, equipment becomes less efficient after 10 years and spare parts are harder to obtain and more costly. Having strategic maintenance and replacement policy is critical to minimize downtime while prioritizing equipment that needs to be replaced.…”

Section: Discussionmentioning

confidence: 99%

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Experiences of barriers and facilitators to establishing and sustaining radiotherapy services in low‐ and middle‐income countries: A qualitative study

Donkor

Luckett

Aranda

et al. 2020

Asia-Pac J Clncl Oncology

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Aims The factors contributing to the establishment of high‐quality radiotherapy services in low‐ and middle‐income countries (LMICs) are poorly understood. The aim was to identify and describe barriers and facilitators to establishing and sustaining high‐quality and accessible radiotherapy services in LMICs based on the experience of successful and unsuccessful attempts. Methods An exploratory‐descriptive qualitative study using semistructured telephone interviews was undertaken. Purposive and snowball sampling techniques were used to recruit participants. The World Health Organization Innovative Care for Chronic Conditions Framework informed the interview guide. A constant comparative data analysis approach was adopted. Findings Seventeen participants were interviewed. Ten were working permanently in nine LMICs and seven were permanently employed in four high‐income countries. Three themes were developed: committing to a vision of improving cancer care; making it happen and sustaining a safe service; and leveraging off radiotherapy to strengthen integrated cancer care. Identified barriers included lack of political leadership continuity, lack of a coordinated advocacy effort, non‐Member State of the IAEA, lack of reliable epidemiological data, lack of a comprehensive budget and lack of local expertise. Facilitators identified included strong political support, vision champion, availability of a regulator, costed cancer control plan, diversified sources of funding, responsible project manager, adoption of evidence‐based practice, strategic partnerships, motivation to provide patient‐centered care, and availability of supportive technology. Conclusions Assessing the level of readiness to establish and sustain a radiotherapy service is highly recommended. Future research is recommended to develop a readiness assessment tool for radiotherapy services implementation at LMICs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%