Abstract
IntroductionThe number of cancer cases and related deaths worldwide is expected to double over the next 20-30 years. African countries will be the most affected by the burden of cancer. The improving economic situation of Angola creates conditions for an increase in life expectancy which by itself is associated with an increased risk of oncological diseases. Because cancer therapy requires a multidisciplinary approach, trained health professionals, satisfactory infrastructure and appropriate facilities, the availability of effective cancer therapy is a difficult task that requires support. The aim of this article is to share our experience achieved in the establishment of cancer units in Angola and to validate our checklist for this action.MethodsThe survey method was a questionnaire addressed to Angolan cancer units, in order to evaluate the usefulness and feasibility of a checklist developed by the authors - The Cancer Units Assessment Checklist for low or middle income African countries - which was used previously in the establishment of those units. Afterwards, the crucial steps taken for the establishing of the main sites of each cancer unit considering, facilities, resources and professionals, were also recorded.ResultsAll cancer units reported that the checklist was a useful tool in the development of the cancer program for the improvement of the unit or the establishing of cancer unit sites. This instrument helped identifying resources, defining the best practice and identifying barriers. Local experts, who know the best practices in oncology and who are recognized by the local heads, are also important and they proved to be the major facilitators.ConclusionThe fight against cancer has just started in Angola. The training, education, advocacy and legislation are ongoing. According to our results, the assessment checklist for the establishment of cancer units is a useful instrument.
Highlights
In the 2014 World Cancer Day the WHO African Regional Director said: ―Every year, nearly 8 million people die of cancer but many of these deaths can be avoided with greater public awareness, increased government support and funding for prevention, detection and treatment
It used as survey method an assessment questionnaire developed by the authors - The Cancer Units Assessment Checklist for low or middle income African countries which was addressed to several hospitals in Angola
We evaluated and recorded the activities undertaken to improve conditions at the NOC and to establish Girassol Clinic (GC) and Sagrada Esperança Clinic (SEC) cancer units, according to our checklist
Summary
In the 2014 World Cancer Day the WHO African Regional Director said: ―Every year, nearly 8 million people die of cancer but many of these deaths can be avoided with greater public awareness, increased government support and funding for prevention, detection and treatment. Cancer is not a disease affecting the affluent and elderly people, and developed countries alone. It is a global epidemic, affecting all ages, in low, middle and high income countries. African countries will be the most affected by the burden of cancer, but are of all developing countries the least able to cope with the challenges cancer presents‖. In this sense it is very important to build the capacities for cancer control [1]
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