Texas Cancer Center Founder and Chief Executive Officer Dr Catherine Nyongesa has called for urgent measures to address the shortage of oncologists in the country.
This comes in the backdrop of the ever increasing cancer cases. Dr. Catherine Nyongesa says:
“Cancer is one of the most pressing health issues that women face nationally since 60 % are reported in women with breast and cervical cancers taking lead.
If the growing shortage of oncologists is not addressed, it could have serious implications on outcome for cancer patients.”
Currently, cancer is amongst the Top 3 killers in Kenya, coming only 3rd to infectious and cardiovascular diseases. It is estimated that the incidences of cancer have risen by 29.4% in the last decade from an estimated 32,000 to 47,887 new cases annually.
The deaths caused by cancer have also risen during the same period from 28,500 to 32,987. These are not just numbers, they are families grieving, breadwinners lost, children orphaned and empty dinner seats, heartbroken widows and widowers not to mention the financial distress that accompanies the treatment and funerals.
The cancer scourge in Kenya has proven that it is not just a health problem but also a socio-economic problem that behoves all of us to reflect on what we can do to fight it. It is for this reason that on this aptly themed day the Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) have decided to highlight one of the major gaps in Cancer management in Kenya which is the poorly organised and managed human resources for healthcare.
KMPDU represents 10,000 doctors working both in public and private sector and it is well-positioned to tell the country what really ails the crocodile, I beseech the nation not to ignore the alligator.
Kenya has 12,000 registered doctors, 14,000 Clinical Officers and 58,000 nurses serving a total population of 54 million. Out of these, there less than 100 oncologists (cancer treatment specialists) translating to a ratio of 1 oncologist for every 540,000 Kenyans!
This acute shortage coupled with the multiple county and national strikes by healthcare workers due to delayed salaries, lack of career progression and long working hours have contributed to the worsening of the number of cancer deaths in the country.
While it is true that Cancer is a global problem, some types of cancers have nearly been eradicated in some parts of the world through intentional investments on screening, vaccination and early diagnosis and treatment programmes.
These are the low-hanging fruits that Kenya can start working on. Cervical cancer, which is the leading cause of death in Kenya, claiming almost 9 lives daily is for example preventable through vaccination and treatable when diagnosed early. The challenge is having an adequate number of well-trained, motivated and resourced personnel to carry out such activities.
Training a cancer specialist is not cheap, be it a nurse or a doctor and that is why the constitution envisioned training to be a national function of the Ministry of Health. Let the Ministry use the Cancer status report to work out the human resource staffing needs and then hire the much-needed health workers.
