Assessment Of Radiotherapy Centre Availability In Nigeria And Utilization Review In Selected Tertiary Hospitals In South-east And South-west Geopolitical Zones

This study, Assessment of the Availability of radiotherapy centres in Nigeria and utilization review of two selected hospitals in South-East and South-West geopolitical zones was done using retrospective method of data collection. The main purpose of the study was to find out the number and distributions of radiotherapy centres in Nigeria, types of treatment machines in the various centres, assessment of the level of utilization of radiotherapy centres in University of Nigeria teaching hospital (UNTH), Enugu and The Eko Hospital, Lagos and to determine the referral distributions and types of cases treated. The result showed that there are only nine (9) radiotherapy centres to a population of 149 million Nigerians. Linear Accelerator had 55.6% of the entire Radiotherapy machines in Nigeria. A total of 1227 treatments were done in both hospitals during the period of study. Ca Cervix and Ca Breast recorded the highest number of treatment referral for females, making a total of 42.3% and 79% respectively for both hospitals whereas Ca prostate recorded the highest treatment referral for males with a total of 21% of all the treatment in both hospitals. South-East and South-West had the highest referral distribution of 60% and 46.6% respectively. The result showed that Radiotherapy centres in Nigeria are inadequate; hence, government and private organizations are urged to encourage provision of more Radiotherapy centres for effective management and treatment of cancer in Nigeria  

Title page 

Approval page 

Certification page 

Dedication

Acknowledgements

Abstract

Table of contents

CHAPTER ONE: INTRODUCTION 

Statement of problems 

Objectives of the study 

Significance of the study

Literature Review

Scope of study 

CHAPTER TWO:  OVERVIEW OF RADIATION THERAPY

Historical Background of Radiotherapy 

Types of Radiotherapy 

External beam radiation therapy

Sereotactic radiation 

Virtual simulation, 3-dimensional conformal radiation therapy, and intensity modulated radiation therapy

Radiation therapy accidents 

Use in non cancerous diseases

CHAPTER THREE:  METHODOLOGY 

Research Design 

Sample size 

Sources of Data  

Primary source of Data 

Secondary source of Data 

Method of Data Collection

CHAPTER FOUR 

Data analysis 

Data Presentation 

CHAPTER FIVE:  DISCUSSION, CONCLUSION AND SUMMARY OF FINDINGS 

Discussion  

Summary of Findings

Conclusions

Limitations of the Study

Recommendations 

Recommended are for further studies 

References 

Appendixes

Table 4.1 Number and distribution of radiotherapy centers according to geopolitical zones in Nigeria 

Table 4.2 Relative numbers and distributions of radiotherapy treatment staff across staff six geopolitical zones of Nigeria  

Table 4.3 Types of Radiotherapy treatment machines used in the different radiotherapy centres in Nigeria 

Table 4.4 Relative distribution of the total radiotherapy treatment referral done in University of Nigeria teaching hospital (UNTH) during the period of study

Table 4.5 Distribution of radiotherapy treatment referral according to the gender of the patients in University of Nigeria Teaching Hospital (UNTH) during the period of the study 

Table 4.6 Distribution of Radiotherapy treatment referral according to the age of the patients in University of Nigeria Teaching hospital (UNTH) during the period of the study

Table 4.7 Relative distribution of radiotherapy treatment referral done in Eko Hospital Lagos during the period of the study

Table 4.8 Distribution of radiotherapy treatment according to the gender of the patients in the Eko hospital Lagos  

Table 4.9 Distribution of radiotherapy treatment referral according to the age of patients in Eko hospital Lagos during period under study 

Table 10: Referral distribution of the number of radiotherapy treatment in university of Nigeria Teaching hospital, Enugu and the Eko hospital, Lagos according to the geopolitical zone of the patient.