Abstract
Despite an estimated population of over 201 million and over 115,950 yearly diagnosed new cases of cancer, Nigeria does not have dedicated medical oncologists. Most oncology care is delivered through surgical and clinical oncologists, who are trained in both radiation and medical oncology and they number fewer than 50 in the country. With a limited number of oncology professionals, cancer patients in Nigeria experience poor health outcomes, with an estimated cancer mortality rate of 75,000 deaths per year. Participants from 15 Nigerian states were selected to attend the medical oncology training. Through the support of Fulbright Specialist Program and Project PINK BLUE, two of the authors delivered 10 days of lectures based on ASCO, ESMO, and NCCN guidelines. Mean scores of both the pre- and post-course tests as well as a 1-year follow-up test were compared using GraphPad Prism 7.0a by paired t-tests. Forty-four clinical oncologists were selected for participation. Twenty-five (57%) completed the pre- and post-course tests. Of the 25 that completed both tests, percentage of correct answers increased from 45 to 59% (2-sided p-value < 0.0001). Improvements were seen in attending doctors 45 to 59% (p = 0.0046) and resident doctors 45 to 59% (0.0007). Eleven doctors responded to the 1-year follow-up test. Although not statistically significant, a numerical pattern for the benefits was maintained 1 year after the program (45% pre-course versus 52% post-course correct answers, Fisher’s exact, p = 0.4185). In the short term, the training improved medical oncology knowledge in Nigeria, regardless of the participant’s carrier stage. Long-term benefits were not sustained in a small sample of participants, and continuing education strategies are necessary. Similar models may be employed across Africa.
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References
National Population Commission - NPC/Nigeria, ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria: NPC/Nigeria and ICF International;2014
Nwankwo K, Dawotola D, Sharma V (2013) Radiotherapy in Nigeria: current status and future challenges. West Afr J Radiol 20(2):84–88
Ferlay J EM, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Nigeria Web site. http://gco.iarc.fr/today/data/factsheets/populations/566-nigeria-fact-sheets.pdf. Published 2018. Accessed 13 Nov 2019
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424
Education and Training Programme. International Agency for Research on Cancer. https://training.iarc.fr. Accessed 2020
Zubizarreta EH, Fidarova E, Healy B, Rosenblatt E (2015) Need for radiotherapy in low and middle income countries - the silent crisis continues. Clin Oncol (R Coll Radiol) 27(2):107–114
Balogun O, Rodin D, Ngwa W, Grover S, Longo J (2017) Challenges and prospects for providing radiation oncology services in Africa. Semin Radiat Oncol 27(2):184–188
Global Strategy on Human Resources for Health: Workforce 2030. 2016. https://apps.who.int/iris/bitstream/handle/10665/250368/9789241511131-eng.pdf?sequence=1.
Nigeria USM. U.S. Embassy supports training of 44 Nigerian medical oncologists https://ng.usembassy.gov/u-s-embassy-supports-training-of-44-nigerian-medical-oncologists Published 2018. Accessed 2019
Fulbright Specialist Program. World Learning Web site. https://fulbrightspecialist.worldlearning.org/. Accessed 2019
Project Pink Blue. https://projectpinkblue.org/. Published 2018. Accessed 2019
Dittrich C, Kosty M, Jezdic S et al (2016) ESMO / ASCO Recommendations for a Global Curriculum in Medical Oncology Edition 2016. ESMO Open 1(5):e000097
Nwachukwu CR, Mudasiru O, Million L et al (2018) Evaluating barriers and opportunities in delivering high-quality oncology care in a resource-limited setting using a comprehensive needs assessment tool. J Global Oncol 4:1–9
Fish M, Parkes J, Dharsee N et al (2019) POETIC (Program for Enhanced Training in Cancer): an initial experience of supporting capacity building for oncology training in Sub-Saharan Africa. Oncologist 24(12):1557–1561
Chidebe RCW, Pratt-Chapman ML (2021) Oncology patient navigation training: results of a pilot study in Nigeria [published online ahead of print, 2021 Jan 7]. J Cancer Educ 1–7. https://doi.org/10.1007/s13187-020-01935-7
Chidebe RC, Orjiakor CT, Pereira I, Ipiankama SC, Lounsbury DW, Moraes FY (2019) Navigating prostate cancer control in Nigeria. Lancet Oncol 20(11):1489–1491
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This project was funded in part by the United States Department of State through The Fulbright Specialist Program and U.S. Mission in Nigeria.
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Martin, M.G., Chidebe, R.C.W., Nwaneri, M.O. et al. Impact of 10-Day Fulbright Specialist Program and Project Pink Blue Education Sessions on Medical Oncology Knowledge Among Physicians Who Treat Cancer in Nigeria. J Canc Educ 38, 378–382 (2023). https://doi.org/10.1007/s13187-021-02130-y
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DOI: https://doi.org/10.1007/s13187-021-02130-y