Mobilising stakeholders to improve access to state-of-the-art radiotherapy in low- and middle-income countries.
Mobilising stakeholders to improve access to state-of-the-art radiotherapy in low- and middle-income countries.
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DOI：
10.3332/ecancer.2021.1227
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发表时间：
2021
影响因子：
1.8
通讯作者：
Ngwa W
中科院分区：
文献类型：
--
作者：
Chofor N;Bopda P;Bücker R;Ivo A;Okonkwo E;Joel K;Tung Z;Ige T;Wirtz H;Ngwa W
为了持续努力改善低收入和中等收入国家 (LMIC) 获得最先进放射治疗的机会，非政府、非营利组织非洲侨民医学物理学家组织了一次联合研讨会。 (MephidA e.V.) 与总部位于德国的喀麦隆-德国医生协会 (Camfomedics e.V.) 和总部位于哈佛大学的全球健康催化剂峰会合作。研讨会的目的是讨论非洲中低收入国家面临的技术和结构性挑战，重新评估克服放射治疗服务短缺的战略并改善这种状况。此次会议汇集了行业合作伙伴，包括放射治疗机供应商和剂量测定解决方案提供商，以及公共卫生、肿瘤学和医学物理专家。本文总结了基于当前努力的审议和建议，包括利用信息和通信技术提供专家知识和远程医疗、利用太阳能避免停电以及利用高端技术增强质量保证。我们还介绍了卢旺达军事医院首次安装直线加速器的经验、该中低收入国家面临的挑战以及患者的人口统计，反映了大多数撒哈拉以南中低收入国家的现实。
In an ongoing effort to improve access to state-of-the-art radiotherapy in low- and middle-income countries (LMICs), a joint symposium was organised by the non-governmental, non-profit organisation Medical physicists in diaspora for Africa e.V. (MephidA e.V.) in collaboration with the Germany-based Cameroon-German medical doctor’s association (Camfomedics e.V.) and the Harvard-based Global Health Catalyst summit. The goal of the symposium was to discuss the technical and structural challenges faced in African LMIC settings, re-evaluate strategies to overcome the shortfall of radiotherapy services and ameliorate the situation. The meeting brought together industry partners, including radiotherapy machine vendors and dosimetry solution providers, alongside public health, oncology and medical physics experts. This paper summarises the deliberations and recommendations based on the ongoing efforts including the use of information and communication technologies towards the provision of expert knowledge and telemedicine, the use of solar energy to avoid power outages and the use of high-end technology for enhanced quality assurance. We also present the experiences on the first linac installation at the Rwanda Military Hospital, the challenges faced in this LMIC as well as the patient’s demography, reflecting the reality in most sub-Saharan LMICs.