Current status of African pediatric oncology education efforts aligned with the Global Initiative for Childhood Cancer.

Jaques van Heerden, Irumba Lisa Christine, Julia Downing, Alan Davidson, Laila Hessissen, Judy Schoeman, Elena J Ladas, Hafeez Abdelhafeez, Shauna Georgia Odongo Arao, Atalay Mulu Fentie, Sherif Kamal, Jeannette Parkes, Thurandrie Naiker, Adri Ludick, Joyce Balagadde-Kambugu, Jennifer Geel

Journal: Pediatric hematology and oncology 2023;40(3):224-241

PMID: 36083006

Abstract

Education of the pediatric oncology workforce is an important pillar of the World Health Organization CureAll technical package. This is not only limited to healthcare workers, but all stakeholders in the childhood cancer management process. It includes governmental structures, academic institutions, parents and communities. This review evaluated the current educational and advocacy training resources available to the childhood cancer community, the contribution of SIOP Africa in the continental educational needs and evaluated future needs to improve the management of pediatric malignancies in reaching the Global Initiative for Childhood Cancer goals. Childhood cancer, unlike adult cancers, has not been prioritized in African cancer control plans nor the teaching and advocacy surrounding pediatric oncology. The availability of formal training programs for pediatric oncologists, pediatric surgeons and radiotherapy specialists are limited to particular countries. In pharmacy and nutritional services, the exposure to pediatric oncology is limited while training in advocacy doesn't exist. Many nonacademic stakeholders are creating the opportunities in Africa to gain experience and train in these various fields, but formal training programs should still be advocated for. LEARNING POINTSThe African continent has various resources to increase the capacity of childhood cancer care stakeholders to increase their knowledge.African pediatric oncology teams rely on a multitude of international sources for training while developing their own.There is a greater need for formal, standardized cancer training especially for pediatric surgeons, radio-oncologists and nurses.Greater inclusion of pathologists, pediatric oncology pharmacists and dieticians into multidisciplinary care and childhood cancer training should be facilitated and resourced.Successful advocacy programs and tool kits exist in parts of Africa, but the training in advocacy is still underdeveloped.

Address: Pediatric Hematology and Oncology, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.; Pediatric Hematology and Oncology, Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium.; Department of Pediatric Oncology, Uganda Cancer Institute, Kampala, Uganda.; Advocacy and Research Officer, Palliative Care Association of Uganda, Kampala, Uganda.; International Children's Palliative Care Network, Bristol, UK.; Palliative care Education and Research Consortium, Kampala, Uganda.; Pediatric Hematology-Oncology Service, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.; Pediatric Oncology Department, Children's Hospital, University Mohammed V, Rabat, Morocco.; Department of Pediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa.; Division of Pediatric Hematology, Oncology and Stem Cell Transplant, Columbia University Irving Medical Center, New York, New York, USA.; Department of Surgery, St. Jude Children Research Hospital, Memphis, Tennessee, USA.; Tikur Anbessa Specialized Hospital, School of Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia.; Pharmacy Manager, Children's Hospital, Cairo, Egypt.; Department of Radiation Oncology, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.; Program Development Manager, Childhood Cancer Foundation South Africa (CHOC) National Office, Johannesburg, South Africa.; University of the Witwatersrand, Division of Pediatric Hematology-Oncology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

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