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  
TABLE OF CONTENTS 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
LIST OF TABLE 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.