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.