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

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 POINTS The 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.

[1]  A. L. Frazier,et al.  Malignant extracranial germ cell tumours: A first national report by the South African Children's Cancer Study Group , 2021, Pediatric blood & cancer.

[2]  S. Jeha,et al.  Pediatric oncology infrastructure and workforce training needs: A report from the Pediatric Oncology East and Mediterranean (POEM) Group , 2021, Pediatric blood & cancer.

[3]  G. Hoffman,et al.  Surgical subspecialists in West Africa: Workforce size, training opportunities, and contributing factors. , 2021, Surgery.

[4]  B. Wyrley-Birch,et al.  Bridging the Radiotherapy Education Gap in Africa: Lessons Learnt from the Cape Town Access to Care Training Programme Over the Past 5 Years (2015–2019) , 2021, Journal of Cancer Education.

[5]  M. Kruger,et al.  The implementation of a national paediatric oncology protocol for neuroblastoma in South Africa , 2021, Cancer Causes & Control.

[6]  H. Weinstein,et al.  “Money was the Problem”: Financial Difficulty is the Main Reason for Treatment Abandonment by Children with Cancer in South West Uganda , 2021 .

[7]  A. Shad,et al.  Training pediatric hematologist/oncologists for capacity building in Ethiopia , 2020, Pediatric Blood & Cancer.

[8]  C. Edan,et al.  Treatment of childhood Hodgkin lymphoma in sub-Saharan Africa: A report from the French-African Paediatric Oncology Group (GFAOP) , 2020 .

[9]  L. Court,et al.  Radiation Sciences Education in Africa: An Assessment of Current Training Practices and Evaluation of a High-Yield Course in Radiation Biology and Radiation Physics , 2020, JCO global oncology.

[10]  C. Patte,et al.  Pediatric Oncology Clinical Trials and Collaborative Research in Africa: Current Landscape and Future Perspectives , 2020, JCO global oncology.

[11]  C. Patte,et al.  African School of Pediatric Oncology Initiative: Implementation of a Pediatric Oncology Diploma Program to Address Critical Workforce Shortages in French-Speaking Africa , 2019, Journal of global oncology.

[12]  S. Gupta,et al.  Cost and cost-effectiveness of childhood cancer treatment in low-income and middle-income countries: a systematic review , 2019, BMJ Global Health.

[13]  S. Webster,et al.  Pediatric Pharmacy Services: Current Models and Justification for Expansion. , 2019, The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG.

[14]  K. Pritchard-Jones,et al.  Highlights from the 13th African Continental Meeting of the International Society of Paediatric Oncology (SIOP), 6–9 March 2019, Cairo, Egypt , 2019, Ecancermedicalscience.

[15]  E. Ameh,et al.  Estimates of number of children and adolescents without access to surgical care , 2019, Bulletin of the World Health Organization.

[16]  C. Allen,et al.  Capacity building: a novel pediatric hematology-oncology fellowship program in sub-Saharan Africa. , 2018, Blood advances.

[17]  S. Boucher,et al.  Paediatric Palliative Care in Resource-Poor Countries , 2018, Children.

[18]  R. Ribeiro,et al.  A framework to develop adapted treatment regimens to manage pediatric cancer in low‐ and middle‐income countries: The Pediatric Oncology in Developing Countries (PODC) Committee of the International Pediatric Oncology Society (SIOP) , 2017, Pediatric blood & cancer.

[19]  S. Luna-Fineman,et al.  Effects of malnutrition on treatment‐related morbidity and survival of children with cancer in Nicaragua , 2017, Pediatric blood & cancer.

[20]  M. Hendricks,et al.  Treatment outcomes of children with Hodgkin lymphoma between 2000 and 2010: First report by the South African Children's Cancer Study Group , 2017, Pediatric blood & cancer.

[21]  S. Krishnaswami,et al.  Pediatric surgical capacity in Africa: Current status and future needs. , 2017, Journal of pediatric surgery.

[22]  S. Tierney,et al.  The Specialist Surgeon Workforce in East, Central and Southern Africa: A Situation Analysis , 2016, World Journal of Surgery.

[23]  A. Mahajan,et al.  Paediatric radiation oncology in the care of childhood cancer: A position paper by the International Paediatric Radiation Oncology Society (PROS). , 2016, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[24]  S. Krishnaswami,et al.  The pediatric surgery workforce in low- and middle-income countries: problems and priorities. , 2016, Seminars in pediatric surgery.

[25]  Ching-Hon Pui,et al.  Toward the Cure of All Children With Cancer Through Collaborative Efforts: Pediatric Oncology As a Global Challenge. , 2015, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[26]  A. Gawande,et al.  Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development , 2015, The Lancet.

[27]  D. Ozgediz,et al.  Mortality of pediatric surgical conditions in low and middle income countries in Africa. , 2015, Journal of pediatric surgery.

[28]  Jennifer Cohen,et al.  An international survey of nutritional practices in low- and middle-income countries: a report from the International Society of Pediatric Oncology (SIOP) PODC Nutrition Working Group , 2014, European Journal of Clinical Nutrition.

[29]  F. Odedina,et al.  The African cancer advocacy consortium: shaping the path for advocacy in Africa , 2013, Infectious Agents and Cancer.

[30]  M. Kieny,et al.  Universal Health Coverage , 2020, Handbook of Global Health.

[31]  E. Steliarova-Foucher,et al.  New policies to address the global burden of childhood cancers. , 2013, The Lancet. Oncology.

[32]  J. Ling,et al.  Education in children's palliative care across Europe and internationally. , 2012, International Journal of Palliative Nursing.

[33]  Maria Grazia Valsecchi,et al.  Nutritional status at diagnosis is related to clinical outcomes in children and adolescents with cancer: a perspective from Central America. , 2012, European journal of cancer.

[34]  J. Poole,et al.  The Saint Siluan warning signs of cancer in children: Impact of education in rural South Africa , 2011, Pediatric blood & cancer.

[35]  R. Ribeiro,et al.  Strategies to improve care for children with cancer in Sub-Saharan Africa. , 2010, European journal of cancer.

[36]  J. Stjernswärd,et al.  The public health strategy for palliative care. , 2007, Journal of pain and symptom management.