パキスタンのパンジャブ州におけるがん施設へのアクセスのレビュー

A review of access to cancer facilities in Punjab, Pakistan.

• Muhammad Abbas Khokhar
• Muhammad Mohsin Ali
• Samrin Liaqat
• Arif Moin
• Hafiz Abubakar Sarwar
• Muhammad Zeeshan Sarwar

抄録

背景:

パンジャブ州はパキスタンで最も人口の多い州であり、人口では世界で12カ国しか引き継がれていない。

BACKGROUND: Punjab is the most populous province of Pakistan, with only 12 countries in the world succeeding it in terms of population.

エーアイエムズ:

このレビュー記事は、政府、半官半民、信託および民間部門を含む4つの異なる部門にまたがるパンジャブ州で利用可能ながん治療に関する新しい統計を提供することを目的としている。

AIMS: This review article has the objective of providing novel statistics regarding available cancer therapeutics in Punjab across four different sectors-including government, semi-private, trust and private sectors.

方法と結果:

がん治療」「施設」「パキスタン」などのキーワードでPubmedデータベースを検索した。36件の結果が出てきたが、個人的なレファレンスリストと関連性をもとにふるいにかけ、最終的に16件の論文がレビューされた。がん施設へのアクセスの現状については、個人の参考文献や他の LMICs で実施された研究から新たな統計情報を得た。パンジャブ州では、腫瘍内科医の人口に対する割合は10万人あたり0.027人であり、各腫瘍内科医が年間1300～1500人の患者を診察している。放射線治療施設を利用できるのは人口の21.4%に過ぎない。主な問題としては、医療従事者の意識の欠如、薬剤アクセス、放射線治療、がん疼痛管理施設などのインフラの貧弱さ、計画の欠如、教育・研究プログラムの欠如などが挙げられる。

METHODS AND RESULTS: Keywords such as "cancer treatment," "facilities," "Pakistan," were used to search Pubmed Database. 36 results were generated: after sifting based on a personal reference list as well as for relevance, 16 articles were finally reviewed. Novel statistics regarding current state of access to cancer facilities were drawn from personal references as well as from studies conducted in other LMICs. There is a gross deficit of oncological services in Punjab, with the ratio of medical oncologists to population being 0.027 per 100, 000, and every oncologist checking 1300-1500 patients annually. Only 21.4% of the population has access to radiotherapy facilities. Major problems include lack of healthcare professional awareness; poor infrastructure including drug access, radiotherapy, and cancer pain management facilities; lack of planning; and lack of educational and research programs.

結論:

CONCLUSIONS: Improving education & training, developing infrastructure based on public-private-partnership models, building cancer registries and organizing national cancer screening programs, as well as encouraging basic health education and research in oncology, are measures that can ensure Punjab's healthcare delivery system becomes capable of handling increasing incident burden of cancer.

© 2020 Wiley Periodicals LLC.