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Radiotherapy resources in the Philippines: A 2022 update.

Johanna Patricia A Canal1, Michelle Ann B Eala2, Ma Veronica Pia N Arevalo3

  • 1Division of Radiation Oncology, Department of Radiology, University of the Philippines, Philippine General Hospital, Manila, the Philippines.

Journal of Cancer Policy
|May 20, 2024
PubMed
Summary
This summary is machine-generated.

Radiotherapy resources in the Philippines show expansion but remain inaccessible to many. Urgent investment in personnel and infrastructure is crucial for equitable cancer care.

Keywords:
Cancer workforceGlobal healthGlobal oncologyPhilippinesRadiation oncology disparitiesRadiation oncology resourcesRadiotherapySoutheast Asia

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Area of Science:

  • Oncology
  • Public Health
  • Health Services Research

Background:

  • Cancer is a leading cause of death in the Philippines, with radiotherapy (RT) being essential for treatment and palliation.
  • Optimizing RT resources is critical given the country's cancer burden.

Purpose of the Study:

  • To survey and assess the current state of radiotherapy facilities, personnel, and services in the Philippines.
  • To identify disparities and areas for improvement in RT accessibility and resource allocation.

Main Methods:

  • An online survey was distributed to the heads of all 50 RT facilities nationwide.
  • Data collected included facility ownership, staffing, and available radiotherapy technologies and services.

Main Results:

  • A high response rate (98%) was achieved, revealing that most RT facilities are privately owned, with significant regional disparities.
  • The Philippines has a limited number of linear accelerators and radiation oncology professionals relative to its population.
  • While advanced RT techniques like 3D-CRT and IMRT are widely available, stereotactic radiotherapy and HDR brachytherapy are less common.

Conclusions:

  • Despite progress, significant gaps in RT accessibility and resources persist in the Philippines.
  • There is an urgent need for investment in training and retaining RT personnel, alongside the development of public cancer centers, particularly in underserved regions.
  • Expanding services like HDR brachytherapy and stereotactic radiotherapy, and establishing a national RT task force are recommended to improve quality, availability, and accessibility.