Eliminating Disparities from Pediatric Oncology in Pakistan


Eliminating Disparities from Pediatric Oncology in Pakistan with Collaboration of Sanofi Espoir Foundation “My Child Matters” Grant- The Indus Hospital, Karachi Pakistan. 


By Shenila Anwarali
The Indus Hospital, Karachi, Pakistan.       
                                                                                



Pakistan is a developing country with a population of more than 21 Million making it the world’s sixth most populous country. In such country with various uncertainty (political, financial and the list could go on) treating your children with any disease none the less Cancer with optimum health care can only be stated as wishful desires.

There are approximately 8000 new cases of pediatric cancer in Pakistan out which less than 50 % reach to the hospital for treatment with progressive disease with 17 centers treating pediatric cancers. The Indus Hospital is the only philanthropic organization that treats patient and families without any cost.

Keeping the increasing numbers of pediatric cancer cases and limited trained material and human resources in mind The Indus Hospital Pediatric Complex took the initiative of training and building capacity of the health care workers with the same vision that “No child should die of cancer”. To do so we, living in the developing country did not have optimum resource, but as it is said that “When there is a will there is a Way” and that Way was guided by Sanofi Espoir Foundation Grant on My Child Matters. The Educational grant was awarded to The Indus Hospital formerly known as the Children Cancer Hospital in 2009 to enhance Pediatric Oncology all over Pakistan.

     

     


Main Objective:
The main objective to obtain this grant was to remove disparities in care provided among pediatric patients with cancer. For this purpose five organizations willing to participant in the race to uplift Pediatric Oncology care level were taken under the wings of The Indus Hospital. Since then the Educational team comprising of one Manager and two Clinical Nurse Instructor and one Pediatric Oncologist in the supervision of the Medical Director made it their mission to create awareness about Pediatric Oncology and  ensure that healthcare workers providing quality care. Under this grant The Indus Hospital provides the following Educational activities for Pediatric Oncology health care provider.
                                       


For nurses training we have:

 





Till date we have successfully trained 300 plus nurses from our Two week course which is internationally recognized which is offered   And 15 participants have gained specialization through Pediatric Oncology Nursing Diploma. And few participants have also visited The Indus Hospital for Observership.

Other Various Training:
Other training includes training for doctors. We also provide training to pharmacists to make safe chemotherapy with all due precautions. Since Pakistan doesn’t have its own cancer registry The Indus Hospital has formulated its own data base and trained personals to operate it in order to obtain maximum data of the patients coming in for care.

Outcome:
Vast difference can be observed in partnering organizations. The learnt knowledge is well implemented by the nurses and major changes have been visualized. The nurses in many area have completely changed the setup, have implemented infection control practices, improved quality of care provided, educated other fellow nurses about basic concepts of Pediatric Oncology care, have stood up for patients and families rights to complete treatment and its understanding and also established various educational session for patients and family. This has eventually resulted in better prognosis and outcome, enhanced compliance to treatment and satisfied patient and family care. The Pharmacists prepare drugs with all precaution and correct dosages under Bio safety cabinets. Data operator collect all the essential data to see the progress and make further improvement. Moreover many other organizations are now willing to have partnership, either to strengthen or establish Pediatric Oncology setup in other areas of Pakistan.

With all the efforts put forward and great support of Sanofi Espoir Foundation, Pakistan is making progress in removing disparities in the care for Pediatric Oncology patients. With all good hopes we are looking forward for further changes and positive improvements at all levels!

Best!  



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