What the SIOP Global Mapping survey tells us about childhood cancer treatment across Africa

This week, we are beyond thrilled to welcome Julia Challinor, Jennifer Geel and Neil Ranasinghe from SIOP's Pediatric Oncology International Network for Training and Education Group.




Up until recently, we knew very little about what was happening in the land of African paediatric oncology. The SIOP PODC Education and Training Working Group had created a large database of educational opportunities and experts willing to give their services for free, but we knew we weren’t reaching the people who needed those opportunities. Through a remarkable confluence of events, Eric Bouffet, immediate past SIOP President, managed to secure a My Child Matters grant from the Sanofi Espoir Foundation and with the support of the board and SIOP Africa members, we started to find out more about the situation for children with cancer in Africa.
We knew people in many countries – Morocco, Ghana, Kenya, Tanzania, South Africa – and we knew some of what they were doing. Unverified statistics have been shared widely, but there were too many gaps in our knowledge. We needed to address that quickly, so our main aims were to:

  1. use the survey data to advocate for more local resources in partnership with the World Health Organisation (WHO) Global Initiative for Childhood Cancer (GICC)
  2. create a baseline of the situation in Africa, e.g., where and with what resources children/adolescents are diagnosed, treated, surviving, etc.
  3. create an online map for clinicians, families, and other stakeholders showing where childhood cancer hospitals/resources are located

What are the results?


We were lucky enough to get over 500 responses, and more are still coming in. The level of detail we have received varies across the continent, but in many countries, childhood cancer access and treatment options are even worse than we initially thought. 

We now know which countries are not treating children with cancer at all; don’t have even one full-time paediatric oncologist; have very few dedicated paediatric oncology nurses; struggle with consistent supplies of chemotherapy; have good NGO support; and have a reasonable number of facilities offering treatment.

What is happening right now?

We are currently surveying Latin America from Mexico to Chile. This is well underway with support from the SIOP Continental President for Latin America. If you work in Latin America with children/adolescents with cancer please take this survey. It is available in Spanish, Portuguese, English and French.


Where are we surveying next?

The next region under study is the ASEAN group of countries. Look out for requests to complete the survey if you are working in this region. We will be surveying the following countries: 




Phase 1: Cambodia Lao PDR Myanmar Thailand Vietnam
Phase 2: Brunei Darussalam Indonesia Malaysia,  Philippines Timor-Leste PNG


How can I find out more about this project?

·       Watch a short animation about the project produced by Mark Zobeck and his team at Global Health and Childhood Cancer (https://www.youtube.com/watch?v=rPpSPCovwnI)

·        Hear Jennifer Geel and Mark Zobeck speak about the survey in another great podcast from GHCC https://www.ghccpod.com/19-the-siop-global-mapping-project/

·        View the PowerPoint slides from the presentation that Jennifer Geel gave at SIOP Lyon. These slides go into detail about the history, the methodology, and what we have documented across Africa. https://siop-online.org/wp-content/uploads/2020/01/SIOP-Global-mapping-Lyon-24-Oct-201911h00.pdf

·        See the country summary sheets for Ghana and Zambia, and read the survey FAQs here

          All of the above are available here - https://siop-online.org/globalmapping/

What is happening next?

The next wave involves creating and maintaining country summary sheets for individual countries, starting with WHO GICC focus countries. We will be providing data to WHO, NGOs, and governments involved with the GICC initiative as requested to advocate for more resources. We are already preparing articles for publication about the childhood cancer treatment situation across Africa. In progress is an online map showing a subset of the survey data, and plans to make this available to everyone with access to the SIOP and CancerPointe websites.

How to get involved?

We are actively looking for co-authors to help write up the papers for publication. If you would like to be a part of this part of the project, please contact Jennifer Geel (email address below).
If you work in Latin America please take the survey. It is available in Spanish, English, French and Portuguese. 

If you have any questions, or want to get involved please don’t hesitate to get in touch. Neil.Ranasinghe@refinitiv.com, Jennifer.a.Geel@gmail, Jmchallinor@gmail.com

Twitter: #MapSIOP



Comments