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Trained nurses following strict written protocols can safely run chemotherapy clinics for common cancers, with an oncologist available by video for decisions and problems.
Task-shifting delivered HIV treatment to millions when there were no doctors to do it. Chemotherapy for common, protocol-driven indications (early breast cancer, Hodgkin lymphoma, paediatric ALL, cervical chemoradiation) can be delivered by specialist nurses and clinical officers under protocols, with tele-oncology supervision. Partners In Health's Butaro Cancer Centre in Rwanda has run a version of this for more than a decade. The proposal is to define the national protocol set, credential the roles, and measure outcomes at scale.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care, Cervical cancer, HR-positive / HER2-negative breast cancer.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care, HR-positive / HER2-negative breast cancer.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care.
Shares Not enough oncologists, nurses, pathologists, physicists, Most of the world has almost no cancer care, Cervical cancer.