ArticleJCO global oncology2021
Emerging Use of Public-Private Partnerships in Public Radiotherapy Facilities in Nigeria.
Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Managing public-private partnerships for health diagnostics: challenges and strategies.Health policy and planning · 2026Article
- Setting Up a Pediatric Radiation Oncology Program in Sub-Saharan Africa: Report From Nigeria.Advances in radiation oncology · 2026Article
- Facilitators and barriers of public-private partnerships for universal health coverage in sub-Saharan Africa: a scoping review.Health policy and planning · 2026Article
- A mixed methods protocol for a framework to improve access to radiotherapy services for cancer patients in Gauteng Province, South Africa.BMC health services research · 2025Article
- Feasibility and Safety of Implementing Volumetric Arc Therapy (VMAT) for Pediatric Craniospinal Irradiation in a Low-Middle-Income Region: The Nigerian Experience.Advances in radiation oncology · 2024Article
- The Landscape of Pediatric Radiation Oncology in Nigeria.JCO global oncology · 2024Review
- Status of Government-Funded Radiotherapy Services in Nigeria.JCO global oncology · 2023Article
- Improving Access to Radiation Therapy Globally To Meet World Health Organization Goals To Eliminate Cervical Cancer.International journal of radiation oncology, biology, physics · 2023Article
- Access to Radiation Therapy: From Local to Global and Equality to Equity.JCO global oncology · 2022Review
Corrections and comments
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Authors and funding
17 authors.
Funding
Abstract
purposeRadiotherapy (RT) treatment at public hospitals in Nigeria is often interrupted by prolonged periods of machine breakdown because of insufficient funds for maintenance and repair. These delays have prompted the uptake of public-private partnerships (PPPs) to acquire and maintain RT equipment. This study aimed to understand Nigeria's current RT capacity and the impact of PPPs on RT availability and cost.
methodsEleven radiation oncologists, each representing one of the 11 RT centers in Nigeria (eight public and three private), were invited to complete a survey on the type, status, acquisition, and maintenance plan of existing RT equipment, cost incurred by patients for external-beam radiation (EBRT) and brachytherapy treatment, and number of patients treated per year on each machine. Type and status of equipment at nonresponding facilities were obtained through literature review and confirmed with the facility.
resultsA total of eight (81%) respondents completed the survey, all representing public centers, three of which reported PPP use. They reported 11 megavoltage units in total (seven linear accelerators [LINACs] and four Cobalt-60s) and 10 brachytherapy afterloaders. Of those, 57% (4/7) of the LINACs, 100% (4/4) of the Cobalt-60s, and 63% (7/11) of the afterloaders were in clinical use. All commissioned equipment supported by PPPs (three LINACs and one afterloader) were in operation. The public EBRT equipment were nonfunctional 35% of the year (resulting in 60% fewer patients treated per year). The PPP EBRT and afterloaders did not experience any periods of breakdown, but PPP costs were 338% higher than public equipment.
conclusionThis study characterizes the use of PPP as a more reliable method of RT delivery in Nigeria, albeit at higher costs.
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