Gynecologic oncology fellowship in Indonesia Repository

Gynecologic oncology fellowship in Indonesia

Brahmana Askandar (2020) Gynecologic oncology fellowship in Indonesia. International Journal of Gynecological Cancer. pp. 1-2. ISSN 15251438

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Official URL: https://ijgc.bmj.com/content/early/2021/01/13/ijgc...

Abstract

ndonesia is the fourth most populous country globally, with a population of about 270 million according to a World Bank report published in 2019. The country consists of approximately 17 000 islands, and it is difficult to centralize gynecologic cancer treatment. In many areas, the infrastructure is not well developed, making it difficult to refer patients with gynecologic cancer from villages or small cities to tertiary hospitals. Moreover, the socioeconomic condition of patients, such as the lack of money to cover transportation and expenses for daily living needs, prevents them from accessing tertiary hospital in large cities despite a referral. Cervical cancer is the most significant gynecological cancer in Indonesia, followed by ovarian and endometrial cancers. Most patients with cervical cancer are diagnosed at an advanced stage and require radiotherapy. Limited radiotherapy centers have worsened the prognosis of cervical cancer in Indonesia. In 2018, there were only 44 radiotherapy centers in Indonesia with 66 machines in total (49 linear accelerators, 16 cobalt, and one tomotherapy system). Radiotherapy is available in only 15 of 34 provinces in Indonesia. One of the main problems of gynecologic cancer treatment in Indonesia is the number of gynecologic oncologists. As of 2020, there were only 109 gynecologic oncologists in Indonesia distributed unevenly across the country; most were based on Java Island. The population of Java Island is about 124 million with 66 gynecologic oncologists in total, of whom 25 are in Jakarta, Indonesia’s capital. Nine provinces do not have gynecological oncologists. Eastern Indonesia has a population of approximately 40 million people and has only 14 gynecologic oncologists.

Item Type:

Article

Uncontrolled Keywords:

Gynecologic oncology, fellowship

Subjects:

R Medicine > R Medicine (General)
R Medicine > RG Gynecology and obstetrics

Divisions:

01. Fakultas Kedokteran > Ilmu Kebidanan dan Kandungan

Creators: