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Pacific Island Child Cancer Regional Conference

Explore the child cancer landscape in Vanuatu with demographic insights, healthcare services, pediatric disease burden, and challenges faced. Learn about opportunities for improvement and international collaboration.

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Pacific Island Child Cancer Regional Conference

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  1. Pacific Island Child Cancer Regional Conference Country Update VANUATU Novotel Hotel, Nadi Dr Annette Garae 1- 2 December 2016 Registrar Vila Central Hospital Port Vila

  2. DEMOGRAPHICS 82 islands within 12,189 km2 Population: estimated now to be 270, 926, (2009 census – 243,000) Growth rate: 2.14% Population < 14 years: 36.11% Capital: Port Vila - 45,000 (19% of the total population)

  3. Health Services • Health Budget – 1.3 – 1.5 billion Vatu • 6 Hospitals • National Referral Hospital – Vila Central Hospital • Others on Santo, Tanna, Ambae, Sola, Norsup • Health Indicators Infant Mortality – 25/ 1000

  4. Medical Workforce

  5. VCH • National Referral Hospital – Based in Port Vila • 150 beds build by the British more than 40 years • Medical Ward - 40 beds • Surgical - 40 beds • Obstetrics – 40 beds • Paediatrics – 20 beds • Tb Ward – 10 beds • Intensive Care – 2 beds • Service Delivery • Ward Services • Emergency, General Outpatients, Special Clinics • Referral Hospital • Basic Imaging Services – Plain X Ray, US • Basic Laboratory Services – Transfusion by Whole Blood or Packed cells

  6. VCH – Paediatric • 20 Paediatric beds + 6 beds SCN • Staff – 3 Locums, 1 Registrars, 4 Interns • 9 Paediatric Nurses, 6 nurses • Average Paediatric admissions per month: • 90 per month, 1000 per year • Average SCN Admissions per month • 15 - 20 per month , 180 - 200 per year • VCH delivers 3000 babies per year

  7. Paediatric Disease Burden • Infectious Diseases • Pneumonia • Gastroenteritis • Meningitis • Immunization • Malnutrition – 30% • High rate of EBF • High fertility rate • Family Situation • Maternal Education • Chronic Diseases • Prematurity • Birth Asphyxia • Neonatal Sepsis • Congenital Abnormalities Paediatric Services Special Care Nursery

  8. Paediatric Cancer in Vila • Average of 5 cases a year ( both medical and surgical cases) • No Audit • Medical – Most commonly Hematology • Surgical – Wilm’s Tumor , Osteosarcoma

  9. Challenges • Competing Health Priorities • Resource Constraint - Human Resource – Nurses Specialists - Infrastructure and Services Laboratory Imaging Medications • Limited Overseas Funding • ‘LATE PRESENTERS’.....therefore most are palliative ...TLC..

  10. Opportunities • New Hospital new year • Specialist Locums • Paediatric Training for Doctors and Nurses • Returning Local Specialists – Paediatric, Pathologist and Radiologist

  11. TANKIU TUMAS

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