CHILD CANCER – SOLOMON ISLANDS REPRESENTATVIES: CAROL TITIULU & JANELLA SOLOMON.
overveiw Population: 500,000 + Young population structure.
ADMISSIONS Total admission: 2004 ( neonatal admissions 800) Leading causes of admissions: - malnutrition - pneumonia - diarrohea Children cancer: 27 ( 4 deaths) Common: leukaemias( common), lymphoma, wilms, CNS
STRENGTHS Hematology Pathologist, FNAB, bone marrow aspiration/biopsies Arrangement for confirmation of diagnosis( specimen send to Queensland laboratory for confirmation Protocol ( same as PNGs) Cancer registry ( together with adults)
WEAKNESSES Delay in confirmation of diagnosis. Availability of chemotherapy drugs Disposal problem. No separate isolation rooms Human resources- no ownership, not trained
Delay presentations (sea transport- main)
PATIENT REFERRAL PATHWAY. National Referral Hospital ( looked after by doctors, specialists, clinical nurse consultant) Provincial Hospital ( looked after by a general doctor, usually medical registrar) Area health center ( looked after by cliniccal nurse registered nurse, nurse aide Rural health center ( looked after by registered nurse) AIDE POST Looked after by nurse aide National Referral Hospital ( looked after by doctors, specialists, clinical nurse consultant) Provincial Hospital ( looked after by a general doctor, usually medical registrar) Area health center ( looked after by cliniccal nurse registered nurse, nurse aide Rural health center ( looked after by registered nurse) AIDE POST Looked after by nurse aide
Way forward collaborations Twinning Attending the conference is the starting of this networking.
THANK YOU.