In each hospital, the unit of pediatric oncology known as "Pilot Unit" is responsible for the care of children with cancer

The GFAOP is a network of 20 "pilot units" of pediatric oncology in 16 countries of French-speaking Africa. 6 units are in the Maghreb: Algeria, Morocco (4) and Tunisia. 14 units are in Sub-Saharan Africa: Burkina Faso, Cameroon, Ivory Coast, Gabon, Guinea Conakry, Centrafrican Republic, RDC Congo (2), Mali, Mauritania, Madagascar, Niger, Senegal and Togo. Congo Brazzaville is in the process of establishing a pilot unit, other countries are expected to join the GFAOP such as Benin, Chad and Burundi. Satellite units are expected to open in remote areas in several member countries. The total cost (excluding salaries) of the treatment of a child cancer in sub-Saharan Africa is considered to be around 2,000 dollars. This cost includes anti-cancer drugs for 1000 dollars (antibiotics, antimitotics, blood tests and small equipment), surgery for the other half. It should be noted that the number of cases treated according to the GFAOP protocols represents only about 60% of children admitted to the pediatric oncology services.

enfants regardant la télévision dans un hôpital

ALGERIA

Accession to the GFAOP in 2000

Pr Anissa TRABZI (trabzi_anissa@yahoo.fr)
Dr Nacira Chérif (naciracherif@hotmail.com)
- Beni Messous Centre, Pediatric ward B, Alger
- Pierre and Marie Curie Centre, Alger

The unit offers several treatment centers in Algiers and Beni Messous but there are also other possibilities for treating childhood cancers in the country.

Country facts : 2 400 000 Km2, 40 millions inhabitants, PIB/hab : 5 484 $, Health expenses/hab : 362 $ (6,6 %). 28,7% <15 ans, 1 200 to 1 300 new cancers/an for les <15 ans (1 350 to 1 450 in 2025).*

Cases reported by units in 2016: 272 treated / 79 under GFAOP protocoles / 0 registered by data managers

around d'une table

BURKINA FASO

Accession to the GFAOP in 2005

Pr Olga LOMPO (olgalompo@yahoo.fr)
Dr Chantal BOUDA (cgbouda@yahoo.fr)
- Yalgado Ouédraogo hospital, Ouagadougou
Dr Sonia KABORET (kawajo200046@gmail.com)
- Charles de Gaulle hospital, Ouagadougou

The unit is spread out over 2 centres.

Country facts : 274 000 Km2, 18,3 millions inhabitants. PIB/hab : 713 $, Health expenses/hab : 35 $ (4,9 %). Ouagadougou (1,6 million hab). 45,4% <15 ans, 650 to 750 new cancers/an for <15 ans (850 to 950 in 2025).*

Cases reported by units in 2016: 189 treated / 138 under GFAOP protocoles / 204 registered by data managers

Partner NGOs : ACCIB and Flamme d’Espoir

medical team around a family

CAMEROON

Accession to the GFAOP in 2000

Dr Angèle PONDY (pondyangele@yahoo.fr)
- Centre Mère and Enfant of the Chantal Biya Foundation, Yaoundé

Country facts : 475 000 Km2, 23,8 millions inhabitants. PIB/hab:1407$, Health expenses/hab : 59 $ (4,2 %). 42,9% <15 ans, 850 to 950 new cancers/an for <15 ans (1050 to 1 150 in 2025).*

Cases reported by units in 2016: 124 treated / 57 under GFAOP protocoles / 124 registered by data managers

Partner NGO : Caritas

Waiting room in Centrafrica

CENTRAFRICAN REPUBLIC

Accession to the GFAOP in 2015, fonctionnelle en 2016
Dr Jess Elio Kosh Comba (koshkomba@gmail.com)
- Pediatric Complexe in Bangui

Country facts : 623 000 Km2, 5,4 millions inhabitants. PIB/hab : 358 $, Health expenses/hab : 16 $ (4,5 %). Bangui (800 000 habitants). 40,6% <15 ans, 160 to 200 new cancers/an for <15 ans (200 to 260 in 2025).*

Cases reported by units in 2016: 42 treated / 30 under GFAOP protocoles / 0 registered by data managers

Partner NGO : Bout-Dilat

meeting in Congo pilot unit

CONGO RDC

Accession to the GFAOP in 2009

Dr Robert LUKAMBA (robert.lukamba@gfaop.org)
- University clinics of Lubumbashi

Country facts : 2,345 million Km2, 79,4 millions inhabitants. PIB/hab : 442 $, Health expenses/hab : 12 $ (2,7%). 43,1% <15 ans, 2 500 to 3 000 new cancers/an for <15 ans (3 250 to 3 900 in 2025).*

Cases reported by units in 2016: 44 treated / 25 under GFAOP protocoles / 47 registered by data managers

Partner NGO : Gabriella Pour la Vue

Their movie : https://youtu.be/u9A4gZf7hk8

réunion dans les locaux au Congo

CONGO KINSHASA

Accession to the GFAOP in 2015, opening in 2016

Pr Jean Lambert Gini (giniehungu@gmail.com)
Dr Aleine Budiongo (albudiongo@gmail.com)
- University clinics of Kinshasa

Country facts : 2,345 million Km2, 79,4 millions inhabitants. PIB/hab : 442 $, Health expenses/hab : 12 $ (2,7%). 43,1% <15 ans, 2 500 to 3 000 new cancers/an for <15 ans (3 250 to 3 900 in 2025).*

Cases reported by units in 2016: 59 treated / 41 under GFAOP protocoles / 0 registered by data managers

Partner NGO : Les Jeannots

Abidjan hospital

IVOIRY COAST

Accession to the GFAOP in 2004

Dr Line COUITCHERE (line.couitchere@gmail.com)
Dr Jean Jacques ATTEBY YAO (attebyjj@yahoo.fr)
- Treichville hospital, Abidjan

Country facts : 322000Km2 , 23,3 millions inhabitants. PIB/hab:1545$, Health expenses/hab : 88 $ (5,6 %). Abidjan (4,7 million hab). 38,4% <15 ans, 700 to 800 new cancers/an for <15 ans (900 to 1 000 in 2025).*

Cases reported by units in 2016: 226 treated / 83 under GFAOP protocoles / 124 registered by data managers

Partner NGOs : Soleterre, AEC

Their movie : https://youtu.be/fRymui0Svd8

l'hopital d'Abidjan

GUINEA CONAKRY

Accession to the GFAOP in 2013, opening in 2017

Pr Mamadou PATHÉ Diallo (bapathediallo@yahoo.fr)
- University hospital, Donka

Country facts : 246 000 Km2 , 11,8 millions inhabitants. PIB/hab : 539 $, Health expenses/hab : 30 $ (5,5 %). 42% <15 ans, 375 to 425 new cancers/an for <15 ans (475 to 525 in 2025).*

l'entree de l'hopital

MADAGASCAR

Accession to the GFAOP in 2004


Dr Mbola RAKATOMAHOFENA (mahefambola@yahoo.fr)
Dr Sylvia Randriamihoatra (rsylv@moov.mg)
Dr Joaly Rasolofo (rasolofojoaly@gmail.com)

- HJRA (Joseph Ravoa- hangy Andrianavalona Hospital)
- HJRB (Joseph Raseta Befelatanana Hospital)
- HUMET (University Hospital Mère Enfant in Tsaralalana)

Country facts : 587 000 km2, 23,8 millions inhabitants. PIB/hab : 450 $, Health expenses/hab : 14 $ (3%). Antananarivo (2,2 millions hab). 40,7% <15ans, 750 to 850 new cancers/an for <15 ans (950 to 1 050 in 2025).*

Cases reported by units in 2016: 90 treated / 44 under GFAOP protocoles / 6 registered by data managers

Partner NGO : ANYMA

women and children in the waiting room

MALI

Accession to the GFAOP in 2005

Pr Boubacar TOGO (togoboubacar2000@yahoo.fr)
Dr Fousseyni TRAORE (drfousseynitraore@gmail.com)
- Gabriel Touré Hospital, Bamako

Country facts : 1,240 million Km2, 17 millions inhabitants, Bamako (3 millions hab). PIB/hab : 704 $, Health expenses/hab : 48$ (6,8%). 47,6% < 15ans, 600 to 700 new cancers/an for <15 ans (800 to 900 in 2025).*

Cases reported by units in 2016: 128 treated / 101 under GFAOP protocoles / 94 registered by data managers

Partner NGOs : AMSCID and AMSEC

perfusion in the room

MAURITANIA

Accession to the GFAOP in 2011

Dr Bénina ZEIN (ekhtelbenina@gmail.com)
- National Hospital Center, Nouakchott

Country facts : 1,026 million Km2 and 3,6 millions inhabitants. PIB/hab : 1 275 $, Health expenses/hab : 49 $ (3,8 %). Nouakchott : 800 000. 39,5% <15 ans, 110 to 130 new cancers/an for <15 ans (140 to 170 in 2025).*

Cases reported by units in 2016: 48 treated / 21 under GFAOP protocoles / 27 registered by data managers

coach in the waiting room

MOROCCO

CASABLANCA


Pr Abdellah MADANI (madani.hemato@gmail.com)
- Casablanca hospital (MHamed), Cheikh Khalifa Hospital

Cases reported by units in 2016: 162 treated / 78 under GFAOP protocoles / 0 registered by data managers

children's playground

RABAT


Pr Mhammed KHATTAB (khattabmoh@yahoo.fr)
Dr Laïla HESSISSEN (laila_hsn@yahoo.fr)
- Children hospital of Rabat

Cases reported by units in 2016: 273 treated / 123 under GFAOP protocoles / 0 registered by data managers

Team offices

MARRAKECH


Professeur Jamila ELHOUDZI (jelhoudzi@gmail.com)
- Mohammed VI Hospital

Cases reported by units in 2016: 104 treated / 50 under GFAOP protocoles / 0 registered by data managers

les bureaux de l'équipe soignante

FÈS


Dr Sarra Benmiloud (benmiloudsarra@yahoo.fr)
-Hassan II Hospital

Cases reported by units in 2016: 125 treated / 66 under GFAOP protocoles / 0 registered by data managers

l'entree de l'hopital

NIGER

Accession to the GFAOP in 2015, opening in 2016
Pr ALI MAZOU Hassane (dr_alimazou@yahoo.fr)
Dr ADAMOU BOUBACAR Sahadatou (labosahadatou@yahoo.fr)
- National Hospital of Niamey

Country facts : 1,267 million Km2 and 18 millions inhabitants. PIB/hab : 427 $, Health expenses/hab : 24 $ (5,6 %). 49,8% <15 ans, 650 to 750 new cancers/an for <15 ans (900 to 1 000 in 2025).*

Cases reported by units in 2016: 98 treated / 49 under GFAOP protocoles / 89 registered by data managers

Partner NGOs : APSA, Association pour la santé en Afrique, CONIF

Their movie : https://youtu.be/f5xxR0yytJw

l'équipe soignante au complet

SENEGAL

Accession to the GFAOP in 2000

Pr Claude MOREIRA (drcmoreira@gmail.com)
Dr Fatou Binétou DIAGNE (fabakonde@gmail.com)
- Aristide le Dantec Hospital, Dakar

Country facts : 197 000 Km2 and 14 millions inhabitants. PIB/hab : 1 067 $, Health expenses/hab : 50 $ (4,7 %). Dakar (3 millions dans la métropole). 42,5% <15 ans, 550 to 650 nouveaux cas de cancers/an for <15 ans (700 to 800 in 2025).*

Cases reported by units in 2016: 189 treated / 115 under GFAOP protocoles / 133 registered by data managers

Partner NGOs : Association En-Vie, Association Lueur d’Espoir, Association Soleterre, Fondation Anne-Marie Dione, Fondation Total Sénégal

Their movie directed by the Cognac Jay Foundation : https://www.facebook.com/solidarum/videos/1632154573744079/

l'équipe soignante nous accueillant

TOGO

Accession to the GFAOP in 2009
Pr Adama GDABOE (adgbadoe@yahoo.fr)
Dr Jules GUÉDÉNON (julesblack@yahoo.fr)

- Sylvanus Olympio Hospital, Lomé

Country facts: 56600Km2 and 7,5 millions inhabitants. PIB/hab:635$, Health expenses/hab : 34 $ (5,3 %). Lomé (1 million hab). 40,7% <15 ans, 260 to 340 new cancers/an for <15 ans (340 to 440 in 2025).*

Cases reported by units in 2016: 45 treated / 31 under GFAOP protocoles / 0 registered by data managers

Partner NGO : Victoir

jeune enfant debout face au lit

TUNISIA

Accession to the GFAOP in 2000

Pr Siham BARSAOUI (barsaoui.sihem@rns.tn)
Pr Fatem Fedhila (faten.fedhila@rns.tn)
- Children Hospital of Tunis

Country facts : 164 000 Km2, 11 millions inhabitants, PIB/hab : 4 420 $, Health expenses/hab : 305 $ (6,9 %). 23% <15 ans, 275 to 350 new cancers/an for <15 ans (310 to 390 in 2025).*

Cases reported by units in 2016: 62 treated / 25 under GFAOP protocoles / 47 registered by data managers

Partner NGO : Victoir

jeune enfant debout face au lit

GABON

Accessing to the GFAOP, opening soon!

Dr Ghislaine OBONO (ghisob@yahoo.fr)
Pr Simon ATEGBO chef de la Pédiatrie
- Angondjé Hospital in Libreville

Country facts : 268 000 Km2, 1,7 millions inhabitants, 60 to 80 new cancers/an for <15 ans (80 to 110 in 2025).*

Despite the significant work of the GFAOP teams, only 10% to 15% of children with cancer reach one of the existing pediatric oncology units due to :

Treated Children

We have been collecting data since 2001 and it is essential to improve knowledge of the frequency of pediatric cancers in the pilot units in order to improve the evaluation of protocol efficiency. Through the training of Clinical Research Associates, each unit is required to register patients in a common software; it is on the basis of this information that new clinical research projects can be carried out in order to improve the treatment protocols. It should be noted that this new data recording requires a technical adaptation of the different units, which explains the difference between reported cases and registered cases, as some countries were unable to record their data.

African Unit Declared cases according GFAOP's protocole Declared cases outside GFAOP's protocole Total Total of registered cases in 2016 Drugs sent in 2016
Dakar 115 74 189 133 36,523 €
Abidjan 83 143 226 64 18,849 €
Yaoundé 57 67 124 124 15,859 €
Bamako 101 27 128 94 29,310 €
Ouagadougou 138 51 189 204 23,205 €
Lomé 31 14 45 0 6,970 €
Lubumbashi 25 19 44 47 5,364 €
Tananarive 44 46 90 6 12,180 €
Nouakchott 21 27 48 27 0 €
Brazzaville 35 18 53 0 6,910 €
Conakry 21 10 31 0 2,807 €
Niamey 49 49 98 89 4,629 €
Bangui 30 12 42 0 4,424 €
Kinshasa 41 18 59 0 2,488 €
Total 2016 791 575 1366 788 169,518 €
Reminder Total 2015 737 510 1247 0 184,538 €
Reminder Total 2014 720 477 1197 0 177,664 €
Reminder Total 2013 656 417 1073 0 144,731 €
Maghreb Unit Declared cases according GFAOP's protocole Declared cases outside GFAOP's protocole Total Total of registered cases in 2016
Tunis 25 37 62 47
Beni-Messous 57 67 124 0
Alger CPMC 22 126 148 0
Casablanca 78 84 162 0
Rabat 123 150 273 0
Marrakech 50 54 104 0
Fès 66 59 125 0
Total 2016 421 577 998 47
Reminder Total 2015 445 528 973 0
Reminder Total 2014 373 599 972 0
Reminder Total 2013 365 528 893 0

Needs are still considerate

Yet, one knows that cure rate can reach 80%, under some conditions :

  • Early diagnosis of cancer
  • Fast access to a competent team
  • Initial assessment and initiation of the treatment made within a short timeframe
  • Treatment, often long, completed with post-treatment surveillance, which implies support from families, development of relays near the home and support for the most vulnerable ones

To meet these needs the project to accelerate the provision of effective structures in French-speaking sub-Saharan Africa is suggested, with an overall objective of enabling effective management of :

  • At least 30% of children (or about 3,500 new cases / year) in sub-Saharan Africa with cancer by 2020.
  • At least 60% (about 7 000 cases / year) in 2025.

contact@gfaop.org | +33(0)1 42 11 65 60

GFAOP - Gustave Roussy - 114, rue Edouard Vaillant 94805 Villejuif Cedex - France
Cancer Campus Gustave Roussy