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. Author manuscript; available in PMC: 2021 Dec 16.
Published in final edited form as: Lancet Oncol. 2021 Sep;22(9):e391–e399. doi: 10.1016/S1470-2045(21)00351-X

Table 3:

Country megavoltage machine status, and current and projected needs per cancer incidence

Cancer cases (2018) Projected cancer cases (2020) Supply of megavoltage units (2020) Megavoltage units per 1000 cancer cases (2020) Demand for megavoltage units (2020) Projected cancer cases (2030) Demand for megavoltage units (2030)
Northern Africa
Algeria 53 076 56 670 53 0·94 72 76 784 98
Egypt 128 892 136 434 119 0·87 174 183 039 234
Libya 6308 6778 6 0·74 8 9744 12
Morocco 52 783 56 115 49 0·87 71 74 323 95
Sudan 25 746 27 411 8 0·29 35 37 470 48
Tunisia 15 894 16 698 23 1·38 21 21 506 27
Western Africa
Benin 8036 8585 0 0 11 12 055 15
Burkina Faso 11 643 12 451 0 0 16 17 806 23
Cape Verde 641 666 0 0 1 903 1
Côte d’Ivoire 14 484 15 298 2 0·13 19 20 581 26
The Gambia 705 753 0 0 1 20 581 1
Ghana 22 823 24 178 5 0·21 31 33 232 42
Guinea 7274 7707 0 0 10 10 641 13
Guinea-Bissau 1037 1101 0 0 1 1520 2
Liberia 2808 2991 0 0 4 4181 5
Mali 13 114 13 926 1 0·07 18 19 431 25
Mauritania 2733 2935 2 0·68 4 4166 5
Niger 8674 9324 0 0 12 13 468 17
Nigeria 115 950 122 728 10 0·08 157 165 466 211
Senegal 10 549 11 260 4 0·36 14 16 002 20
Sierra Leone 4125 4354 0 0 5 5855 7
Togo 4745 5068 0 0 6 7076 9
Central Africa
Angola 15 949 17 263 5 0·29 22 25 562 33
Cameroon 15 769 16 776 1 0·06 21 23 390 30
Central African Republic 2618 2711 0 0 3 3522 4
Chad 7491 7990 0 0 10 11 220 14
Congo (Brazzaville) 2415 2584 0 0 3 3706 5
DR Congo 48 980 52 400 0 0 67 74 110 95
Equatorial Guinea 787 830 0 0 1 1116 2
Gabon 1677 1768 2 1·13 2 2427 3
São Tomé and Príncipe 118 128 0 0 1 181 1
Eastern Africa
Burundi 8682 9312 0 0 12 13 247 17
Comoros 510 541 0 0 1 748 1
Djibouti 674 717 0 0 1 970 1
Eritrea 3144 3327 0 0 4 4557 6
Ethiopia 67 573 72 249 2 0·01 92 10 1351 129
Kenya 47 887 51 905 13 0·25 66 77 894 99
Madagascar 18 074 19 393 2 0·10 25 27 682 35
Malawi 19 767 21 209 0 0 27 30 390 39
Mauritius 2861 3007 3 1·00 4 3714 5
Mozambique 25 631 27 295 1 0·04 35 37 568 48
Rwanda 10 704 11 521 2 0·17 15 16 625 21
Seychelles ·· ·· 0 0 ·· ·· ··
Somalia 9942 10 582 0 0 14 14 589 21
South Sudan 9398 9989 0 0 13 13 530 19
Tanzania 42 060 45 061 7 0·16 58 64 558 83
Uganda 32 617 35 140 1 0·03 45 51 944 66
Zambia 12 052 12 932 3 0·23 17 18 789 24
Zimbabwe 17 465 18 536 7 0·38 24 25 725 33
Southern Africa
Botswana 1953 2080 1 0·48 3 2841 4
Eswatini 1074 1136 0 0 1 1522 2
Lesotho 1888 1937 0 0 2 2326 3
Namibia 2200 2337 2 0·86 3 3210 4
South Africa 107 467 112 499 97 0·86 144 142 477 182