Authors : Govondandi Lakreo Y.; Shalom Boukar M.; Boukar M.; Mbozo'o Mvondo S.; Mangsou Y.; Goultonga Gapili F.; Moifo B.

Volume/Issue : Volume 11 - 2026, Issue 9 - September

Google Scholar : https://tinyurl.com/ms7vz3bt

DOI : https://doi.org/10.38124/ijisrt/26sep1342

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Chad enters the epidemiological transition with one of the most constrained health care systems in the world. This synthesis gathers the published data available on the cancer burden and on the country’s hospital capacity for diagnosis and treatment. IARC Globocan estimates put the burden at 18,655 new cases and 12,047 deaths per year, a mortality-to-incidence ratio of about 65 %, dominated by prostate (3,340 cases), breast (3,103), cervical (2,348) and liver (2,064) cancers. In contrast, the National Health Policy 2016-2030 documents 2.74 core health professionals per 10,000 inhabitants against a WHO benchmark of 23, 0.96 health facility per 10,000 and 3 hospital beds per 10,000; the country has no radiotherapy unit, and the national cancer registry launched with WHO support in August 2021 recorded only about 300 annual diagnoses in N’Djamena before its creation, indicating massive underdiagnosis. The article confronts these two data series, describes the actual capacity of N’Djamena’s referral hospitals, including the first interventional radiology days held in 2025, and proposes a five-track roadmap: registry, imaging and radiation protection under Law No. 006/PR/2009, pathology, a first oncology platform, and financial protection against medical evacuations. Detailed methodological analyses are published separately [1-4].

Keywords : Cancer; Chad; Globocan; Cancer Registry; Radiology; Radiotherapy; Health System; Sub-Saharan Africa.

References :

1. Boukar Michel, Govondandi Lakreo Y., Boukar Michel S. Assessment of Radiological and Industrial Risks in Sahelian Occupational Settings: Methodological Framework, Indicators and Application to Naturally Occurring Radioactive Material in Chad. Submitted, 2026.
2. Govondandi Lakreo Y., Boukar Michel S., Boukar Michel. Radiation Protection in Medical Radiology in a Sub-Saharan African Referral Hospital: Principles, Room Audit and Staff Dosimetry in N’Djamena. Submitted, 2026.
3. Boukar Michel S., Boukar Michel, Govondandi Lakreo Y. Health Effects of Ionising Radiation in Vulnerable Persons: Pregnancy, Thyroid, Fertility and Bone Tissue. Submitted, 2026.
4. Boukar Michel, Boukar Michel S., Govondandi Lakreo Y. Electromagnetic Fields of Mobile Networks, from 4G to 5G, and Population Health. Submitted, 2026.
5. International Agency for Research on Cancer. Globocan, Chad fact sheet, Global Cancer Observatory. Lyon: IARC/WHO. https://gco.iarc.who.int
6. Ministry of Public Health of Chad. National Health Policy 2016-2030. N’Djamena, March 2016 (in French).
7. Republic of Chad. Law No. 006/PR/2009 on radiological safety and nuclear security. N’Djamena, 2009 (in French).
8. World Health Organization, Regional Office for Africa. WHO supports the official launch of the cancer registry in Chad. Brazzaville, 2021. https://www.afro.who.int
9. World Health Organization, Chad Country Office. Biennial Report 2022-2023. N’Djamena: WHO, 2024.
10. National General Referral Hospital (Chad), institutional notice. https://fr.wikipedia.org/wiki/Hôpital_général_de_référence_nationale_(Tchad)
11. Portail de la Renaissance du Tchad. A first in Chad: launch of the interventional radiology days in N’Djamena; and FairEmbo mission to Chad, August 2025. https://portail.td; https://fairembo.fr
12. Agence Ecofin. Idriss Déby inaugurates the La Renaissance Hospital, funded by Chad at 48.7 million euros (34 billion CFA francs), December 2013.
13. International Atomic Energy Agency. Directory of Radiotherapy Centres (DIRAC). Vienna: IAEA. https://dirac.iaea.org