{"entity":{"id":"efsth-banjul","kind":"institution","name":"Edward Francis Small Teaching Hospital (EFSTH)","aka":["EFSTH"],"tldr":"The Gambia's teaching hospital in Banjul, where children's cancer services were newly set up in 2022. A study of its first year found most families could not get chemotherapy medicines, and no child had radiotherapy.","summary":"A prospective study by the hospital's paediatric and surgical staff (Health Science Reports 2024) followed 44 children with cancer seen in its paediatric units from November 2022 to October 2023, describing newly established paediatric oncology services: Wilms tumour (27.3%) and leukaemia (25%) were commonest, median time from first symptom to diagnosis was 62.5 days, treatment refusal and abandonment were 20.5% and 13.6%, families of 93.8% could not obtain cytotoxic drugs because of unavailability or cost, and none had platelet transfusion or radiotherapy. The hospital's site lists emergency care, surgery, paediatrics, laboratory services and imaging including CT and MRI. IAEA DIRAC lists no radiotherapy centre in The Gambia.","asOf":"2026-11-11","links":[{"label":"Edward Francis Small Teaching Hospital","url":"https://efsth.gm/"},{"label":"Adegoke et al., childhood cancer in The Gambia, the first year (Health Science Reports 2024)","url":"https://doi.org/10.1002/hsr2.70084"},{"label":"IAEA DIRAC: directory of radiotherapy centres","url":"https://dirac.iaea.org/Data/CountriesLight"}],"tags":[],"related":[],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":["gambia-national-cancer-registry","mca-gambia"],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"city":"Banjul","country":"GM","lat":13.457,"lng":-16.577,"institutionType":"hospital","website":"https://efsth.gm/","programs":["Paediatric oncology (from 2022)","Surgery","Imaging including CT and MRI"]},"route":"/institutions/efsth-banjul/","neighbours":{"institution":[{"id":"mca-gambia","kind":"institution","name":"Medicines Control Agency, The Gambia (MCA)","route":"/institutions/mca-gambia/"},{"id":"gambia-national-cancer-registry","kind":"institution","name":"National Cancer Registry of The Gambia","route":"/institutions/gambia-national-cancer-registry/"}]}}