Fufa, DiribaAttia, AsmaaSalifu, NihadReddy, KershineeRashad, HannaAbdelaziz, RihamAdam, HaileyesusAmoda, FaizanaBhattachyya, ArpitaChirande, LuluDu Plessis, JanGeel, JenniferKaspers, GertjanMaciel, KalineDinkiye, Ali MamudeMoulik, RoyNaidu, GitaNamazi, RuthNeethling, Beverley G.Njuguna, FestusRenner, LornaReynders, DavidScanlan, TrishThomas, KarlaVan Zyl, AnelVik, TerryYimer, Mulugeta AyalewHessissen, LailaOmotola, AyoFox Irwin, LeeannaMikkelsen, MargitNaradasu, SrikanthBalagadde-Kambugu, JoyceDavidson, AlanBhakta, NickhillVan Heerden, JaquesMoreira, Daniel C.2025-11-192025-11-192025-07Fufa, D., Attia, A., Salifu, N., et al. Paediatric haematology/ oncology workforce and training programmes for Africa: a regional analysis. BMJ Glob Health 2025; 10: e017502. doi:10.1136/ bmjgh-2024-017502.2059-790810.1136/bmjgh-2024-017502http://hdl.handle.net/2263/105366DATA AVAILABILITY STATEMENT : Data generated during this study are available upon reasonable request and within the determination of ethics clearance and/or data sharing agreements.Graduate medical education programmes in paediatric haematology/oncology (PHO) are necessary to train specialists to provide high-quality care for children and adolescents with cancer and haematologic diseases. In this study, we used the Education Program Assessment Tool (EPAT). The study consisted of three components: (1) mapping the PHO workforce and training programmes in Africa; (2) using the EPAT to evaluate the current PHO programmes in Africa and (3) using a design-thinking approach to develop priority interventions to expand PHO training capacity in Africa through a collaborative co-design process. There were 236 fellowship-trained paediatric haematologists/oncologists in 37 countries in Africa. 17 countries (32%), with a total population of 42 million under 14 years of age, had no paediatric haematologists/oncologists. The continent has an average of 205 new paediatric cancer cases per specialist. 22 PHO training programmes completed the EPAT. The average score was 72% (SD 9%). Programmes showed varying strengths in the elements of comprehensive training, with the highest EPAT scores in experiential learning domains. A priority-setting exercise established interventions to strengthen PHO training in Africa, including a PHO curriculum, a leadership skill development process and a path for the creation of exchange opportunities. The PHO workforce and training capacity are highly variable in Africa. Through international collaboration and a systematic evaluation of workforce density and training programme strengths, alignment on key regional priorities and the creation of a shared model of cooperation to enhance training programmes for Africa can be achieved.enThis is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license.Child healthHealth systemsCancerPaediatric haematology/oncology (PHO)Article