THANK YOU!

Regional Adviser, Noncommunicable Diseases, WHO/EMRO

Dr Ibtihal Fadhil

Strategy for cancer prevention andcontrol in the Eastern Mediterranean

Region 2009-2013

Marrakech, Morocco, 18-19 June 2010Contents

Global burden of cancer

Recommendations

Regional challenges in cancer prevention and control

Regional burden of cancer

Cancer control strategy and framework for country action

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• Building on the WHA and RC resolution, the regional cancer control strategy has been developed with Member States through two regional consultation processes and inter country meetings;

• This strategy comprises seven building blocks which were taken together would help in developing a comprehensive cancer control programme in Member States.

1. Cancer control strategyCancer control strategy and framework for country action

• Promote national cancer control planningamong Member States;

• Strengthen cancer prevention, early detectionand management;

• Promote mobilization of resources;• Strengthen cancer registration and promote

cancer research.

2. Objectives of the strategyCancer control strategy and framework for country action

• EMRO, together with, Princess Lalla Salma association against cancer signed a collaborative agreement.

• The regional alliance against cancer was created in 2007.

• The alliance is consistent with the regional strategy for cancer prevention and control.

3. The regional alliance against cancerCancer control strategy and framework for country action

• 30% of Member States will have developed adequately resources cancer control plans with measurable targets to demonstrate impact;

• At least 75% of Member Stateswill be equipped with cancer registries and trained staff;

• 50% of Member Stateswill have core staff trainedon palliative care.

4. TargetsCancer control strategy and framework for country action

By end of 2013By end of 2013

Seven approaches for the regional framework for country action:

• Under each of the seven approaches, there are sets of actions for Member States

Cancer control strategy and framework for country action

• Establish/ reactivate a national cancer control committee headed by a prominent high-level person.

• Develop national cancer control plans or update existing plans, to include an integrated set of activities covering six core areas:i. prevention;

ii. screening;

iii. diagnosis and treatment;

iv. palliative care;

v. registries; and

vi. research

Approach 17 approaches for the regional framework for country action

Establish and strengthen comprehensive national cancer control plans, policies, legislation and regulation

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• Assess the magnitude of the problem and pattern of cancer.

• Assess national capacity in:– Financial

– Human resources

– Diagnostic and treatment facilities

– Medications

– Equity and accessibility

– Cancer registry and database

– NGOs (presence and strength)

– Research availability and capacity

Approach 27 approaches for the regional framework for country action

Assess magnitude of the problem and country priorities2

• Design and implement an advocacy campaign. • To mobilize political support for the national action plan for

cancer prevention and control through the mass media, involving community and religious leaders and prominent personalities.

• Advocate to mobilize resources.• Advocate for necessary legislation and regulations to

reduce exposure to risk factors.

Approach 37 approaches for the regional framework for country action

Advocate for cancer control3

• Develop capacity and infrastructure – Human resources at primary, secondary and tertiary levels– Training resources– Financial resources– Health system capacity (equipments, technology)

• Develop supportive activities:– Coordinate efforts of all stakeholders– Mobilize resources– Involve community at all stages of development– Establish a national network

• Develop the monitoring and evaluation system

Approach 47 approaches for the regional framework for country action

Develop the required mechanisms for implementation of national plan

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Approach 57 approaches for the regional framework for country action

Strengthen primary prevention and early detection of cancer (prevent what's preventable)*

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Diet and physical activity and

health strategy

WHO FCTC6 proven measures

Strengthen

cancer-related immunization

programmes

Promote early detection and

screening

support integration of cancer prevention and

early detection programs into primary

health care

*in accordance with national priorities and resources

• Improve access to coordinated diagnosis & treatment services;

• Increase human resources skills and technology for diagnosis and treatment of cancer;

• Develop primary and community based palliative care programmes:

– to increase access to pain reducing medicines;– to increase access to psychosocial and spiritual support for

patient and families.

Approach 67 approaches for the regional framework for country action

Improve cancer management, reduce pain and improve quality of life

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• Develop / strengthen cancer registries, surveillance and database;

• Promote research;• Identify research priorities; • Utilize collaborating centres and research network;• Identify knowledge, gaps and evaluate strategies;• Share research findings.

Approach 77 approaches for the regional framework for country action

Support cancer surveillance and research7

Marrakech, Morocco, 18-19 June 2010Contents

Global burden of cancer

Recommendations

Regional challenges in cancer prevention and control

Regional burden of cancer

Cancer control strategy and framework for country action

1

2

3

4

5✓

• Establish national cancer control committee. • Develop/ review and finalize the national cancer control

plan in line with the regional cancer control strategy.• Adapt the regional strategy for cancer control according

to identified national needs ,resources and priorities.• Assess national resources for cancer control guided by

WHO tools.• Develop a monitoring and evaluation system.

Recommendations

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