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THANK YOU! Dr Ibtihal Fadhil Regional Adviser, Noncommunicable Diseases, WHO/EMRO Contents Marrakech, Morocco, 18-19 June 2010 ✓ 1 Global burden of cancer 2 Regional burden of cancer 3 Regional challenges in cancer prevention and control 4 Cancer control strategy and framework for country action 5 Recommendations 1. Cancer control strategy Cancer control strategy and framework for country action • 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. 2. Objectives of the strategy Cancer control strategy and framework for country action • Promote national cancer control planning among Member States; • Strengthen cancer prevention, early detection and management; • Promote mobilization of resources; • Strengthen cancer registration and promote cancer research. 3. The regional alliance against cancer Cancer 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. 4. Targets Cancer control strategy and framework for country action By end of 2013 • 30% of Member States will have developed adequately resources cancer control plans with measurable targets to demonstrate impact; • At least 75% of Member States will be equipped with cancer registries and trained staff; • 50% of Member States will have core staff trained on palliative care. Cancer control strategy and framework for country action Seven approaches for the regional framework for country action: • Under each of the seven approaches, there are sets of actions for Member States Approach 1 7 approaches for the regional framework for country action 1 Establish and strengthen comprehensive national cancer control plans, policies, legislation and regulation • 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. ii. iii. iv. v. vi. prevention; screening; diagnosis and treatment; palliative care; registries; and research Approach 2 7 approaches for the regional framework for country action 2 Assess magnitude of the problem and country priorities • 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 3 7 approaches for the regional framework for country action 3 Advocate for cancer control • 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 4 7 approaches for the regional framework for country action 4 Develop the required mechanisms for implementation of national plan • 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 5 7 approaches for the regional framework for country action 5 Strengthen primary prevention and early detection of cancer (prevent what's preventable)* support integration of cancer prevention and early detection programs into primary health care WHO FCTC 6 proven measures Diet and physical activity and health strategy Promote early detection and screening *in accordance with national priorities and resources Strengthen cancer-related immunization programmes Approach 6 7 approaches for the regional framework for country action 6 Improve cancer management, reduce pain and improve quality of life • 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 7 7 approaches for the regional framework for country action 7 Support cancer surveillance and research • 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. Contents Marrakech, Morocco, 18-19 June 2010 ✓ 1 Global burden of cancer 2 Regional burden of cancer 3 Regional challenges in cancer prevention and control 4 Cancer control strategy and framework for country action 5 Recommendations Recommendations • 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. THANK YOU!