Download CCPI Update 505.81 kB Posted March 30, 2015, 2:25 pm

Edolem Ikerdeu, CCPI Director, Republic of Palau
57th PIHOA Executive Board meeting
Palau, March 10, 2015
Contents:
 Brief recap of the development of the CCPI and Pacific
Cancer Control Programs & Partners
 Distribution of cancers in the USAPI
 Highlights of the:
 Regional CCC Program
 Regional Cancer Registry
 REACH Community Health Intervention Project
 Success stories (2002-2015)
 CCPI Priorities relevant to PIHOA
 CCPI Officers and Directors
CCPI
 Regional efforts started in 2002 with funding from the National Cancer
Institute. CDC funding since 2004.
 PIHOA Affiliate since 2008
 Two representatives designated by their Senior ranking health official: clinical
and public health
 Should be in a position to positively influence the health systems that impact
prevention and control of cancer
 CCPI oversees all of the Pacific Regional Cancer Programs
 Administered by the University of Hawaii (Palafox, Buenconsejo-Lum & team)
 Regional focus: cross-cutting issues that are necessary to improve jurisdiction
and regional capacity for cancer and NCD control
 Human resources for health development (HRH)
 Surveillance (cancer) and mortality reporting
 Training in certain areas (public health and clinical), including evaluation
 Prevention: policies and messages in congruence with other NCD
 Screening: working to ensure minimum standards
 Treatment: palliative care / survivorship
Cancer Council of the
Pacific Islands
(Advisory Board)
U.S. CCC
National
Partnership
Palau
RMI
Kosrae
Chuuk
Pohnpei
Yap
F
S
M
Pacific
Cancer
Coalition
U.S. Affiliated
Pacific
Island
(USAPI)
jurisdictions
American
Samoa
Guam
CNMI
Micronesian
Community Network
& Micronesian Health
Advisory Council
(Hawaii)
Pacific Islands Health
Officers Association
(PIHOA)
Overarching advisory
University of Hawaii
Dept. of Family
Medicine
(administrative, technical
assistance)
Regional Comp
Cancer
Regional Cancer
Registry
Pacific Center of
Excellence in the
Elimination of
Disparities
(Pacific CEED)
Community
Health
Intervention
Project (REACH)
International
Partners
with PIHOA
(SPC, WHO)
University of
Hawaii
Cancer Center
(technical assistance)
•U54 MI/CCP
Partnership with
University of Guam
•Hawaii Tumor
Registry
•Pacific Cancer
Research Group
University of
Hawaii Office of
Public Health
Sciences
Distribution of cancers in the USAPI
2007-2011
(CNMI & Chuuk data incomplete)
USAPI Top 12 cancers, 2007-2011
LUNG & BRONCHUS
Screening test or PE
45%
3%
3%
Tobacco-related
43%
Obesity-related
47%
HPV-related
7%
Breast
2%
14%
PROSTATE
4%
Colorectal
5%
LIVER
5%
CERVIX
14%
Uterus
6%
Leukemia
6%
Only 13% of cancers
diagnosed at Stage 1
THYROID
11%
9%
Stomach
Tobacco-related oral cavity &
pharynx
5
Regional CCC Program
 Back-funded from jurisdiction prime awards from CDC National
Comprehensive Cancer Control program
 Regional focus: cross-cutting issues that are necessary to
improve jurisdiction and regional capacity for cancer and NCD
control; leveraging of national and international resources for
CCC
 Partnerships and Communication / website (pacificcancer.org)
 Training & TA in certain areas (public health and clinical),




including evaluation
Prevention: policies and messages in congruence with other NCD
Screening: working to ensure minimum standards
Treatment: palliative care / survivorship
Surveillance (cancer) and mortality reporting
Pacific Regional Cancer Registry Program
 Prime awardee from CDC National Program of Cancer
Registries
 Funds cancer registrar in each jurisdiction
 Except Guam, but PRCCR funds travel / training / additional IT
support for the Guam Cancer Registry
 Cancer data required for CCC and NCD plans (CDC), MDG
reporting, WHO 2025 voluntary NCD indicators (cervical
cancer, functional cancer registries)
 Additional focus on improving mortality reporting,
documentation in medical records, data flow & reporting
 Recent report (2007-2011) available on pacificcancer.org
Community Health Intervention Project
(REACH)
 Prime awardee from CDC
 Directly employs assistants in all jurisdictions
 Supports the comprehensive implementation of
effective evidence-based practices to address the
excessive and disparate burden of NCDs present
throughout USAPI communities. Outcomes of the 3year program, which targets adults, will focus on


Increasing access to smoke-free or tobacco-free environments
(public and private worksites including health facilities),
Increasing access to environments (worksite, including health
facilities) with healthy food or beverage options.
CCPI Success stories (2002-2015)
 Regional and jurisdiction infrastructure for CCC, helped
set the stage for NCD collaboration & capacity building
 Developed cancer registries  cancer surveillance
 Pacific CEED (2007-2012): breast & cervical cancer focus,
NCD risk factors, cervical cancer screening standards in
FSM, RMI, American Samoa
 Partial funding and support of synergistic PIHOA
activities:

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
HRH assessment focused on medical records/HIS
Technical Working Group on NCD Surveillance
PIHOA Quality Improvement efforts
NCD Toolkit
CCPI Success stories (2002-2015)
 Caring the Pacific Way Palliative Care Curriculum
 NCD Toolkit (with PIHOA)
 REACH CHIP (2014- ): baseline PSE scans related to tobacco
and healthy nutrition priorities, rigorous evaluation and
communication plan, training
 Cervical cancer: standards, Expert Panel and ACOG Committee
Opinion
The panel, comprised of US and Internationally renowned cervical cancer
screening experts, was convened by the US Department of Health and Human
Services, and the CDC. The meeting resulted in an American Colleges of
Obstetricians and Gynecologists (ACOG) Committee Opinion supporting
adaptation of the World Health Organization recommendations for diagnosis
and treatment in one or two visits in the USAPI. The ACOG opinion could
result in improved cervical cancer prevention and more accurate identification
of early-stage disease in the USAPI.
CCPI priorities relevant to PIHOA
 Continued emphasis and collaboration to improve NCD
surveillance capacity and data systems that inform high
quality prevention and care of NCD and cancer
 Health information systems
 Mortality reporting
 Desire for regional, cross-program, sharing of success
stories and best practices related to NCD
 PIHOA website – as part of the NCD Toolkit?
 Need for more stable supply of medications for palliative
care (i.e., narcotics)
 Regional formulary discussion / pricing considerations
CCPI priorities relevant to PIHOA
 Capacity building/planning for a sustainable
technical assistance/training mechanism for
evaluation of health programs and policies
 Consideration of adapting "model" policies for
Palliative Care in their jurisdiction
 CCPI Directors have a listing
 Continued long-term goal to expand in-region capacity
for affordable diagnosis and treatment for cancer
CCPI Members
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President: Dr. John Taitano (Guam)
Vice-Present: Dr. Helentina Garstang (RMI)
Secretary/Treasurer: Ms. Martina Reichhardt (Yap)
RMI: Dr. Cho Cho Thien (Ebeye), Dr. Garstang (Majuro), Ms. Neiar
Kabua
Kosrae: Mr. Nena Tolenoa, Dr. Livingston Taulung
Pohnpei: Ms. Robina Anson, Dr. Kesusa Bermanis, Ms. Pertina Albert
Chuuk: Dr. Kino Ruben, Dr. Yoster Ychiro
Yap: Dr. Eric Lirow, Mr. John Gilmatam, Ms. Martina Reichhardt
FSM National: Dr. Vita Skilling, Mr. Xner Luther
Palau: Ms. Edolem Ikerdeu, Dr. Sylvia Osarch, Ms. Irish Tutii
American Samoa: Ms. Moira Wright, Dr. Alo Anesi
CNMI: Ms. Jocelyn Songsong, Ms. Salome Castro
Guam: Ms. Roselie Zabala, Dr. Taitano, Mr. Lawrence Alam
For more information, please visit our website at:
www.pacificcompcancer.org
Si Yu`os Ma`ase
Kulo
Malulap
Kalangan
Msuulaang
Komagar
Fa`a Fetai Tele Lava
Olomwaay
[email protected]
www.pacificcancer.org
Kinisou
Chapwur
Kommol
Tata
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