Building Sustainable Cancer Control Capacity and Infrastructure in Developing Countries Presentation to IAEA Seminar for Diplomats 6-7 Feb 2007 Massoud Samiei Head, PACT Programme Office - PowerPoint PPT Presentation

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Building Sustainable Cancer Control Capacity and Infrastructure in Developing Countries Presentation to IAEA Seminar for Diplomats 6-7 Feb 2007 Massoud Samiei Head, PACT Programme Office

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Title: Building Sustainable Cancer Control Capacity and Infrastructure in Developing Countries Presentation to IAEA Seminar for Diplomats 6-7 Feb 2007 Massoud Samiei Head, PACT Programme Office


1
Building SustainableCancer Control Capacity and
Infrastructurein Developing Countries
Presentation to IAEA Seminar for Diplomats6-7
Feb 2007Massoud SamieiHead, PACT Programme
Office
  • Programme of Action for Cancer Therapy (PACT)

Contact pact_at_iaea.org and Web
http//www-naweb.iaea.org/pact/
2
Access to Radiotherapy
3
A PACT with Developing Countries
  • PACTs primary goal is to enable low and middle
    income countries to
  • introduce or expand existing infrastructure and
    capacity in radiotherapy, in a sustainable manner
  • improve or accelerate widespread access to
    effective radiotherapy services as an essential
    part of multidisciplinary cancer care

4
Expanding Global Radiotherapy Access
  • Expanding radiotherapy access will not
    achieve maximum clinical or public health value
    without paying attention to the following facts
  • 70-80 of all patients treated with radiotherapy
    in low and middle income nations today are
    palliated because of late detection
  • Radiotherapy is being employed to palliate
    potentially curable patients if they had been
    detected earlier
  • Without simultaneous expansion of prevention
    efforts, any radiotherapy investment will be
    overwhelmed by demand as the cancer burden expands

5
Maximize the Impact of Interventions including
Radiotherapy through Balanced Investments across
the System
5
11
6
Cancer Control Objectives
  • Prevent currently preventable cancer one third
    of all cancers
  • Cure currently curable cancers another third of
    all cancers
  • Reduce unnecessary pain and suffering in all
  • This is current state-of-the-art cancer control
    that does not exist in most developing countries

7
PACTs Basic Strategy
  • To move the Agencys cancer-related programmes to
    a public health model where our radiotherapy
    intervention is integrated into a broad cancer
    capacity building effort that exploits prevention
    and early detection synergies to maximise the
    public health impact of treatment investments

8
Resource Mobilization
Data Collection and Needs Assessment
Joint Programme Design
Joint Proposal Development
Partnership Building
Fundraising
9
Implementation Strategy
  • Joint Global Efforts for
    New Money
  • To formulate a framework for PACT within a
    multidisciplinary programme strategy to secure
    critically needed alliances in order to drive
    forward programme development and fundraising
    through the implementation of specific pilot
    projects
  • Implementation in several stages

10
Stages of PACT Implementation
  1. Comprehensive cancer control needs assessment
    with partners (imPACT reviews)
  2. Establish Pilot Projects through PACT Model
    Demonstration Sites and use them for incremental
    fundraising
  3. Regional cancer training networks for capacity
    building
  4. Move towards a global alliance and fund

11
Stage 1 imPACT Review
  • imPACT (integrated missions of PACT) is a
    multi-disciplinary national needs assessment of
    all aspects of cancer
  • imPACT is multi-stakeholder, involving national
    authorities and public-private partners working
    with PACT (WHO and others)
  • Outcome
  • National Cancer Strategy
  • Action Plans
  • PACT Model Demonstration Sites

12
Stage 2 PACT Model Demonstration Sites (PMDS)
  • Establish PMDS projects in each of the six WHO
    regions
  • Albania, Nicaragua, Sri Lanka, Tanzania, Vietnam,
    Yemen
  • Areas of Activity
  • Cancer Control Planning
  • Knowledge Transfer and Multidisciplinary
    Education and Training
  • Programme Evaluation
  • Society Building
  • Cancer Registration
  • Prevention
  • Early Detection and Diagnosis
  • Treatment
  • Palliative Care
  • Fundraising

13
Stage 2 Objectives of PMDS
  • Develop multidisciplinary cancer capacity
    building projects
  • Illustrate feasibility and value of an
    interagency cancer control alliance
  • Complement RT expansion with investments in
    cancer registration, prevention, early detection,
    palliation, and civil society
  • Demonstrate to donors the value of
    multi-disciplinary cancer capacity building
  • Use PMDS projects as a basis for fundraising
  • Create policy, and raise donor and public
    awareness until regional/global initiatives can
    be funded
  • Leverage successful PMDS execution with major
    donors for regional fundraising for larger scale
    efforts
  • Cooperate with Member States to establish centres
    of competence and excellence

14
Stage 3 Regional Capacity Building
  • Lack of adequate human resources is a critical
    bottleneck which
  • Leads to suboptimal utilization of existing
    radiotherapy facilities and delivery of cancer
    public health services
  • Constrains ability to expand services locally and
    nationally
  • Puts new investments at risk due to retirement or
    migration
  • Limits establishment of other regional treatment
    centres
  • Need to create and accelerate multidisciplinary
    regional cancer training networks
  • Use South-South and North-South mentoring

15
Stage 3 Regional Capacity Building
  • Deploy modern IT tools and rely on existing
    recognised centres
  • Create national and regional self-sufficiency
    (centres of competence/excellence)
  • Train multidisciplinary personnel for replacement
    personnel as well as creation/expansion of
    facilities
  • Develop new facilities and tools for RT and other
    cancer training as needed
  • Serve as regional hubs or centres of excellence
    for multidisciplinary cancer training among
    neighbours
  • Use as a basis for regional/global fundraising
    initiatives

16
PACT By Region
  • Africa (AFRO EMRO)
  • Potential Centres of Excellence or Mentors
    Morocco, Egypt, Ghana, South Africa, Algeria,
    Tunisia, Tanzania
  • imPACT and First Executions Tanzania, Ghana
  • Assistance Requests Received Cameroon, Niger,
    Senegal, Kenya, Eritrea
  • Asia (WPRO, SEARO EMRO)
  • Potential Centres of Excellence or Mentors
    India, Thailand, Jordan, Iran, Syria,
    Philippines, Singapore, Australia, Japan, Israel,
    New Zealand, Rep Korea
  • imPACT and First Executions Sri Lanka, Vietnam
  • Preliminary imPACT Yemen
  • Assistance Requests Received Afghanistan, Syria

17
PACT By Region
  • Latin America (PAHO)
  • Potential Centres of Excellence or Mentors
    Brazil, Colombia, Mexico, Argentina, Cuba, Peru,
    Uruguay, Chile, Canada, United States
  • imPACT and First Executions Nicaragua
  • Preliminary imPACT Peru
  • Assistance Requests Received Bolivia, El
    Salvador, Colombia, Costa Rica, Panama, Dominican
    Republic, Haiti, Venezuela
  • Europe
  • Potential Centres of Excellence or Mentors
    Czech Republic, Greece, Poland, Hungary, Monaco,
    Germany, Russia, Spain, Sweden, France, UK
  • imPACT and First Executions Albania
  • Preliminary imPACT Georgia, Montenegro
  • Assistance Requests Received Moldova,
    Uzbekistan, Kyrgyzstan, Romania

18
Nobel Peace Prize Institutes
  • Special 5-day events in three regions to
  • Draw the attention of society to why
    comprehensive cancer control is so essential for
    enhancing the effectiveness of cancer treatment
    by radiotherapy
  • Encourage the planning for and investments in
    Regional Cancer Training Institutes
  • Participation of policy makers and professionals
  • Multidisciplinary cancer lecturers

Next Event 23-27 April in Buenos Aires
19
PACT 2007-2009 Plans
  • Consolidate partnerships
  • Execution of 3 PMDS (Albania, Nicaragua,
    Tanzania)
  • Initiate another 3 PMDS (Sri Lanka, Vietnam and
    Yemen)
  • Solicit equipment, products and services
    donations
  • Fundraising campaign for PMDS
  • Proposals on cervical and breast cancer
  • Sub-Saharan regional capacity building proposal
    UK
  • Cancer Therapy for Africa EU
  • Individual country and donor matching

20
Summary of Resources 2005-07
  • Over 2.4 million by IAEA Member States
  • US NCI 200,000 in-kind
  • OPEC Fund 500,000 Grant approved
  • Up to 3 new Theratron cobalt machines MDS Nordion
  • One new Bhabhatron cobalt from India
  • Pledge for 13Mev cyclotron from KIRAMS Korea
  • Offer of Cost-Free staff/experts for PACT

21
PACT Expected Outcomes
  • Placing cancer on global health agenda
  • Building strategic public-private partnerships
  • Encouraging integrated national cancer control
    plans and programmes
  • Raising new funding for cancer care programmes
    including radiotherapy services
  • Promoting affordable cancer therapy for everyone
  • Developing regional cancer training networks
  • Moving towards a global alliance and fund to
    fight cancer

PACT
pact_at_iaea.org
22
More Information
  • pact_at_iaea.org
  • and
  • http//www.iaea.org/PACT/
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