Download or read book Mu00e9decins Sans Frontiu00e8re s Cervical Cancer Project in Malawi a Collaborative and Comprehensive Strategy Against Cervical Cancer written by Dupru00e9 Pierre-Franu00e7ois and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Malawi has one of the highest cervical cancer incidence and mortality in the world. Driven by the high prevalence of HPV and HIV, early sexual debut, and high parity, there is dire need for expanding quality cancer care services in the country. Methods: Mu00e9decins Sans Frontiu00e8res is implementing a comprehensive onco-gynaecological program with the Ministry of Health and the College of Medicine (COM) encompassing all stages of the cervical cancer disease course including vaccination, screening, and treatment. We describe the real-world implemental challenges and strengths of the comprehensive strategy in resource-constrained settings.ResultsA major programmatic challenge is balancing resources across primary, secondary, and tertiary prevention within a single program to achieve the greatest gain in cancer incidence and mortality in contexts where evidence is scarce. Lack of skilled human resources makes systematic assessment of patients in multidisciplinary team meetings a challenge, jeopardizing efforts to standardize care quality. Even when quality care is provided, community health facilities lack the capacity to follow-up patients after the first-course treatment, causing patients to accumulate in tertiary hospitals beyond its capacity and becoming lost to follow-up. Stigmatism, discrimination, and poverty also contribute to patient abandonment from communities. A comprehensive program gives unique opportunities to strengthen existing patient referral pathways to and from communities and to improve support by multi-sectoral and multi-level care coordination. A longitudinal database linking screening, diagnosis, treatment, and survival enables an adaptive and rapid-learning health system that will help us to understand the impact of the quality of each care component on patient survival. Conclusion The project aims to gain valuable real-world experiences in treating solid-tumors in resource-limited contexts. Partnership with the COM and international collaboration such as with ESGO for technical guidance and the development of national oncology subspecialty program are critical to ensure the long-term sustainability of program.

Download or read book M decins Sans Fronti re Cervical Cancer Project in Malawi written by Pierre-François Dupré and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Malawi has one of the highest cervical cancer incidence and mortality in the world. Driven by the high prevalence of HPV and HIV, early sexual debut, and high parity, there is dire need for expanding quality cancer care services in the country. Methods: Mu00e9decins Sans Frontiu00e8res is implementing a comprehensive onco-gynaecological program with the Ministry of Health and the College of Medicine (COM) encompassing all stages of the cervical cancer disease course including vaccination, screening, and treatment. We describe the real-world implemental challenges and strengths of the comprehensive strategy in resource-constrained settings.ResultsA major programmatic challenge is balancing resources across primary, secondary, and tertiary prevention within a single program to achieve the greatest gain in cancer incidence and mortality in contexts where evidence is scarce. Lack of skilled human resources makes systematic assessment of patients in multidisciplinary team meetings a challenge, jeopardizing efforts to standardize care quality. Even when quality care is provided, community health facilities lack the capacity to follow-up patients after the first-course treatment, causing patients to accumulate in tertiary hospitals beyond its capacity and becoming lost to follow-up. Stigmatism, discrimination, and poverty also contribute to patient abandonment from communities. A comprehensive program gives unique opportunities to strengthen existing patient referral pathways to and from communities and to improve support by multi-sectoral and multi-level care coordination. A longitudinal database linking screening, diagnosis, treatment, and survival enables an adaptive and rapid-learning health system that will help us to understand the impact of the quality of each care component on patient survival. Conclusion The project aims to gain valuable real-world experiences in treating solid-tumors in resource-limited contexts. Partnership with the COM and international collaboration such as with ESGO for technical guidance and the development of national oncology subspecialty program are critical to ensure the long-term sustainability of program.