Case Fatality Rate 80 Prostate Cervix 60 Breast Non-Hodgkin - - PowerPoint PPT Presentation

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Case Fatality Rate 80 Prostate Cervix 60 Breast Non-Hodgkin - - PowerPoint PPT Presentation

Apr 04, 2024 188 likes •304 views

Having a chance to live should not be an accident of geography nor be defined by income 100 Case Fatality Rate 80 Prostate Cervix 60 Breast Non-Hodgkin Lymphoma 40 Colorectal Hodgkins 20 Lymphom Melanoma Thyroid Testis 0

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Prostate Non-Hodgkin Lymphoma Colorectal Cervix Melanoma Breast Hodgkin’s Lymphom Thyroid Testis

20 40 60 80 100 Low income Lower middle income Upper middle income High income

Having a chance to live should not be an accident of geography …nor be defined by income

Case Fatality Rate

POOR RICH

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Pancreas Prostate Cervix Breast

20 40 60 80 100 Low income Lower middle income Upper middle income High income

Case Fatality Rate

Having a chance to live should not be an accident of geography …nor be defined by income

Testis

POOR RICH

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Fuente:Lozano, Knaul, Gómez-Dantés, Arreola-Ornelas y Méndez, 2008, Tendencias en la mortalidad por cáncer de mama en México,

1979-2007. FUNSALUD, Documento de trabajo. Observatorio de la Salud, con base en datos de la OMS y la Secretaría de Salud de México.

We have seen success:

2006: BC>CC.

…for the first time in more than 5 decades.

2 6 10 14 18

1955 1965 1975 1985 1995 2005 2007

Rate per 100,000 women adjusted for age

Mortality rates breast and cervical cancer in Mexico 1955-2007

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Global task force on expanded access to cancer control and care

1.Initiative of HGEI, DFCI, HSPH, HMS 2.~ 20 leaders from throughout the world, Honorary co-President, Co-chairs, Technical Advisory Group 3.Design and promote innovations in delivery of cancer care and control

  • White Paper - 2010
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Global task, local action

1.Global and regional task: creation of global facilities and strategies for the financing, procurement and delivery of affordable, essential cancer drugs 2.Local action: implementation of innovative service delivery models that are adapted to local contexts, and respond to the

  • pportunities and needs of specific health

systems

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Towards a set of strategies: areas of work – white paper

  • 1. Which cancer is first – by region?
  • 2. What is the basic package of services, and

drugs (prevention, early detection, treatment)

  • 3. Reaching potential demand
  • 4. Innovations in financing and procurement
  • 5. Innovations in delivery
  • 6. Monitoring and evaluation
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Identify and apply innovations in country- and health system-specific

  • 1. Optimize human and physical resources

and harness the primary and secondary levels of care:

  • Task shifting (BCE)
  • Infrastructure shifting (chemo)
  • Mobilize communication technology

(remote/teleconsultation for quality and safety)

Harvard Global Equity Initiative

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Develop and promote regional and

global price-procurement negotiation

1.Learn from global and regional successes: AIDs, vaccines and other diseases 2.Collaboration and support from experienced institutions: the Global Fund, UNAIDs, GAVI 3.Involve countries and governments; regional and global institutions (WHO, the World Bank, regional Banks, etc)

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1.Original site – Malawi, Rwanda, Haiti - Partners in Health - DFCI 2.Proposed: Jordan, King Hussein Cancer Foundation; National Institute of Cancer of Mexico 3.We hope that an outcome of this meeting will be the identification of potential collaborating sites and opportunities to share with existing programs.

*Lawrence Shulman

Harvard Global Equity Initiative

Meat and potatoes*: Adjust, apply and appraise