Building a Network of Health Professionals for Breast and Cervical Cancer Control in the Andean Region

Mendoza-Cervantes, Diana; Otero, Isabel V.; Zujewski, Jo Anne; Salazar, Jorge Ferrandiz; Córdova, Gabriela López; Muha, Cathy; Stevens, Lisa

doi:10.1200/jgo.2016.008714

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…Its main objective was to increase access to cancer care services. To accomplish this goal, the policy was accompanied by an investment of $290 million [ 18 ]. With that funding, Plan Esperanza expanded access to care for low-income individuals by providing free cancer care coverage to individuals with SIS [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…This literature review indicates the gap between policy and implementation is due, in part, to insufficient organizational competencies to implement models of care delivery that shift care from the hospital to the community, unequal distribution of health infrastructure and health care workforce [ 1 2 11 18 29 30 32 ], and differences in access to health insurance [ 38 ]. The centralization of resources to Lima continues to limit the ability of providers to a) implement national plans and b) diagnose and treat cervical cancer outside of the capital city [ 1 2 11 18 29 30 32 ]. In addition, the government has limited capability to conduct system evaluations of the effectiveness of new delivery approaches, which hinders country-level evidence generation [ 17 33 34 ].…”

Section: Policy Recommendationsmentioning

confidence: 99%

“…National policies to increase workforce capacity, expand access, and make care more affordable are aligned to cervical cancer guidelines with the World Health Organization (WHO) and Pan-American Health Organization (PAHO) [ 2 16 17 18 ]. Although overall mortality has decreased significantly over time, continued disparities in disease burden—including regional variation in mortality rates and access to timely, quality services—remain high [ 2 4 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Policy Considerations to Promote Equitable Cervical Cancer Screening and Treatment in Peru

Thoumi

Bond

Dotson

et al. 2021

Annals of Global Health

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Background: Cervical cancer is one of the leading causes of death among Peruvian women. Women seeking screening or treatment services experience delays in receiving screening results provided at community clinics or district hospitals, and lack sufficient resources to pay out-of-pocket to travel to the capital city of Lima for specialized treatment. Continued disparities in health outcomes and systemic barriers to accessing services suggest there are gaps between policy measures and implementation. Objectives: We aim to understand why national policies and clinical pathways that are aligned to global standards have been insufficient in improving cervical cancer screening and treatment in Peru, particularly among women who experience systemic exclusion from health services. Methods: We conducted a policy analysis based on a literature review (2005–2020), in Spanish and English, on PubMed, Global Health, Scopus, EconLit, Lilacs, and Scielo using a value-based care framework. Findings: The main barriers included unequal distribution of health infrastructure and health care workforce, and differences in access to health insurance. Additional barriers, including limited political will and support, limit efforts to prioritize the implementation of cervical cancer policies. We propose policy considersations in redesigning payment models, expanding healthcare workforce, generating costing and policy evidence, and reviewing policies for point-of-care technologies. Conclusions and Recommendations: The barriers identified in this literature review are applicable not only to cervical cancer care, but to primary health care in Peru. Systematic policy changes that address root causes of health inequities and are implemented at scale are needed to advance health reform efforts.

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Section: Resultsmentioning

confidence: 99%

Section: Policy Recommendationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Policy Considerations to Promote Equitable Cervical Cancer Screening and Treatment in Peru

Thoumi

Bond

Dotson

et al. 2021

Annals of Global Health

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“…Participants’ overall positive attitudes towards the program are in line with prior programs establishing knowledge-sharing collaboratives. Such programs have similarly found that these workshops and programs offer participants an opportunity to discuss key issues surrounding their target disease with regional and international experts across a large swath of topics ( 20 ). Both HICs and LMICs benefit from knowledge sharing relationships, though prior research has emphasized that their topic interests and needs differ and that this is an important consideration ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

Elimination of cervical cancer in Latin America (Project ECHO-ELA): lessons from phase one of implementation

Batman,

Varon,

San Miguel-Majors

et al. 2023

Revista Panamericana De Salud Pública

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We describe the outcomes of The Extension for Community Healthcare Outcomes-Elimination of Cervical Cancer in The Americas (ECHO-ELA) program, which was developed as a tri-lateral cooperation between Pan American Health Organization (PAHO), the U.S. National Cancer Institute (NCI) and The University of Texas MD Anderson Cancer Center (MD Anderson). The program’s purpose is to disseminate strategies for cervical cancer prevention and is structured around the three pillars of the World Health Organization’s (WHO) Cervical Cancer Elimination Strategy and the associated 90-70-90 target goals. The target audience includes health authorities from Latin American and Caribbean countries, as well as PAHO’s non-communicable disease Focal Points in country offices as well as clinical and public health collaborators. The virtual sessions are held in Spanish for 1.5 hours every month using the ECHO® format. From May 2020 to June 2021, 14 ECHO sessions were held with an average of 74 participants per session (range: 46 – 142). We conducted two anonymous surveys (baseline and follow up) and two focus groups. Respondents stated that the topics they learned the most about included the state of HPV vaccination in the region and strategies for implementing HPV vaccination. Identified needs included support between ECHO sessions and country-specific technical assistance. The ECHO-ELA program provides a forum for increased collaboration between countries in Latin America/Caribbean and the dissemination of best-practice strategies to reach the WHO Cervical Cancer Elimination target goals.

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“…Results from each region were described previously 12 . For the current study, we identified common themes expressed in the narratives across the 3 regions.…”

Section: Methodsmentioning

confidence: 99%

Breast cancer patient advocacy: A qualitative study of the challenges and opportunities for civil society organizations in low‐income and middle‐income countries

Dvaladze

Kizub

Cabanes

et al. 2020

Cancer

Self Cite

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BACKGROUND: Breast cancer advocacy movements, driven by advocate-led civil society organizations (CSOs), have proven to be a powerful force for the advancement of cancer control in high-income countries (HICs). However, although patient advocacy movements are growing in low-income and middle-income countries (LMICs) in response to an increasing cancer burden, the experiences and needs of advocate-led breast cancer CSOs in LMICs is understudied. METHODS: The authors conducted a qualitative study using in-depth interviews and focus group discussions with 98 participants representing 23 LMICs in Eastern Europe, Central Asia, East and Southern Africa, and Latin America. RESULTS: Despite geographic, cultural, and socioeconomic differences, the common themes that emerged from the data across the 3 regions are strikingly similar: trust, knowledge gaps, stigma, sharing experiences, and sustainability. The authors identified common facilitators (training/education, relationship building/networking, third-party facilitators, and communication) and barriers (mistrust, stigma, organizational fragility, difficulty translating HIC strategies) to establishing trust, collaboration, and advancing cancer advocacy efforts. To the authors' knowledge, the current study is the first to describe the role that coalitions and regional networks play in advancing breast cancer advocacy in LMICs across multiple regions. CONCLUSIONS: The findings of the current study corroborate the importance of investing in 3-way partnerships between CSOs, political leaders, and health experts. When provided with information that is evidence-based and resource appropriate, as well as opportunities to network, advocates are better equipped to achieve their goals. The authors propose that support for CSOs focuses on building trust through increasing opportunities for engagement, disseminating best practices and evidence-based information, and fostering the creation of platforms for partnerships and networks.

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Building a Network of Health Professionals for Breast and Cervical Cancer Control in the Andean Region

Cited by 3 publications

References 13 publications

Policy Considerations to Promote Equitable Cervical Cancer Screening and Treatment in Peru

Policy Considerations to Promote Equitable Cervical Cancer Screening and Treatment in Peru

Elimination of cervical cancer in Latin America (Project ECHO-ELA): lessons from phase one of implementation

Breast cancer patient advocacy: A qualitative study of the challenges and opportunities for civil society organizations in low‐income and middle‐income countries

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