Cancer risk reduction in the US Affiliated Pacific Islands: Utilizing a novel policy, systems, and environmental (PSE) approach

Nitta, Mavis; Navasca, Dioreme; Tareg, Aileen; Palafox, Neal A.

doi:10.1016/j.canep.2017.08.008

Cited by 8 publications

(8 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Over the years, many NCCCP grantees have incorporated policy, systems and environmental (PSE) change strategies into their cancer prevention efforts to effect sustainable change. 2,3 Typical PSE change strategies used by grantees include educating about existing policies in local settings, such as hospitals and workplaces, and creating systems and environmental changes within those settings that increase adherence to those policies. The recent public health focus on activities with the potential for high impact relative to resource expenditure has brought PSE change capacity and strategies into the forefront.…”

Section: Introductionmentioning

confidence: 99%

Prioritizing Population Approaches in Cancer Prevention and Control: Results of a Case Study Evaluation of Policy, Systems, and Environmental Change

Rohan

Chovnick

Rose

et al. 2019

Population Health Management

View full text Add to dashboard Cite

Development and implementation of policy, systems, and environmental (PSE) change is a commonly used public health approach to reduce disease burden. The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program conducted a demonstration with 13 programs to determine whether and to what extent dedicated resources would enhance the adoption of PSE strategies. This paper describes results of the qualitative portion of a longitudinal, mixed-methods evaluation of this demonstration. Case studies were conducted with a diverse subset of the 13 programs, and 106 in-depth interviews were completed with state/tribal program staff, community partners, and decision makers. Interviews addressed PSE change planning and capacity building, partnerships, local context, and how programs achieved PSE change. Dedicated PSE resources, including a policy analyst, helped increase PSE change capacity, intensify focus on PSE change overall, and accomplish specific PSE changes within individual jurisdictions. Stakeholders described PSE change as a gradual process requiring preparation and prioritization, strategic collaboration, and navigation of local context. Findings suggest that the demonstration program, including PSE-dedicated funds and a policy analyst, was successful in both increasing PSE change capacity and achieving PSE change itself. These results may be useful to other state, tribal, territorial, and public health organizations planning or implementing PSE change strategies.

show abstract

Section: Introductionmentioning

confidence: 99%

Prioritizing Population Approaches in Cancer Prevention and Control: Results of a Case Study Evaluation of Policy, Systems, and Environmental Change

Rohan

Chovnick

Rose

et al. 2019

Population Health Management

View full text Add to dashboard Cite

show abstract

“…The REACH programs were implemented in each of the respective USAPI jurisdictions. REACH emphasizes a policy, systems, and environmental (PSE) approach as a means to make the default choice in cancer risk environments a healthy behav-ior [22, 23]. …”

Section: Resultsmentioning

confidence: 99%

Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Palafox

Given²,

Hohman³

et al. 2018

Cancer Causes Control

Self Cite

View full text Add to dashboard Cite

Introduction In the early 1990s, a comprehensive cancer control (CCC) approach was developed in the United States (US). In 2003, the US-Affiliated Pacific Islands (USAPI) adopted the CCC approach through a regional coalition, the Cancer Council of the Pacific Islands (CCPI). Using the CCC approach, the CCPI developed jurisdiction-specific cancer coalitions and initiated their respective cancer plans. Methods The evolution of the CCC approach and the history of the CCPI regional coalition are reviewed. The outcomes of the regional approach for cancer control in the USAPI are described to illustrate the possibilities, value-added and innovation of using a CCC strategy in a multi-national coalition based in a resource-limited environment. Results The CCC approach enabled the CCPI to (1) harmonize cancer control efforts between the six USAPI jurisdictions, (2) represent the USAPI cancer needs as a single voice, and (3) develop a regional cancer control strategy. Outcomes include (1) a regional cancer registry, (2) three sequential regional CCC plans, (3) leveraged resources for the USAPI, (4) enhanced on-site technical assistance and training, (5) improved standards for cancer screening, (6) evidence-based cancer control interventions adapted for the USAPI. Conclusion The regional CCPI coupled with the CCC approach is an effective engine of change. The CCC strategies enabled navigation of the political, geographic, cultural, and epidemiologic Pacific environment. The regional partners have been able to harmonize cancer control efforts in resource-limited settings. Regional cancer coalitions may be effective in the global arena for cancer control between communities, states, or countries.

show abstract

“… 13 , 23 Ensuring community is at the heart of all Coalition activities from identification of priorities to capacity building to advocacy, has been further cited by several other island nation health coalitions as a key factor behind their success. 20 , 22 , 23 , 33 Civil society can also be highly effective and influential at a policy level in cancer control advocacy and universal health system strengthening. 34 Linking back to the Coalition Development Framework, these findings emphasise the importance of stakeholder determination of leadership, organisational design, and governance in ensuring alignment with local context ( Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The United States of America (USA) Centre for Disease Control and Prevention (CDC) funded the establishment of the Cancer Council of the Pacific Islands (CCPI) to facilitate a regional multi-national coalition of all USA-affiliated Pacific island jurisdictions in the early 2000s. 21 , 22 , 23 , 24 Since its inception, the CCPI has successfully developed effective cancer control strategies for the USA-affiliated islands, including national and regional registry establishment, population cancer screening, and workforce capacity development. 21 , 22 , 23 , 24 However, despite the existence of successful regional health-focused alliances, comprehensive and appropriate information detailing how to effectively scope and establish a multi-national or regional coalition is scarce.…”

Section: Introductionmentioning

confidence: 99%

“… 21 , 22 , 23 , 24 Since its inception, the CCPI has successfully developed effective cancer control strategies for the USA-affiliated islands, including national and regional registry establishment, population cancer screening, and workforce capacity development. 21 , 22 , 23 , 24 However, despite the existence of successful regional health-focused alliances, comprehensive and appropriate information detailing how to effectively scope and establish a multi-national or regional coalition is scarce.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Strengthening cancer control in the South Pacific through coalition-building: a co-design framework

Hyatt¹,

Chan²,

Moodie³

et al. 2023

The Lancet Regional Health - Western Pacific

View full text Add to dashboard Cite

Cancer risk reduction in the US Affiliated Pacific Islands: Utilizing a novel policy, systems, and environmental (PSE) approach

Cited by 8 publications

References 4 publications

Prioritizing Population Approaches in Cancer Prevention and Control: Results of a Case Study Evaluation of Policy, Systems, and Environmental Change

Prioritizing Population Approaches in Cancer Prevention and Control: Results of a Case Study Evaluation of Policy, Systems, and Environmental Change

Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Strengthening cancer control in the South Pacific through coalition-building: a co-design framework

Contact Info

Product

Resources

About