United NationsDepartment of Economic and Social Affairs Sustainable Development

Integrating Radiation Medicine in Comprehensive Cancer Control

    Description
    Intro

    According to the World Health Organization (WHO), by 2030 over 24 million people will be diagnosed with cancer and 13 million people will die each year. In addition, 59% of new cases and 72% of deaths will occur in low- and middle-income countries. With the current demand and these increasing numbers, existing health systems capacities are insufficient to adequately respond. Addressing this dire situation requires a coordinated response. A multi-regional project of the International Atomic Energy Agency (IAEA) helps provide countries with technical advice and technology across the entire cancer control continuum - from prevention to diagnosis - as well as treatment to improve their cancer services, including for women cancers.

    Description

    Cancer control requires effective resources to institutions and care for patients, including creating a cancer registry and providing adequate safety protection for medical staff and patient receiving diagnostic CT scans and radiotherapy treatment. Addressing cancer in a comprehensive way requires various organizations to work together in their areas of expertise. Under this multi-regional project, the national cancer control assessments of services and facilities, and the support to develop cancer-related plans and strategic documents are jointly offered by the IAEA, WHO, and the International Agency for Research on Cancer (IARC). This global initiative provides a platform to combine technical expertise across different organizations to collectively help reduce the cancer burden in countries. This equates to globally saving millions of lives.

    Contribution to SDG Implementation

    The initiative’s activities contribute to the (SDG 3) by assisting countries in strengthening their ability to provide cancer control services. They also contribute to (SDG 5) on Gender Equality by helping develop efforts to respond to cancer among women. It supports (SDG 17) by strengthening the cooperation between IAEA, WHO and IARC on cancer control with an integrated and mainstreamed approach of how cancer control assessments are being conducted, and by combining the technical their expertise through a global platform for national cancer control assessments of services.

    Implementation methodologies

    The multi-regional project aims at improving the health systems’ ability in providing public access to affordable, qualitative, effective and sustainable radiation medicine services, such as diagnostic CT scans and radiotherapy treatments, within a comprehensive cancer control approach. Countries can benefit from a package of expert advisory services, starting from an assessment of national cancer control capacities and needs (through an imPACT review, requested by the Ministry of Health); support with cancer control planning (assistance to review and/or with development of a National Cancer Control Plan); and consequently help to mobilize resources to address funding gaps. This is implemented through a series of technical meetings and review missions bringing together many countries where knowledge, experience and lessons learned can be shared. These activities help produce good evidence-based practices and strategies for effective planning, budgeting, implementation and adequate resourcing of cancer control capacity activities. These activities are aligned with and support ongoing cancer-related projects being implemented by the IAEA. Activities are also planned and implemented in collaboration with IAEA and WHO’s partners, such as Ministries of Health and other national stakeholders; the Union of International Cancer Control and other organizations working in the field of cancer; donors, development banks and others. The initiative is assessed through a results-based monitoring framework, which draws regular feedback from counterparts, experts, partners and project-related events.

    Results

    Assessments of national cancer control capacities, priorities and needs, support for cancer control planning and resource mobilization assistance are the main outputs/gains of this initiative. In 2020, 13 meetings were held among the initiative’s partners to follow up on past recommendations, providing countries with a ‘one-stop shop’ for accessing cancer control related expertise and technology. This initiative supports the Global Health Agenda which aims to scale up resources and establish strong political commitment for an effective international response to cancer through a concerted effort from a broad range of partners. Potential risks in undertaking this initiative includes changes in countries’ health priorities and their limited national budgets for cancer-related activities. To mitigate these risks, high-level meetings are convened to advocate in making cancer a national priority and increase resources accordingly.

    Factors and Constraints

    Partnerships form the backbone of the complex task in creating and implementing national cancer control programmes, bringing together technical advice from across the entire cancer control continuum and supporting countries to improve their capacities. Open communication between the IAEA, WHO and IARC, including an annual review meeting to discuss progress and mitigate challenges, helps ensure the practice can succeed. Financing received from new partners with dedicated donors also supports its success, as the project is funded through extra-budgetary resources.

    Sustainability and replicability

    The sustainability of the project relies on the strong engagement and commitment by Ministers of Health and counterparts to the initiative whom, in requesting IAEA support, recognize the value and effectiveness of a national comprehensive cancer control approach. The initiative’s distinguishing feature of bringing together key partners ensures a stronger impact on the global cancer control scenario. A long-term impact and replicability may be achieved in regard to the national health system of countries benefiting from the activities of this initiative, as it prompts the sharing of best practices and knowledge among countries, as well as fostering south-south cooperation.

    COVID-19 Impact

    Due to the COVID-19 situation, all activities for the initiative have continued virtually. Virtual meetings allowed more participants and increased joint cancer control assessments than otherwise expected travels to the countries would have made possible. Many countries are continuously committing to improve their health systems in light of the COVID-19 pandemic. Supporting comprehensive cancer care efforts not only strengthens a country’s ability to respond to its cancer burden but can also improve key elements of a strong health system, such as the availability of skilled staff in general.

    Contact Name
    Sonja
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    Organization/entity
    International Atomic Energy Agency
    SDGs
    Geographical coverage

    global

    Timeline
    01 January 2020 (start date)
    31 December 2023 (date of completion)
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    Countries
    Partnership
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    Contact Information

    Sonja, Programme Planning Assistant