Cancer management in the Pacific region: a report on innovation and good practice

SummaryPacific island countries and territories (PICTs) face the challenge of a growing cancer burden. In response to these challenges, examples of innovative practice in cancer planning, prevention, and treatment in the region are emerging, including regionalisation and coalition building in the US...

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Published in:	The lancet oncology Vol. 20; no. 9; pp. e493 - e502
Main Authors:	Ekeroma, Alec, Prof, Dyer, Rachel, MBChB, Palafox, Neal, Prof, Maoate, Kiki, MBChB, Skeen, Jane, MBChB, Foliaki, Sunia, PhD, Vallely, Andrew J, Prof, Fong, James, MMed, Hibma, Merilyn, PhD, Mola, Glen, Prof, Reichhardt, Martina, BJRN, Taulung, Livinston, DCHSM, Aho, George, MMed, Fakakovikaetau, Toakase, MMed, Watters, David, Prof, Toliman, Pamela J, MMedSc, Buenconsejo-Lum, Lee, Prof, Sarfati, Diana, Prof
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-09-2019 Elsevier Limited
Subjects:	Cancer Cervical cancer Cervix Child Collaboration Delivery of Health Care Disease management Disease prevention Female Funding Hematology, Oncology, and Palliative Medicine Humans Infrastructure Innovations Islands Medical screening Oncology Pacific Islands - epidemiology Palliative care Papua New Guinea - epidemiology Surgeons Uterine Cervical Neoplasms - epidemiology Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - surgery West Indies - epidemiology Workforce Papua New Guinea Pacific Islands West Indies Kiribati Islands Fiji Cook Islands American Samoa Northern Mariana Islands Tuvalu Samoa Solomon Islands Vanuatu Marshall Islands Guam Palau Micronesia Tonga
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Summary:	SummaryPacific island countries and territories (PICTs) face the challenge of a growing cancer burden. In response to these challenges, examples of innovative practice in cancer planning, prevention, and treatment in the region are emerging, including regionalisation and coalition building in the US-affiliated Pacific nations, a point-of-care test and treat programme for cervical cancer control in Papua New Guinea, improving the management of children with cancer in the Pacific, and surgical workforce development in the region. For each innovation, key factors leading to its success have been identified that could allow the implementation of these new developments in other PICTs or regions outside of the Pacific islands. These factors include the strengthening of partnerships within and between countries, regional collaboration within the Pacific islands (eg, the US-affiliated Pacific nations) and with other regional groupings of small island nations (eg, the Caribbean islands), a local commitment to the idea of change, and the development of PICT-specific programmes.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 AE was the lead author and participated in the concept design, writing, and editing of all sections. RD collected the data, drafted the tables and figures, and participated in the writing and editing of all the sections. DS participated in the concept design, editing, and review of all sections. NP and LB-L led the “Regionalisation and coalition building: the US-affiliated Pacific islands (USAPI) and territories” section, with input from MR and LT. JS led the “Improving the management of cancers among children in selected PICTs: the Pacific child cancer project” section, with input from GA and TF. AJV and AE led the “Point-of-care test and treat: developing innovative approaches to cervical cancer control in Papua New Guinea” section, with input from JF, MH, GM, and PJT. KM led the “Improvement and support of surgical services in the Pacific” section, with input from DW. All co-authors reviewed and approved the final submitted version of the manuscript. Contributors
ISSN:	1470-2045 1474-5488
DOI:	10.1016/S1470-2045(19)30414-0