Strengthening public health policies for childhood cancer: Peru's achievements through the WHO Global Initiative for Childhood Cancer

被引：5

作者：

Maradiegue, Essy ^{[1
]}

Pascual, Claudia

Vasquez, Liliana

Maza, Ivan ^{[1
]}

Ugaz, Cecilia ^{[1
]}

Montoya, Jackeline ^{[1
]}

Zapata, Arturo ^{[1
]}

Garcia, Henry ^{[5
]}

Chavez, Sharon ^{[1
]}

Ordonez, Katy ^{[1
]}

Rossi, Jonathan ^{[3
,6
]}

Diaz, Rosdali ^{[1
]}

Morales, Roxana ^{[1
]}

Trigoso, Viviana ^{[3
]}

Ames, Romy ^{[1
]}

Celis, Edinho ^{[1
]}

Barzola, Isela ^{[1
]}

Torres, Liliana ^{[1
]}

Cosme, Melitta ^{[1
]}

Tarrillo, Fanny ^{[1
,4
]}

Rojas, Ninoska ^{[1
,4
]}

Santillan, Carlos ^{[2
]}

Quispe, Yuly ^{[1
]}

Palacios, Victor ^{[7
]}

Godoy, Victoria ^{[8
]}

Tello, Mariela ^{[8
]}

Tarco, Duniska ^{[1
]}

Wachtel, Antonio ^{[9
]}

Malaver, Estela ^{[10
]}

Diaz, Elizabeth ^{[11
]}

Goyburu, Marlene ^{[10
]}

Perez, Vivian ^{[2
]}

Talavera, Ivy ^{[2
]}

Baca, Maria Edith ^{[2
]}

Maza, Mauricio ^{[3
]}

Saldana, Lily ^{[8
]}

Holguin, Alexis ^{[1
]}

Jarquin, Marta ^{[12
]}

Loggetto, Patricia ^{[12
]}

Metzger, Monika ^{[12
]}

Friedrich, Paola ^{[12
]}

Lam, Cath ^{[12
]}

Galindo, Carlos Rodriguez ^{[12
]}

机构：

[1] Inst Nacl Enfermedades Neoplas, Lima, Peru

[2] Pan Amer Hlth Org, Lima, Peru

[3] Pan Amer Hlth Org, Washington, DC USA

[4] Hosp Nacl Edgardo Rebagliati Martins, Lima, Peru

[5] Inst Reg Enfermedades Neoplas Sur, Lima, Peru

[6] Ronald McDonald House Char, Lima, Peru

[7] Reg Hlth Management, Lambayeque, Peru

[8] Inst Nacl Salud Nino, Lima, Peru

[9] Pediat Oncol Assoc Peru, Lima, Peru

[10] Minist Hlth Peru, Lima, Peru

[11] Natl Sch Publ Hlth, Lima, Peru

[12] St Jude Childrens Res Hosp, Memphis, TN USA

来源：

REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH | 2023年 / 47卷

关键词：

Neoplasms; prevention & control; child health; health programs and plans; health policy; Peru; CARE;

D O I：

10.26633/RPSP.2023.132

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To report the progress in Peru, since June 2019, in the implementation of the World Health Organi-zation Global Initiative for Childhood Cancer using the CureAll framework, which can be replicated in low-and middle-income countries.Methods. A mixed method was used of participatory and documentary evaluation. The participatory evalu-ation included stakeholders from various government institutions, nonprofit organizations, and international partners. The documentary aspect consisted of a review of data on the regulatory environment, national proj-ects, and interventions implemented. The Ministry of Health engaged more than 150 participants to form working committees, which have developed policy and regulatory documents to strengthen care services.Results. Achievements include a decrease in the national treatment abandonment rate from 18.6% to 8.5%, the approval of the Childhood Cancer Law, improvements in the management of patients with febrile neutrope-nia, and a reduction in rates of events of clinical deterioration and mortality of hospitalized patients. The Cure All implementation framework allows local teams to implement specific strategies and monitor early outcomes in pediatric oncology.Conclusions. The results obtained reflect the teamwork, the leadership of the authorities, the technical sup-port of professionals, and the support of involved organizations. Further actions will be needed to guarantee sustainability, and monitoring tools are needed to assure success in the planned activities.

引用

页数：8

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