Global Initiative for Childhood Cancer: progress and challenges in Panama

Author:

Quintero Karina12,Berrio Iveth3,Arenas Elsa3,Fuentes-Alabí Soad4,Vásquez Liliana4,Luna-Fineman Sandra5,Victoria Jorge6,Houghton Modesta6

Affiliation:

1. Hospital del Niño, Panama City, Panama

2. karinaquinterodelgado@gmail.com

3. Ministry of Health, Panama City, Panama

4. Pan American Health Organization, Washington, D.C., United States of America

5. University of Colorado School of Medicine, Aurora, United States of America

6. Pan American Health Organization, Panama City, Panama

Abstract

Despite being classified as a high-income country, Panama still faces challenges in providing care for children and adolescents with cancer. Annually, 170 new cases of childhood cancer are diagnosed in Panama, and the survival rate is around 60%. To improve this, the establishment of a Pediatric Cancer Commission comprised of healthcare professionals and nonprofit organizations has been a critical step toward the objectives outlined in the CureAll framework of the World Health Organization Global Initiative for Childhood Cancer (GICC).

To improve childhood cancer care in Panama, a workshop for cancer in children and adolescents was conducted with the support of St. Jude Children’s Research Hospital, Children’s Hospital Colorado, the Ministry of Health of Panama, and the Pan American Health Organization. The commissions established were on: Nursing, Palliative Care, Psychosocial, Hospital Registry, Early Diagnosis, and Health Services. Each commission has a specific project to be implemented in the period 2021–2029 to continue the progress toward improving childhood cancer care.

Since the start of implementation of the GICC in Panama, important achievements have included the launch in 2021 of the Guide for the Diagnosis of Cancer in Children and Adolescents, and training programs for primary care health personnel. Through these programs, more than 1 000 health professionals have been trained on diagnosis of cancer in childhood and adolescence. Challenges remain, such as access to quality care, and it is essential to continue efforts to improve childhood cancer care.

Publisher

Pan American Health Organization

Subject

Public Health, Environmental and Occupational Health

Reference7 articles.

1. Mechita NB, Cherkaoui S, Abousselham L, Benmiloud S, Kili A, Kababri ME, et al. Implementing the WHO Global Initiative for Childhood Cancer in Morocco: Survival study for the six indexed childhood cancers. Pediatr Blood Cancer. 2022;69(10):e29788. https://doi.org/10.1002/pbc.29788.

2. World Health Organization. CureAll framework: WHO Global Initiative for Childhood Cancer: increasing access, advancing quality, saving lives. Geneva: WHO; 2021. Available from: https://apps.who.int/iris/handle/10665/347370.

3. Gupta S, Howard SC, Hunger SP, Antillon FG, Metzger ML, Israels T, et al. Treating Childhood Cancer in Low- and Middle-Income Countries. In: Gelband H, Jha P, Sankaranarayanan R, Horton S, editors. Cancer: Disease Control Priorities. 3rd edition (Volume 3). Washington, DC: The World Bank; 2015 Nov 1. Chapter 7. PMID: 26913338.

4. Pan American Health Organization. Implementación de la Iniciativa Mundial de la OMS contra el Cáncer Infantil en América Latina y el Caribe. Washington, DC: PAHO; 2021. Available from: https://iris.paho.org/handle/10665.2/53921.

5. Ministerio de Salud Panamá. Plan estratégico para la prevención y control del cáncer 2019–2029. Panama: Ministerio de Salud; 2019?. Available from: https://www.ion.gob.pa/plan-estrategico-nacional-para-la-prevencion-y-control-del-cancer-2019-2029/.

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