Advancing cancer prevention and early detection in Latin America and the Caribbean through regional collaboration South-South collaboration for cancer prevention and control: the case of the South America Network of Cancer Institutes (RINC/UNASUR)

Track 1 71-T1

Disclosure of interest: no conflict of interest

Walter Zoss, RINC/UNASUR - Network of National Cancer Institutes and Institutions

1. RINC/UNASUR as a South-South Cooperation model to achieve advances in cancer control

2. The UNASUR Plan Region free of Cervical Cancer to translating commitment into practice

3. Building partnerships to support implementation and improve outcome

RINC/UNASUR as a South-South Cooperation model to achieve advances in cancer control

A space for integration and union among South American populations in the cultural, social, economic and political fields, … with a view to eliminating socioeconomic inequality, in order to achieve social inclusion and citizen participation, strengthen democracy and reduce asymmetries within the framework of bolstering the sovereignty and independence of the States.” Source: Constitutive Treaty of the Union of the South American Nations, May 23rd, 2008

FULL MEMBERS UNASUR countries

ASSOCIATE MEMBERS

Technical Secretariat Río de Janeiro

Pro Tempore coordination in currently in Uruguay

MEMPERSHIP •National Cancer Institutes •Ministries of Health

•Non governmental institutions with a mandate from the Federal governments

WHAT IS RINC ? A common initiative of the governments of the 12 South American Nations to address the cancer problem in the Region.

Associate Members - Central America & Caribbean countries

Full Members - Representatives of all South American Federal Governments (UNASUR)

Incidence y Mortality by Cancer

Actions y programs

Health Systems (Cancer control)

Control de Cáncer de Cuello Uterino (2012)

Cancer Registries (2013)

Biobanking (2008)

Breast cancer control (2016/17)

Social Communications (2016)

RINC´s Working Groups Radiotherapy quality

assurance (2011) Mammography quality

assurance (2011)

The UNASUR Plan Region free of Cervical Cancer to translating commitment into practice

XI Ordinary Assembly of the South American Health Council (Ministers of Health) – September 11, 2015, Montevideo - Uruguay A Regional Plan UNASUR Region Free of Cervical

Cancer proposed by RINC was approved to decrease incidence and eliminate mortality from cervical cancer in South America.

RINC was given responsibility to develop and deliver the Plan in 2016.

RINC-UNASUR REGIONAL PLAN TO ERRADICATE AND CONTROL Cervical Cancer

2012

2015

2016

Creation of the RINC Cervical Cancer Control Working Group [8 countries]. Design of the Platform for Exchange of Experiences and Technical Assistance for Cervical Cancer Prevention in Latin America. Establishment of 5 thematic work components.

Confirmation of the Platform and extension from 5 to 9 thematic components of the Working Group. Mandate of the South American Health Council (CSS) of UNASUR at RINC to develop a Technical Assistance Plan.

Proposal of the Regional Plan

A) Technological Platform for Technical Assistance (PlaTeAT) B) Activities by Prioritized Component (ACP).

Low, medium and high income

settings in the Region

Technological Platform for

Technical Assistance

VIRTUAL CAPACITY BUILDING

FORUMS

ON LINE MEDIA HUB

User Profile

Specific content

Support Elements

For each Regional Plan component [1-9]

Support Elements

Virtual Library

Resources

Elements of Platform tools

1. Adherence to diagnosis and treatment 2. Implementation of screening based on VIAA and immediate treatment with cryotherapy “See-and-Treat” 3. Support of the incorporation of HPV testing in context of organized programs 4. Strategic implementation of vaccination against HPV in the Region 5. Strengthening of the Program’s information, monitoring and evaluation systems 6. Development of the quality control mechanisms of cytology labs 7. Access to diagnosis and treatment technology 8. Research 9. Advocacy, education and communication

Regional Plan Components

UNASUR Plan “Region free of Cervical Cancer ”

One example… 1. Adherence to diagnosis and treatment.

Strengthen UNASUR’s countries’ capabilities

to reach a timely diagnosis and

treatment for women with precacerous

lesions and cancer.

1. Make a regional diagnosis on access obstacles and actions to

monitor positive women

Component 5 Information sytems

Component 3 HPV test and Component

8 Research

2. Implement and/or strengthen ISs to monitor and evaluate

Diagnosis and Treatment

Component 8 Research

4. Develop and disseminate implementation of counseling for

HPV+ women

3. Implementation of social and psychological impact measuring

scale /HPV+

Component 9 Advocacy/

Communication

Specific goals Main goal Related components In colaboration with

Building partnerships to support implementation and improve outcome

RINC – community of practices in Latin America

• Political outreach over the last five years.

• Platform for collaboration. • Methodology to create opportunities

based on the needs of each country. • Development and application of

common tools to transfer knowledge

• Epidemiological priorities x agenda of the countries.

• Promotes common agendas which encompasses larger areas and larger populations.

• Enables governments to working together.

A Geopolitical Platform to improve collaboration

Over the last 5 years... •From a regional initiative to an innovative model of collaboration recognized globally •Capacity to mobilize governments •Opportunity to have an approach as a block to integrate agendas.

• Greater impact in the Region

Thanks! Walter Zoss rinc@rinc-unasur.org