Session V: The Programme of Action for Cancer Therapy - PACT

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Session V: The Programme of Action for Cancer Therapy - PACT Ms Nelly Enwerem-Bromson Director Division of Programme of Action for Cancer Therapy Department of Technical Cooperation International Atomic Energy Agency

Cancer: A growing global health & development issue New cancer cases

Cancer: A growing global health & development issue Annual cancer deaths

The cancer perspective compared to HIV, TB and malaria Annual deaths Annual funding 250% more cancer deaths than for HIV, TB, malaria combined. 1% of the funding for HIV, TB and malaria. Sources: Deaths: IARC 2012, UNAIDS 2015, WHO 2013, Roll Back Malaria 2013, Funding: IHME 2008, UNAIDS 2015, WHO 2014, Roll Back Malaria 2010

A growing global health & development issue Sources: CONCORD-2, Lancet 2015; SurvCan IARC 2011

Inequity in Access to Cancer Care (Example of radiotherapy) An estimated shortfall of over 5,000 radiotherapy machines in LMICs

Expenditure on Cancer-related Projects (1983-2014) EUROPE 74.9 million ASIA and the PACIFIC 51.4 million LATIN AMERICA 52.3 million AFRICA 81.6 million INTERREGIONAL 19.2 million * These figures do not include s corresponding overhead costs. International Atomic Energy Agency TOTAL EXPENDITURE 279.4 million

The unique role of the SURVEILLANCE PREVENTION EARLY DETECTION DIAGNOSIS TREATMENT PALLIATIVE CARE RADIATION MEDICINE FOR CANCER MANAGEMENT DIAGNOSTIC IMAGING RADIOTHERAPY NUCLEAR MEDICINE

-wide efforts in fight against cancer MTPS MTBF OPIC NAHU NSRW Radiation medicine Radiation safety TC Program Delivery Integration of radiation medicine within a comprehensive cancer control approach Member State OLA MTIT NSNS Security of radioactive sources PACT WHO IARC OTHER PARTNERS DONORS

PACT s mandate Created to help fight the growing cancer crisis in the developing world. Building on s 40 year experience in supporting countries in applying nuclear technologies for health and prosperity. Improving patient survival through promoting integration of radiotherapy technologies within a comprehensive national cancer control programme. Building strong strategic partnerships, particularly with the World Health Organization, to promote equitable, affordable access to cancer care for all cancer patients in low and middle income countries.

PACT s services impact review missions Assessment of Member States cancer control capacities, actionable recommendations to Ministries of Health, identification of projects for resource mobilization. 75 impact assessments conducted since 2005. PACT Model Demonstration Sites Projects in 8 countries (Ghana and Tanzania in Africa) for demonstrating effective cancer control planning and implementation.

PACT s services Advisory Group on increasing Access to Radiotherapy Technology in LMI Countries (AGaRT) Fostering collaborative efforts to improve Access to radiotherapy from different perspectives: o technical, logistical, economical and health service delivery. Virtual University of Cancer Control An e-learning platform to bring contextualised, peer reviewed cancer control education to medical professionals in resource limited environments. Currently Ghana, Tanzania, Uganda and Zambia, mentored by South Africa and Egypt, Further expansion is being planned.

PACT s services: Strategic Partnerships and Resource Mobilization Strong advocacy at key global fora and meetings for enhanced cancer control efforts in low-and middle income countries and the critical role of the in providing support to MS Partnership Agreements with key partner organizations: Union for International Cancer Control International Agency for Research on Cancer United States Nuclear Infrastructure Council African Organisation for Research and Training in Cancer American Cancer Society International Network for Cancer Treatment and Research Korea Institute of Radiology and Medical Sciences E-Cancer Resource mobilization for global advocacy and support to Member States

PACT s role in Technical Cooperation programme delivery Integration of impact findings and recommendations into upcoming national TC planning processes (CPN, CPF) and UNDAFs. Development of strategic partnerships for the implementation at country level of cancer related TC projects. Spearheading resource mobilization efforts for cancer to address funding gaps in cancer-related TC projects and support Member States in comprehensive cancer control.

cancer.iaea.org #CancerCare4All