1. THANK YOU!

2. Regional Adviser, Noncommunicable Diseases, WHO/EMRO Dr Ibtihal Fadhil

3. Marrakech, Morocco, 18-19 June 2010 Contents Global burden of cancer Recommendations Regional challenges in cancer prevention and control Regional burden of cancer Cancer control strategy and framework for country action ✓

4. Building on the WHA and RC resolution, the regional cancer control strategy has been developed with Member States through two regional consultation processes and inter country meetings; This strategy comprises seven building blocks which were taken together would help in developing a comprehensive cancer control programme in Member States. 1. Cancer control strategy Cancer control strategy and framework for country action

5. Promote national cancer control planning among Member States; Strengthen cancer prevention, early detection and management; Promote mobilization of resources; Strengthen cancer registration and promote cancer research. 2. Objectives of the strategy Cancer control strategy and framework for country action

6. EMRO, together with, Princess Lalla Salma association against cancer signed a collaborative agreement. The regional alliance against cancer was created in 2007. The alliance is consistent with the regional strategy for cancer prevention and control. 3. The regional alliance against cancer Cancer control strategy and framework for country action

7. 30% of Member States will have developed adequately resources cancer control plans with measurable targets to demonstrate impact; At least 75% of Member States will be equipped with cancer registries and trained staff; 50% of Member States will have core staff trained on palliative care. 4. Targets Cancer control strategy and framework for country action By end of 2013

8. Seven approaches for the regional framework for country action: Under each of the seven approaches, there are sets of actions for Member States Cancer control strategy and framework for country action

9. Establish/ reactivate a national cancer control committee headed by a prominent high-level person. Develop national cancer control plans or update existing plans, to include an integrated set of activities covering six core areas: i.prevention; ii.screening; iii.diagnosis and treatment; iv.palliative care; v.registries; and vi.research Approach 1 7 approaches for the regional framework for country action Establish and strengthen comprehensive national cancer control plans, policies, legislation and regulation 1

10. Assess the magnitude of the problem and pattern of cancer. Assess national capacity in: – Financial – Human resources – Diagnostic and treatment facilities – Medications – Equity and accessibility – Cancer registry and database – NGOs (presence and strength) – Research availability and capacity Approach 2 7 approaches for the regional framework for country action Assess magnitude of the problem and country priorities 2

11. Design and implement an advocacy campaign. To mobilize political support for the national action plan for cancer prevention and control through the mass media, involving community and religious leaders and prominent personalities. Advocate to mobilize resources. Advocate for necessary legislation and regulations to reduce exposure to risk factors. Approach 3 7 approaches for the regional framework for country action Advocate for cancer control 3

12. Develop capacity and infrastructure –Human resources at primary, secondary and tertiary levels –Training resources –Financial resources –Health system capacity (equipments, technology) Develop supportive activities: –Coordinate efforts of all stakeholders –Mobilize resources –Involve community at all stages of development –Establish a national network Develop the monitoring and evaluation system Approach 4 7 approaches for the regional framework for country action Develop the required mechanisms for implementation of national plan 4

13. Approach 5 7 approaches for the regional framework for country action Strengthen primary prevention and early detection of cancer (prevent what's preventable)* 5 Diet and physical activity and health strategy WHO FCTC 6 proven measures Strengthen cancer-related immunization programmes Promote early detection and screening support integration of cancer prevention and early detection programs into primary health care *in accordance with national priorities and resources

14. Improve access to coordinated diagnosis & treatment services; Increase human resources skills and technology for diagnosis and treatment of cancer; Develop primary and community based palliative care programmes: –to increase access to pain reducing medicines; –to increase access to psychosocial and spiritual support for patient and families. Approach 6 7 approaches for the regional framework for country action Improve cancer management, reduce pain and improve quality of life 6

15. Develop / strengthen cancer registries, surveillance and database; Promote research; Identify research priorities; Utilize collaborating centres and research network; Identify knowledge, gaps and evaluate strategies; Share research findings. Approach 7 7 approaches for the regional framework for country action Support cancer surveillance and research 7

16. Marrakech, Morocco, 18-19 June 2010 Contents Global burden of cancer Recommendations Regional challenges in cancer prevention and control Regional burden of cancer Cancer control strategy and framework for country action ✓

17. Establish national cancer control committee. Develop/ review and finalize the national cancer control plan in line with the regional cancer control strategy. Adapt the regional strategy for cancer control according to identified national needs,resources and priorities. Assess national resources for cancer control guided by WHO tools. Develop a monitoring and evaluation system. Recommendations

18. THANK YOU!