Revista Panamericana de Salud Pública (Sep 2023)
Strengthening public health policies for childhood cancer: Peru’s achievements through the WHO Global Initiative for Childhood Cancer
- Essy Maradiegue,
- Claudia Pascual,
- Liliana Vasquez,
- Ivan Maza,
- Cecilia Ugaz,
- Jackeline Montoya,
- Arturo Zapata,
- Henry García,
- Sharon Chavez,
- Katy Ordoñez,
- Jonathan Rossi,
- Rosdali Diaz,
- Roxana Morales,
- Viviana Trigoso,
- Romy Ames,
- Edinho Celis,
- Isela Barzola,
- Liliana Torres,
- Melitta Cosme,
- Fanny Tarrillo,
- Ninoska Rojas,
- Carlos Santillan,
- Yuly Quispe,
- Víctor Palacios,
- Victoria Godoy,
- Mariela Tello,
- Duniska Tarco,
- Antonio Wachtel,
- Estela Malaver,
- Elizabeth Diaz,
- Marlene Goyburu,
- Vivian Perez,
- Ivy Talavera,
- Maria Edith Baca,
- Mauricio Maza,
- Lily Saldaña,
- Alexis Holguin,
- Marta Jarquin,
- Patricia Loggetto,
- Monika Metzger,
- Paola Friedrich,
- Cath Lam,
- Carlos Rodriguez Galindo
Affiliations
- Essy Maradiegue
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Claudia Pascual
- Pan American Health Organization, Lima, Peru
- Liliana Vasquez
- Pan American Health Organization, Washington, D.C., United States of America
- Ivan Maza
- Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru
- Cecilia Ugaz
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Jackeline Montoya
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Arturo Zapata
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Henry García
- Instituto Regional de Enfermedades Neoplásicas del Sur, Lima, Peru
- Sharon Chavez
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Katy Ordoñez
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Jonathan Rossi
- Ronald McDonald House Charities, Lima, Peru
- Rosdali Diaz
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Roxana Morales
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Viviana Trigoso
- Pan American Health Organization, Washington, D.C., United States of America
- Romy Ames
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Edinho Celis
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Isela Barzola
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Liliana Torres
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Melitta Cosme
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Fanny Tarrillo
- Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru
- Ninoska Rojas
- Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru
- Carlos Santillan
- Pan American Health Organization, Lima, Peru
- Yuly Quispe
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Víctor Palacios
- Regional Health Management, Lambayeque, Peru
- Victoria Godoy
- Instituto Nacional de Salud del Niño, Lima, Peru
- Mariela Tello
- Instituto Nacional de Salud del Niño, Lima, Peru
- Duniska Tarco
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Antonio Wachtel
- Pediatric Oncology Association of Peru, Lima, Peru
- Estela Malaver
- Ministry of Health of Peru, Lima, Peru
- Elizabeth Diaz
- National School of Public Health, Lima, Peru
- Marlene Goyburu
- Ministry of Health of Peru, Lima, Peru
- Vivian Perez
- Pan American Health Organization, Lima, Peru
- Ivy Talavera
- Pan American Health Organization, Lima, Peru
- Maria Edith Baca
- Pan American Health Organization, Lima, Peru
- Mauricio Maza
- Pan American Health Organization, Washington, D.C., United States of America
- Lily Saldaña
- Instituto Nacional de Salud del Niño, Lima, Peru
- Alexis Holguin
- Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
- Marta Jarquin
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- Patricia Loggetto
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- Monika Metzger
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- Paola Friedrich
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- Cath Lam
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- Carlos Rodriguez Galindo
- Saint Jude Children’s Research Hospital, Memphis, United States of America
- DOI
- https://doi.org/10.26633/RPSP.2023.132
- Journal volume & issue
-
Vol. 47,
no. 132
pp. 1 – 8
Abstract
Objective. To report the progress in Peru, since June 2019, in the implementation of the World Health Organization 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 evaluation 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 projects, 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 neutropenia, 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 support 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.
Keywords