International Agency for Research on Cancer, Lyon, France.
Lalla Salma Foundation for Cancer Prevention and Treatment, Rabat, Morocco.
Lancet Oncol. 2018 Feb;19(2):e93-e101. doi: 10.1016/S1470-2045(17)30727-1.
Examples of successful implementations of national cancer control plans in low-income or middle-income countries remain rare. Morocco, a country where cancer is already the second leading cause of death after cardiovascular diseases, is one exception in this regard. Population ageing and lifestyle changes are the major drivers that are further increasing the cancer burden in the country. Facing this challenge, the Moroccan Ministry of Health has developed a we l planned and pragmatic National Plan for Cancer Prevention and Control (NPCPC) that, since 2010, has been implemented with government financial support to provide basic cancer care services across the entire range of cancer control. Several features of the development and implementation of the NPCPC and health-care financing in Morocco provide exemplars for other low-income and middle-income countries to follow. Additionally, from the first 5 years of NPCPC, several areas were shown to require further focus through implementation research, notably in strengthening cancer awareness, risk reduction, and the referral pathways for prevention, early detection, treatment, and follow-up care. Working together with a wide range of stakeholders, and engagement with stakeholders outside the health-care system on a more holistic approach can provide further opportunities for the national authorities to build on their successes and realise the full potential of present and future cancer control efforts in Morocco.
在中低收入国家中，成功实施国家癌症控制计划的例子仍然很少。摩洛哥是一个癌症已经成为继心血管疾病之后第二大死亡原因的国家，在这方面是一个例外。人口老龄化和生活方式的改变是导致该国癌症负担进一步增加的主要驱动因素。面对这一挑战，摩洛哥卫生部制定了一项经过精心规划和务实的国家癌症预防和控制计划（NPCPC），自 2010 年以来，该计划在政府的财政支持下得到了实施，为整个癌症控制范围提供了基本的癌症护理服务。摩洛哥 NPCPC 的制定和实施以及卫生保健筹资的几个特点为其他中低收入国家提供了可供借鉴的范例。此外，从 NPCPC 的前 5 年来看，有几个领域需要通过实施研究进一步关注，特别是在加强癌症意识、降低风险以及预防、早期发现、治疗和随访护理的转诊途径方面。与广泛的利益相关者合作，并与卫生保健系统以外的利益相关者就更全面的方法进行接触，可以为国家当局提供进一步的机会，在成功的基础上再接再厉，充分发挥摩洛哥目前和未来癌症控制工作的潜力。
