National University of Samoa, Le Papaigalagala Campus, To'omatagi, Samoa; Department of Obstetrics and Gynaecology, University of Otago, Wellington, Wellington, New Zealand.
Department of Public Health, University of Otago, Wellington, Wellington, New Zealand.
Lancet Oncol. 2019 Sep;20(9):e493-e502. doi: 10.1016/S1470-2045(19)30414-0. Epub 2019 Aug 5.
Pacific island countries and territories (PICTs) face the challenge of a growing cancer burden. In response to these challenges, examples of innovative practice in cancer planning, prevention, and treatment in the region are emerging, including regionalisation and coalition building in the US-affiliated Pacific nations, a point-of-care test and treat programme for cervical cancer control in Papua New Guinea, improving the management of children with cancer in the Pacific, and surgical workforce development in the region. For each innovation, key factors leading to its success have been identified that could allow the implementation of these new developments in other PICTs or regions outside of the Pacific islands. These factors include the strengthening of partnerships within and between countries, regional collaboration within the Pacific islands (eg, the US-affiliated Pacific nations) and with other regional groupings of small island nations (eg, the Caribbean islands), a local commitment to the idea of change, and the development of PICT-specific programmes.
太平洋岛国和领土（PICTs）面临着癌症负担不断增加的挑战。为应对这些挑战，该地区正在出现癌症规划、预防和治疗方面的创新实践范例，包括美国附属太平洋国家的区域化和联盟建设、巴布亚新几内亚的宫颈癌控制即时检测和治疗计划、改善太平洋地区儿童癌症管理以及该地区的外科劳动力发展。对于每项创新，都确定了导致其成功的关键因素，这些因素可以使其他 PICT 或太平洋岛屿以外的其他小岛屿国家地区实施这些新的发展。这些因素包括加强国家内部和国家之间的伙伴关系、太平洋岛屿内部（例如，美国附属太平洋国家）和与其他小岛屿国家区域集团（例如，加勒比岛屿）的区域合作、对变革理念的本地承诺以及制定特定于 PICT 的计划。
