Lam Catherine G, Vasquez Liliana, Loggetto Patrícia, Fuentes-Alabi Soad, Gonzalez Ruiz Alejandra, Benitez Majano Sara, Jarquin-Pardo Marta, Maza Mauricio, Spencer John, Metzger Monika L, Luciani Silvana
Department of Global Pediatric Medicine WHO Collaborating Centre for Childhood Cancer St. Jude Children's Research Hospital Memphis United States of America Department of Global Pediatric Medicine, WHO Collaborating Centre for Childhood Cancer, St. Jude Children's Research Hospital, Memphis, United States of America.
Pan American Health Organization Washington, DC United States of America Pan American Health Organization, Washington, DC, United States of America.
Rev Panam Salud Publica. 2023 Mar 10;47:e41. doi: 10.26633/RPSP.2023.41. eCollection 2023.
Working with PAHO/WHO to prioritize childhood cancer in the context of systems strengthening is central to St. Jude Children's Research Hospital (SJCRH)'s role as WHO Collaborating Centre for Childhood Cancer. This manuscript focuses on how SJCRH and PAHO/WHO have partnered to apply C5 (Country Collaboration for Childhood Cancer Control) to define and implement priority actions regionally, strengthening Ministry programs for childhood cancer, while implementing the Global Initiative for Childhood Cancer since 2018. Using C5, a tool developed by SJCRH, PAHO/WHO and SJCRH co-hosted regional/national workshops engaging authorities, clinicians and other stakeholders across 10 countries to map health systems needs and prioritize strategic activities (spanning Central America, Dominican Republic, Haiti, Brazil and Uruguay). SJCRH provided English/Spanish/Portuguese C5 versions/templates for analysis/prioritization exercises, and worked with PAHO/WHO and country teams to implement C5, analyze findings, and develop outputs. In an eight-country regional workshop, countries defined priorities within national/regional initiatives and ranked their value and political will, incorporating country-specific surveys and stakeholder dialogues. Each country prioritized one strategic activity for 2022-2023, exchanged insights via storytelling, and disseminated and applied results to inform country-specific and regional action plans. National workshops analyses have been incorporated into cancer control planning activities and collaborative work regionally. Implementation success factors include engaging actors beyond the clinic, enabling flexibility, and focusing on co-design with stakeholders. Joint implementation of C5 catalyzed prioritization and accelerated strategic activities to improve policies, capacity, and quality of care for children in the Americas, supporting Ministries to integrate childhood cancer interventions as part of systems strengthening.
作为世界卫生组织儿童癌症合作中心，圣裘德儿童研究医院（SJCRH）的核心任务是与泛美卫生组织/世界卫生组织合作，在加强卫生系统的背景下确定儿童癌症工作的优先事项。本手稿重点介绍了SJCRH与泛美卫生组织/世界卫生组织如何合作应用C5（儿童癌症控制国家合作）来定义和实施区域优先行动，加强各国的儿童癌症防治项目，同时自2018年以来实施全球儿童癌症倡议。利用SJCRH开发的工具C5，泛美卫生组织/世界卫生组织和SJCRH共同主办了区域/国家研讨会，邀请了10个国家的政府当局、临床医生和其他利益相关者，以梳理卫生系统需求并确定战略活动的优先次序（涵盖中美洲、多米尼加共和国、海地、巴西和乌拉圭）。SJCRH提供了英语/西班牙语/葡萄牙语的C5版本/模板用于分析/确定优先次序的活动，并与泛美卫生组织/世界卫生组织及各国团队合作实施C5、分析结果并制定产出。在一次八国区域研讨会上，各国在国家/区域倡议中确定了优先事项，并对其价值和政治意愿进行了排名，纳入了针对各国的调查和利益相关者对话。每个国家都确定了2022 - 2023年的一项战略活动重点，通过经验分享交流见解，并传播和应用结果以指导各国和区域的行动计划。各国研讨会的分析结果已纳入癌症控制规划活动和区域合作工作中。实施的成功因素包括吸引临床领域以外的行为者参与、保持灵活性以及注重与利益相关者共同设计。C5的联合实施推动了优先事项的确定，并加速了战略活动，以改善美洲儿童的政策、能力和护理质量，支持各国政府将儿童癌症干预措施纳入卫生系统加强工作的一部分。
