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Implementing multidisciplinary team (MDT) care in low-resource settings requires adaptable guidelines and workforce training. City Cancer Challenge (C/Can) successfully piloted an innovative MDT methodology across four cities, enhancing cancer care delivery.

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Area of Science:

  • Oncology
  • Global Health
  • Health Systems Strengthening

Background:

  • Delivering high-quality cancer care via multidisciplinary teams (MDTs) is challenging in low- and middle-income countries (LMICs) due to fragmented health systems and limited resources.
  • The City Cancer Challenge (C/Can) initiative aims to improve equitable access to quality cancer care in LMICs.

Purpose of the Study:

  • To present an innovative methodology developed by C/Can to address the gap in multidisciplinary team (MDT) care for cancer patients.
  • To detail the pilot implementation of this methodology in four cities: Asunción, Cali, Kumasi, and Yangon.

Main Methods:

  • Developed a package of technical cooperation focusing on city-wide patient management guidelines and capacity building for MDT implementation.
  • Piloted the methodology in four diverse urban settings, adapting approaches based on real-time application and stakeholder engagement.

Main Results:

  • Early engagement of stakeholders and integration of MDT guidelines into regulatory frameworks were crucial for sustainable uptake in Cali and Asunción.
  • City-to-city knowledge exchange informed subsequent implementations, and a rapid pivot to a virtual format during the COVID-19 pandemic proved successful in Kumasi.

Conclusions:

  • The C/Can methodology highlights the importance of resource-appropriate guidelines and a trained health workforce for effective cancer care.
  • Cross-institutional and interdisciplinary collaboration is essential for the successful implementation and sustainability of MDT approaches in cancer care.