了解低收入和中等收入国家的国家癌症控制计划的开发过程
Linsey Eldridge1, Amina Chtourou1, Kalina Duncan1
1Center for Global Health, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
Journal of cancer policy
|December 3, 2025
概括
在低资源环境中制定国家癌症控制计划 (NCCP) 是复杂的. 伙伴关系和灵活的技术援助是克服癌症控制规划和实施挑战的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 控制癌症 控制癌症
背景情况:
- 低收入和中等收入国家 (LMICs) 癌症发病率上升需要强有力的国家癌症控制计划 (NCCPs).
- 在NCCP发展研究计划 (NCCP DRIVE) 中,研究了NCCP发展过程和影响因素.
研究的目的:
- 了解国家癌症控制计划 (NCCP) 在LMICs发展的动态和挑战.
- 确定有效开发和实施NCCP的促成和阻碍因素.
主要方法:
- 定性研究涉及9个国家的癌症规划人员进行深入采访 (七个非洲国家,2个南亚国家).
- 使用卫生政策三角 (HPT) 框架对转录的采访进行主题分析.
主要成果:
- 开发NCCP有六个阶段:启动,制定,谈判,沟通,实施和监测/评估.
- 关键的挑战包括资源限制,竞争的优先事项,分散的卫生系统和不充分的数据.
- 采用的策略包括将癌症控制与现有计划相结合,多部门参与,建立政治意愿,并确保技术援助 (TA).
- 伙伴关系对于确定优先事项,协调议程和利用资源至关重要,尽管存在协调挑战.
结论:
- 开发NCCP是一个代的过程,需要灵活的技术援助和强大的数据系统.
- 将癌症控制纳入现有卫生系统是有价值的.
- 了解启动至实施的动态为LMIC和技术援助提供商提供了实际见解.
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