ccpi and the usapi regional ncd road map: areas for collaboration
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CCPI and the USAPI Regional NCD Road Map: areas for collaboration. Cancer Council of the Pacific Islands 51 st PIHOA Meeting * November 15, 2011 * Honolulu, HI Johnny Hedson President, CCPI Pohnpei State DHS. Objectives. Discuss possible roles for CCPI in Regional NCD Roadmap efforts - PowerPoint PPT PresentationTRANSCRIPT
CCPI and the USAPI Regional NCD Road Map:areas for collaboration
Cancer Council of the Pacific Islands51st PIHOA Meeting * November 15, 2011 * Honolulu, HI
Johnny HedsonPresident, CCPI
Pohnpei State DHS
Objectives• Discuss possible roles for CCPI in Regional NCD
Roadmap efforts• Discuss potential areas of contribution• Discuss requirements for successful
collaboration for NCD control
We have also supplied a packet describing the USAPI Regional Cancer Programs, 2012-2017 USAPI Regional CCC Plan
goals/objectives and a summary grid describing areas we seek collaboration to successfully implement the 2012-2017 regional
cancer plan
CCPI / Regional Cancer structure
• CCPI = 2 Representatives from each jurisdiction appointed by Chief Health Officer– One clinical sector ; one public health sector– Position of influence and passionate– Willing and able to be a change agent locally
• Jurisdiction CCC Coordinators
CCPI• Regional advisory body to all USAPI Regional
Cancer Programs: • All programs built to synergize and to augment
jurisdiction CCC efforts and leverage resources• Main technical partner and Secretariat– University of Hawaii, JABSOM Department of
Family Medicine & Community Health (Drs. Palafox, Buenconsejo-Lum)
• Intercultural Cancer Council (since 2000)
• NCI/NIH Pacific Cancer Initiative (2002-2008)
• Asian Pacific Islander American Health Forum / API National Cancer Survivors Network (since 1997)
• HRSA BHPr Pacific Association for Clinical Training (2003-08)
• National Partnership for CCC (since 2003)
• CDC DCPC Comprehensive Cancer Control Planning (2004-07)
• CDC DCPC Discretionary funding • Registry assessment / feasibility study (2005)
• CDC DCPC Comprehensive Cancer Control Implementation• CDC DCPC Pacific Regional Registry • CDC REACH US Center for Excellence in the Elimination of Disparities
(CEED)• CDC DCPC Discretionary funding • HPV/Cervical Cancer prevention & screening project
Partnerships in USAPI Cancer Control
Cancer Council of the Pacific Islands
(Advisory Board)
Pacific Cancer
CoalitionUniversity of
HawaiiCancer Center
(technical assistance)
• U54 MI/CCP Partnership with
University of Guam• Hawaii Tumor
Registry• Pacific Cancer
Research Group
International Partners
with PIHOA (SPC, WHO)
U.S. National Partnership for Comprehensive Cancer Control
Pacific Cancer Control Programs & Partners
University of Hawaii JABSOM
Department of Family Medicine(administrative, technical
assistance)
Regional Comp Cancer
Regional CancerRegistry
Pacific Center of Excellent in the Elimination of Disparities
(Pacific CEED)
RMI
Guam
CNMI
American Samoa
Palau
Kosrae
Chuuk
Pohnpei
Yap
FSM
University of Hawaii Office of Public Health
Sciences
Pacific Islands Health Officers Association
(PIHOA)Overarching advisory
Micronesian Community Network & Micronesian Health Advisory Council
(Hawaii)
U.S. Affiliated
Pacific Island
(USAPI) jurisdictions
CCPI Role in NCD response
• Strong tie back to the large, multi-sectoral community coalitions in each jurisdiction– Many of the coalitions are being merged or have
representation to jurisdiction NCD coalitions• Established network and structure within the
jurisdictions and region• Leveraging resources to support NCD when it
intersects with the cancer plans
CCPI Role in NCD response
• Regional cancer plan and programs have been built and are required by CDC to address the continuum of cancer control, including policy, data and evaluation as cross-cutting goals–Many opportunities to partner, strengthen,
synergize efforts and leverage resources for NCD• See grid
Collaborative Development of 2012-2017 Regional CCC Plan
• May 2011 (in HNL) and Nov 9-12, 2011 in Guam: – PPTFI, PCDC, PBMA Presidents invited– Reps/input from CNMI and Guam breast & cervical
cancer screening, CNMI MCH, Guam Tobacco and BRFSS, Palau and Guam cancer registries, Regional cancer registry
• Workgroups refine and prioritize objectives and strategies, develop 1-2 year workplan for at least 1 collaborative strategy
• Reaffirmed guiding principles of collaboration and regional CCC mobilization framework
CCPI Contribution to NCD response and requirements for success
• Refer to handout (grid) “11-15-11 Request for Collaboration by the CCPI”– PIHOA NCD Roadmap area is listed at the bottom
of each objective (column 1)– Possible ways to collaborate (column 2)– Potential partners (column 3)
• For a bigger picture, refer to “USAPI Regional CCC Plan 2012-2017” summary
Requirements for Successful Implementation of 2012-2017 Regional CCC Plan
• CCPI and UH to seek resources to continue the level and types of TA provided by Pacific CEED and seek additional resources for plan implementation
• Inclusion of reps from key NCD/PIHOA affiliate partners to the CCPI meetings – ?no official regional MCH structure – much needed– $$ resource needed to pay for travel of the Partners
Requirements for Successful Implementation of 2012-2017 Regional CCC Plan
• Depending on the strategy (see grid):– Collaborative working groups to participate in
design, implementation & evaluation of certain strategies
– Engagement of multiple partners, including PIHOA HIS, QA/PIM, HRH
– Input via conference calls, email• Good & frequent communication with PIHOA
and Affiliates– Regional NCD framework
Examples of outcomes / impact of successful collaboration
Impacts of Regional CCC Mobilization 2002-2012• 11 funded jurisdiction CCC
coalitions and programs• Cancer registry in each
jurisdiction and the region• Uniformly reported cancer
data from 2007 diagnosis year
• Building local evaluation capacity
• Curriculum: Program Planning & Evaluation, Project Evaluation
• FSM and RMI National Guidelines
• FSM Tobacco Summit and followup
• Expanded community engagement in prevention & screening
• Improved screening for cervical cancer
• Curriculum: Palliative Care, Breast & Cervical Cancer screening, FSM Curriculum to implement B&CC guidelines
U.S. Federal Funding for Pacific Cancer Control Efforts
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Fiscal Year Ending
Th
ou
sa
nd
s
CDC Pacific Center ofExcellence
CDC CCC RegionalImplementation
CDC CCC JuridictionImplementation
CDC NPCR RegionalRegistry
HRSA Pacific Assn forClinical Training
CDC CCC JurisdictionImplementation
NCI/NIH PacificCancer Initiative
Total CDC funding for REGIONAL PROGRAMS 5 years (2007-2012): $8,089,029
$20M 2002-2012