women's cancer transition: challenge for global health and health systems

58
7/23/2019 Women's cancer transition: Challenge for global health and health systems http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 1/58 Z`eln inc jlnclr F`dd`qukue Vlptleolr ?<, ?=9< Z`eln‛s inc Jlnclr Vtuckls \nkvlrskty `h kiek !ri" #ldk$ki irkl %niud  Ekiek Knstktutl h`r tal Ielrkfis, \nkvlrskty `h Ekiek Huncifkön Elxkfini piri di Viduc y Söeitld` i ]lfa` Z`eln&s $in$lr trinsktk`n' F(iddlnjl h`r jd`oid (lidt( inc (lidt( systles

Upload: presentacionesfk

Post on 18-Feb-2018

219 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 1/58

Z`eln inc jlnclr F`dd`qukueVlptleolr ?<, ?=9<

Z`eln‛s inc Jlnclr Vtuckls

\nkvlrskty `h kiek

!ri" #ldk$ki irkl %niud

 Ekiek Knstktutl h`r tal Ielrkfis, \nkvlrskty `h Ekiek Huncifkön Elxkfini piri di Viduc y Söeitld` i ]lfa`

Z`eln&s $in$lr trinsktk`n' F(iddlnjl

h`r jd`oid (lidt( inc (lidt( systles

Page 2: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 2/58

Lvkclnfl-oislcicv`fify

Icv`fify-knspkrlclvkclnfl

Iftk`n7pr`glfts, pr`jries, p`dkfkls

!uidkty'

lvkcln$l inc icv`$i$y

Page 3: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 3/58

)utdknl9 Hr`e inlfc`tl t` lvkclnfl

?. Jrlit trinsktk`ns7 Alidta, lepd`yelnt, lcufitk`n inc

w`eln kn tal w`rdc 

6. Z`eln's finflr trinsktk`n7 Faiddlnjl h`r jd`oid alidta

inc alidta systles

. !nswlrs `h alidta systles. "al #ljur` $`pudir 

%. #plfkhkf l&plrklnfls7 "al orlist finflr kn l&kf`

Page 4: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 4/58

Lnlr`, ?==1

Gunk`, ?==:

Page 5: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 5/58

Page 6: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 6/58

Page 7: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 7/58

Page 8: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 8/58

  * t` i$tk`n

#r`e lvkcln$l*

Page 9: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 9/58

F`eksk+n Jd`oid piri epdkir ld

$$ls` i di tln$k+n cld F-n$lr ln d`s

.i/sls ln !lsirr`dd`

Viduc jd`oid itln$k+n cld $-n$lr5

Page 10: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 10/58

)utdknl(. )r`e inlfc`tl... t` l*kclnfl

! "rlit trinsktk`ns# $lidta, lepd`yelnt,

lcufitk`n inc %`eln kn tal %`rdc 

6. Z`eln's finflr trinsktk`n7 Faiddlnjl h`r jd`oid alidta

inc alidta systles

. !nswlrs `h alidta systles. "al #ljur` $`pudir 

%. #plfkhkf l&plrklnfls7 "al orlist finflr kn l&kf`

Page 11: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 11/58V`urfl7 Flpid, ?=9?. Sal lpkclek`d`jkf pr`hkdl `h Ditkn Ielrkfi inc tla Firkoolin7 faiddlnjls, dkekts, inc iftk`ns.

9;1= ?=9=

88%

?%

;%

!=%

91%9?%

 F`eeunk$iodl

`n

F`eeunk$iodl

6n3urkls

6n 3ust `vlr =ylirs, 8F :kddi$(klvl t(l ijknjritls t(it e`st

1ur`plin $`untrklst``; `vlr t:`$lnturkls t` rli$("8khl l7pl$tin$y (iskn$rlislc hr`e 2=kn 94?=, t` 5<t`ciy6n i vlry s(`rt tkelplrk`c, t(l $iusls`h clit( (ivlrlvlrslc

6n 8itkn elrk$i inc t(l Firkoolin,cle`jrip(k$ inc lpkclek`d`jk$ trinsktk`ns

(ivl olln ripkc inc pr`h`unc

Page 12: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 12/58

!8>s 0MI oy $iusljr`up inc :`rdc

rljk`n, JO!61, ?=9=

=%

?=%

"=%

8=%

1=%

9==%

!9

" ""=

?? 9;9#

8

?9

"9 """1

8? 81

!9 1

19 99 9? 98 9# 98

;

V`ur$l' Lstkeitls oislc `n d`oid !urcln `c "kslisl Vtuc#, ?=9=. $%&L, ?=9?.

Kngurkls N`n-f`eeunkfiodlF`eeunkfiodl, eitlrnid

inc nutrktk`nid

Page 13: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 13/58

* 8itkn elrk$in nitk`ns, eu$( `h listlrn

1ur`pl inc $lntrid ski, F(kni, 6ncki, einy

`t(lr pirts `h s`ut( ski, inc lvln $`untrkls kn

hrk$i, CirlL hi$knj i piknhud c`uodl ourcln `h

ckslislHn`t `ndy t(l plrskstln$l `h knhl$tk`us

t(rlits, $(kdc inc eitlrnid e`rtidkty, inc

unclrnutrktk`n, out ids` t(l lelrjln$l `h nl:cinjlrs, n`tiody ckioltls, `olskty,

$irck`vis$udir ckslisl, str`;l, $in$lr, elntid kdd

(lidt(, inc kn3urkls" (ks c`uodl ourcln rlqukrls

i c`uodl rlsp`nsl, i prlck$ielnt t(it pdi$ls(ujl rlsp`nskokdktkls `n t(l stl:ircs `h nitk`nid

(lidt( systles"

A\86) #K1% G K6FK! )K)

18 K1#)K 6 1B6F) V1K61VD 1 8F1, ?==E

Page 14: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 14/58V`urfl7 !irr` ' Dll, ?=9( )attp7**+++.oirr`dll.f`e*citi*#rsfa.ate.

9;<= ?=9=

=

?

"

8

1

9=

9?

9"

   $  l  n   k  n

     i   &   k  s   t  i  n

   '  n   c   k  i

   (  )  r   &  l  y

   *   k  f  i  r  i  j  )  i

   +   ,   k  n  i

     `  r   t  )  j  i   d

   -  r  )  j  )  i  y

     l  r  )

   .  l  /   k  f  `

   '   t  i   d  y

     i  n  i  e  i

   I  r  j  l  n   t   k  n  i

     `

  )   t   ,   I     r   k  f  i

   +  )   o  i

     r  l  l  f  l

     p  i   k  n

   6  `  e  i  n   k  i

   3  r  i  n  f  l

   *  l

   t   ,  l  r   d  i  n   c  s

   $  )   d  j  i  r   k  i

     `   d  i  n   c

   *  `  r  <  i  y

   8  )  n  j  i  r  y

     l  r  e  i  n  y

   -   :

   '  r  l   d  i  n   c

   L  s   t  `  n   k  i

   +  i  n  i   c  i

   +    l  f

   ,   6  l  p  )   o   d   k  f

   I  v  l  r  i  j  l   [  l  i  r  s  `   h   V  f   a  `  `   d   k  n

  j   h  `  r   Z  `  e  l  n

6n$rlislc ylirs `h s$(``dknj h`r :`eln

 0Z`eln 9< ylirs `r `dclrI

Page 15: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 15/58

8io`r h`r$l pirtk$kpitk`n `h :`eln (is ids`

kn$rlislc suostintkiddy0945= N ?=9 kn Vldl$t F`untrklsI

945= ?=9

V`urfl7 $D-, ?=9(. ) attp7**+++.kd`.`rj*kd`stit*hifls*a`el*stitkstkfidciti*citio#suo/lft  

%kja $nf`elD&$F

=

9=

?=

#=

"=

=

8=

'ncki*kfirij)i +)oi`)tIrkfi

.l/kf` ()r&ly rllflpikn*`r<iy nktlc:knjc`

e

     i   o  `  )  r   

  i  r   t   k  f   k  p  i   t  `  n  `      7  `  e  l  n   2   %

   4

Page 16: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 16/58

8io`r pirtk$kpitk`n `h :`eln (is kn$rlislc

suostintkiddyD eu$( e`rl t(in ie`nj eln0945= N ?=9 kn Vldl$t F`untrklsI

ln Z`eln

V`urfl7 $D-, ?=9(. ) attp7**+++.kd`.`rj*kd`stit*hifls*a`el*stitkstkfidciti*citio#suo/lft  

D`+ ' &kccdl $nf`el F`untrkls %kja $nf`el

=

9==

?==

#==

"==

==

   K  n   c   k  i

   N   k  f  i  r  i  j  u  i

   F  u   o  i

   I  r  j  l  n   t   k  n  i

   V  `  u   t   a   I   h  r   k  f  i

   E  l  x   k  f  `

   ]  i  n  i  e  i

   S  u  r   b  l  

   ]  `   d  i  n   c

   !  u  n  j  i  r  

   "  r  l  l  f  l

   V  #  i   k  n

   K   t  i   d  

   $  n   k   t  l   c

   %   k  n  j   c  `  e

   K  r  l   d  i  n   c

   V  &  l  l   c  l  n

   "  l  r  e  i  n  

   N  l   t   a  l  r   d  i  n   c

  s

   N  `  r  &  i  

   ]  `  r   t  u  i

   d

     r  `  <   t   ,  r  i   t  l  `     l  f  `  n  `  e   k  f  i   d   d  y  i  f   t

   k  v  l

  p  `  p  )   d  i   t   k  `  n   k  n

   t   ,  l  p  l  r   k  `   c

 

Page 17: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 17/58

Z`eln is M `h t`tid p(ysk$kins

94@=?=9?, sldl$t $`untrkls

V`urfl7 -LF" Vtitkstkfs.

   Z  `  e  l  n  p

   a  y  s   k  f   k  i  n  s  i  s   %

  `   h   t  `

   t  i   d  p   a  y  s   k  f   k  i  n  s

=

9=

?=

#=

"=

=

8=

   '   (   )   *

   '   (   )   +

   '   (   (   *

   '   (   (   +

   ,   *   *   *

   ,   *   *   +

   ,   *   '   *

   ,   *   '   ,

I)stridki

+inici

+lf6lp)odkf

5lneir& 

'srild

`rt)jid

nktlc:knjc`e

nktlc titl

Page 18: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 18/58

9;;= ?===

6n$rlislc pr`p`rtk`n `h pr`hlssk`nid

:`eln :`r;knj

V`urfl7 Lstkeifk`nls pr`pkis f`n oisl ln di LL, sljunc` trkelstrl, 9= # ?=== # L-L ?=99.

=

?=

3=

8=

Lnknllrs

,

 !rfaktlfts "i#ylrs $ayskfkins

?=99

   %

Page 19: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 19/58

`old .rk]ls :irclc t` Z`eln

94=9 ?=9

.lrk`cZ`eln ln

:`elnYt`tid

`" `" M

94=9 94?= 9=9 M

94?9 94= < 44 <M

949 94E= < 992 M

94E9 94@= < 95E 2M

94@9 ?=== 99 ?@E M

?==9 ?=9 95 95 9=M

Z`eln (3.;%

3!

;??

Page 20: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 20/58

)utdknl(. )r`e inlfc`tl... t` l*kclnfl

?. Jrlit trinsktk`ns7 Alidta, lepd`yelnt, lcufitk`n inc

w`eln kn tal w`rdc 

& '`eln(s finflr trinsktk`n# )aiddln*l h`r

 *d`+id alidta inc alidta systles

. !nswlrs `h alidta systles. "al #ljur` $`pudir 

%. #plfkhkf l&plrklnfls7 "al orlist finflr kn l&kf`

Page 21: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 21/58

&krr`rs tal lpkclek`d`jkfid trinsktk`n

D&$Fs knfrlisknjd# hifl o`ta knhlftk`n6

iss`fkitlc finflrs, inc idd `talr finflrs.

(l Fin$lr rinsktk`n!`uodl ourcln h`r (lidt( systles

)inflrs knfrliskn*dy `ndy `h tal p``r, irl

n`t tal `ndy finflrs ihhlftkn* tal p``r 

 +Fs iff`unt h`r -/= `h flr*kfid inc 9/=≆

`h orlist finflr clitas. `ta irl dlicknj kddlrs

 3 lsplfkiddy `h y`unj < w`eln.

Page 22: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 22/58#`urfl7 8niud, !rrl`di, lncl:. lstkeitls oislc `n !1F, Jd`o`fin, ?/(/.

   V  u  r  3   k  3

  i   d

   k  n  l  <  u  i   d   k   t  #  j  i  p

(l )pp`rtunkty t` Vurvkvl

 N `rtidktyY6n$kcln$l

 N ks out s(`udc n`t ol clhknlc oy kn$`el

de`st 4=M `h Finickin $(kdc(``c dlu;leki pitklnts survkvl*6n t(l p``rlst $`untrkls `ndy 9=M survkvl"

"`#

Knf`el$k&

Knf`el

=

?=

"=

=

3'%

3=%

?3%

'%

Page 23: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 23/58

   K

  i   t  l  p  l  r   9   =   = ,   =   =   =  :  `  e  l  n

  i  j  l  i   c   3  u  s   t  l   c  e  `  r   t  i   d   k   t  y  r  i   t  l

V`urfl7 Lstkeifk`nls pr`pkis oisici ln 8niud lt id., ?==:. 1lpr`cuftk3l %lidta &ittlrs, inc upcitlc o# 8niud, Irrl`di6-rnldis inc

&;ncl oislc `n 2%- citi, 2%-V$V )944695:, inc &knkstr# `h %lidta kn &l>kf` )956?=9?V`urfl7 "iti l>triftlc hr`e F$4pdus.

Fin$lr trinsktk`n kn l7k$` G F`sti Kk$i

 rlncs kn e`rtidkty hr`e orlist inc $lrvk$id 

$in$lr

=

@

9E

   9   4   <   <

   9   4   @   <

   ?   =   =   <

   ?   =   9   ?

l7k$`

   9   4   @   =

   9   4   4   =

   ?   =   =   =

   ?   =   =   ?

=

?=

=

F`sti Kk$i

Orlist $in$lrFlrvk$id $in$lr

=

Page 24: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 24/58

     `  r   t  i   d   k   t  y  p  l  r   9   =   = ,   =   =   =  :  `  e  l  n

`rtidkty' $lrvk7 inc orlist $in$lr kn

l7k$in Vtitls 09454?=9?I

)i*ifi

=

9=

9

?=

?

   9

   ;   !   ;

   9

   ;   1   

   9

   ;   ;   =

   9

   ;   ;   

   ?

   =   =   =

   ?

   =   =   

   ?

   =   9   ?

+kstrkt` lclrid

=

?

"

8

1

9=

9?

9"

98

91

   9   ;   !   ;

   9   ;   1   

   9   ;   ;   =

   9   ;   ;   

   ?   =   =   =

   ?   =   =   

   ?   =   9   ?

=

?

"

8

1

9=9?

9"

98

91

?=ulodi

 V`urfl# ;stkeifk`nls pr̀ pkis oisicis ln cit`s cl J#. isl cl cit`s cl clhunfk`nls (9<?/(?. #2!#. #lfrltir4i cl #iduc.

   ?   =   9   ?

Nul` "l/n

*

,

-

.

)

'*

',

'-

'.

')

Page 25: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 25/58

Finflr ks i ckslisl `h o`ta rkfa inc p``r0

 #lt kt ks knfrlisknjd# tal p``r +a` suhhlr7

9" 17p`surl t` rks; hi$t`rs

?" .rlvlntiodl $in$lrs 0knhl$tk`nI

2" !lit( inc cksiokdkty hr`etrlitiodl $in$lr

" Vtkjei inc cks$rkeknitk`n

<" v`kciodl pikn inc suhhlrknj

(l Fin$lr !kvkcl'

n 1qukty 6eplritkvl

   #  i  $

  l   t  s

( t k kck k 3 tk

Page 26: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 26/58

,=== ekd e

,<==

&&,=== eur`l

933,===

V`urfl7 Lstkeifk`nls pr`pkis Bniud H.E. Irrl`di A, lt.id.,oisic` ln cit`s cl7 Srlit tal pikn inc KNO

! attp7""###.trlittalpikn.f`e  $

l*kf`

"itkn 6elrkfi

N. 6elrkfi

 !hrkfi

Kncki

3!

F&kni 9,<; e

(l e`st knskck`us kn3ustk$l'

t(l pikn ckvkcl`nelt(ic`nl, `rp(knl

1qukvidlnt `pk`kc $`nsueptk`n plr

clit( hr`e 6_ `r $in$lr kn pikn'

.``rlst 9=M' 954 ej

Kk$(lst 9=M' 44,=== ej

\VYFinici' 2,=== ej

Page 27: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 27/58

<Y@=S $in$lr ckslqukdkorkue

0#rln;Y8in$lt ?=9=I

' Ide`st :=M `h tal "IDs

)cksiokdkt#6ic/ustlc dkhl6#lirs d`st+`rdc+kcl t` finflr irl kn D&$Fs,

#lt talsl f`untrkls ai3l `nd# i 3lr#

seidd sairl `h jd`oid rls`urfls h`r

finflr O 4M `r dlss.

Page 28: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 28/58

(l $`sts t` $d`sl t(l $in$lr ckvkcl irl

inc eiy ol dlss t(in einy hlir'

Idd out `h ? D&$F prk`rkt# finflr

fale` inc a`re`nid ijlnts irl `hh6pitlnt

Cikn elckfitk`n ks falipCrkfls cr`p7 %lp! inc %C 3iffknls

"ldk3lr# ' hkninfknj knn`3itk`ns finijjrljitl purfaisknj inc stioidksl

 pr`furlelnt

Page 29: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 29/58

(l $`sts `h kni$tk`n irl (ujl'

6nvlst  K  i$tk`nS`oiff` ks i aujl lf`n`ekf rksH7 .JM d`+lr "C

S`tid lf`n`ekf f`st `h finflr, ?=9=7 ?6(M `h jd`oid "C

Crl3lntk`n inc trlitelnt `hhlrs

 p`tlntkid +`rdc si3knjs `h

A V 9=6(= okddk`n

9*69*? `h finflr clitas irl Ki3`kciodlG7?.(6.5 ekddk`n clitas,

`h +akfa :=M irl kn D$&Fs

Page 30: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 30/58

-u. ls/e`rtidkcic eitlrni= ?is eu6lrls y dis eicrls ln d`s pi3sls cl kn*rls`s+i6`s y elck`s lnhrlntin eufa`s rkls*`s i triv.s

cld fkfd` cl vkci

!kioltls

99=,===

924,===

F-n$lr cl

eiei

9<=,===

94<,===

 )ulntll7 ;stkeifk`nls pr`pkis oisicis ln cit`s cld nstktutl h`r Alidta ltrkfs inc ;*iduitk`n 5 attp7>>www.alidtaciti.`rj>joc>citi  0 .

 F-n$lr cl

$lrvk7

9=<,===

929,===

`rtidkcic

eitlrni

?49,===

2<M ln

2= i`s

X 252, ===E<,=== Eulrtls inuidls ln d`s pi3sls

cl kn*rls`s +i6`s y elck`s cl

dis eu6lrls cl 9<8<: i1`s

Page 31: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 31/58

#idsl ck$(`t`ekls $(iddlnjl

\nkvlrsid lidt( F`vlrijl 0\FI

F`eeunk$iodl `r knhl$tk`niss`$kitlc F!

F(r`nk$' 6_Y6!s 0%VI ' Orlist $in$lr

$utl ' !kirr(li

' Klspkrit`ry knhl$tk`n

' $utl ey`$irckid knhir$tk`n' $utl 8yep(`odistk$

8lu;leki

 ;kslisls kniffuritldy /di+ldlc= far`nkf `r knhlftk`us

' )lrvkfid )inflr 7$]24

'  ?`n* tlre cksi+kdkty p`st knhlftk`n 7p`dk`4

' )ar`nkf % ifutllpks`cls# Isei, elntid 

Page 32: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 32/58

)utdknl(. )r`e inlfc`tl... t` l*kclnfl

?. Jrlit trinsktk`ns7 Alidta, lepd`yelnt, lcufitk`n inc

w`eln kn tal w`rdc 

6. Z`eln's finflr trinsktk`n7 Faiddlnjl h`r jd`oid alidta

inc alidta systles

.  Ins%lrs `h alidta systlesSal Vl*ur` ]`pudir 

%. #plfkhkf l&plrklnfls7 "al orlist finflr kn l&kf`

Z dc k h h t

Page 33: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 33/58

Z`rdc:kvl :ivl `h rlh`res t`

i$(klvl \F

nk3lrsid %lidta F`3lrijl )%F7 idd pl`pdl

sa`udc `otikn nllclc alidta slr3kfls B prl3lntk`n,

 pr`e`tk`n, trlitelnt, rlaiokdktitk`n, inc piddkitk3l

firlB +kta`ut rksHknj lf`n`ekf aircsakp `rkep`3lrksaelnt )2%-, 2%1 ?=9.

6n t(l $(iddlnjknj $`ntl7t `h ripkc inc$`epdl7 lpkclek`d`jk$id trinsktk`n, inc

:(kdl oittdknj hrijelntlc (lidt( systles,

Page 34: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 34/58

1hhl$tkvl \nkvlrsid lidt(

F`vlrijl 0l\FI' \nkvlrsid F`vlrijl' qulstQ :kt( 2

stijls ()Dljid ihhkdkitk`n

 (Ifflss t` i f`eprlalnsk3l pifHijl `h l>pdkfkt

lntktdlelnts +kta hkninfkid pr`tlftk`n

 (Lhhlftk3l f`3lrijl inc hkninfkid pr`tlftk`n7

<uidkt# inc akjalst dl3ld `h alidta `utf`els

Page 35: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 35/58

\nkvlrsid lidt( F`vlrijl'

.`puditk`n, !kslisls, inc 6ntlrvlntk`ns

 `uditk`n

)*`rk+`ntid

$if-il.+kslisls

8 Kntlrlntk`ns

)/lrtkfid

      i  f   :  i  %   l

  - 

  1   u  i   d   k   t

  ;   8 

   K  n   t  l

  r  .  l  n   t   k   ̀ n

  s 

  (   c

  l  9   t   &    

3ta

kelnsk`nkninfknt` lnsurll6ukty inlhhkfklnfy#kta pr`tlftk`n

#`urfl7 `ckhklc hr`e tal ZAM, Z`rdc Alidta 1lp`rt, ?/(6 inc#farly`jj, lt id., ?//%.

Page 36: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 36/58

 5hhlftkvl \nkvlrsid lidt(

F`vlrijl 0l\FI

' !lnlhkfkirkls7 udnlriodl jr`ups' !lnlhkts, l&pdkfktdy clhknlc  B tal pifHijl7

 ( F`epdltl7 F`eeunkt#, puodkf, plrs`nid inc

fitistr`pakf ( L>pdkfkt7 kntlr3lntk`ns, ckslisls, alidta f`ncktk`ns ( F`st6lhhlftk3l7 knfrlisknj out n`t l>aiustk3l ( Cr`iftk3l t` pr`e`tl l<ukt# inc rkjats ( %kja <uidkt#

' kninfkid pr`tlftk`n' Kntl*ritlc ifr`ss tal dkhl fyfdl# ckslisls

inc pl`pdl

Page 37: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 37/58

\F rlqukrls

' i str`nj, lhhkfklnt, +ldd6run alidtas#stle0

'i s#stle h`r hkninfknj alidtaslr3kfls0

' ifflss t` lsslntkid elckfknls inc

tlfan`d`jkls0' suhhkfklnt suppd# `h +ldd6triknlc,

e`tk3itlc alidta +`rHlrs.)2%-, 2`rdc %lidta 1lp`rt, ?=9.

hh k \F t ( k kdd

Page 38: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 38/58

n lhhlftkvl \F rlsp`nsl t` $(r`nk$ kddnlss

eust kntljritl kntlrvlntk`ns id`nj t(l

F`ntknuue `h ckslisl'9" .rkeiry prlvlntk`n?" 1irdy cltl$tk`n2" !kijn`sks" rlitelnt

<" Vurvkv`rs(kpE" .iddkitkvl $irl

*"s :ldd is t(r`uj( li$( lidt( systle hun$tk`n

9"Vtl:ircs(kp?"#knin$knj2"!ldkvlry"Kls`ur$l jlnlritk`

\F k k t t c d

Page 39: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 39/58

$lidt& 7stleunftk`ns

7til `2 F&r`nkf +kslisl "k2l Ffdl 4f`e`nlnts FFF

rkeirrllntk`n

7lf`ncirrllntk`n4

lirdcltlftk`n

+kin`sks 5rlitelnt7urk`rs&k4>l&iokdktitk`n

iddkitk`n4nc-`2-dk2l firl

7tl#ircs&k

kninfkn

+ldklr

>ls`urfl0lnlritk`n inc

lkclnfloudkckn

l\F rlqukrls in kntljritlc rlsp`nsl id`nj

t(l $`ntknuue `h $irl inc :kt(kn li$(

$`rl (lidt( systle hun$tk`n

!kslisl inc (lidt( systle hun$tk`ns

Page 40: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 40/58

!kslisl inc (lidt( systle hun$tk`ns,

Oy kntljritk`n5kij`ni

d,

synlrjkstkf7vlrtkfidinc

`rk`ntid

kntljrit

k`n

5kslislplfk>f7

vlrtkfidkntljritk`n,

`rk`ntidsljelnti

tk`n

lnlridklc7

vlrtkfidsljelntitk

`n,`rk`ntidkntljritk`n

It`eklc7vlrtkfid

inc`rk`ntidsljelnti

tk`n

tl<ircskp

3kninfknj  6lvln)l

f`ddlftk`n  3)nc ``dknj  )rfisknjr`vksk`n

6lvln)ljlnlritk`n

   3   -   +   (   '   0   *   

 Iciptlc hr`e Eurriy inc Hrlnb2 ZA@ Ouddltkn ?===

/kslisl'/kslisl

,/kslisl

Page 41: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 41/58

(l !kij`nid ppr`i$( t`

lidt( Vystle Vtrlnjt(lnknj

1italr tain h`fusknj `n lktalr ckslisl6splfkhkf

3lrtkfid `r a`rk`ntid6s#stlekf pr`jries, airnlss

s#nlrjkls tait pr`3kcl `pp`rtunktkls t` tifHdl

ckslisl6splfkhkf prk`rktkls +akdl iccrlssknj s#stlekfjips inc `ptkekl i3ikdiodl rls`urfls

"kij`nid stritljkls ei3`r olnlhkts7 E N@ Φ pirts

I3`kc tal hidsl ckdleeis olt+lln ckslisl skd`stait f`ntknul t` pdijul jd`oid alidta0

!rkcjl ckslisl ck3kcls usknj i dkhl f#fdl rlsp`nsl0

lnlritl p`sktk3l l>tlrnidktkls.

Page 42: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 42/58

!ldkvlry' %irnlss pdith`res o# kntljritknj orlist

inc flr3kfid finflr prl3lntk`n, sfrllnknj inc

sur3k3`rsakp firl knt` &F%, V1%, %$*I$"V,

s`fkid +ldhirl inc intk6p`3lrt# pr`jries.

ckij`nid ippr`i$(

17iepdls'

'   $ntljritk`n `h orlist inc

flr3kfid finflr i+irlnlssinc sfrllnknj knt` tal

nitk`nid intk6p`3lrt#

 pr`jrie Mp`rtunkcicls Klsudts' ===Ss pr`e`tlrs, nursls, c`$t`rs

 irnlssknj t(l prkeiry dlvld `h $irl

\ k d dt( F k k

Page 43: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 43/58

\nkvlrsid lidt( F`vlrijl kn l7k$`

i jd`oiddy l7iepdl

(l 8in$lt

l7k$`' $ldloritknj unkvlrsid (lidt( $`vlrijl"

(l 8in$lt, _ d̀uel 2@=, 6ssul 4@?, .ijl E??, 9@ ujust ?=9?"

• K&l>kf` rlifalc i trud# keelnsl dinceirH kn kts

 pk`nllrknj /`urnl# `h alidta rlh`reG

]&l>kf` ais sa`+lc a`+ %F, is +ldd is olknjltakfidd# tal rkjat taknj t` c`, ks tal seirt taknj t`

c`. %lidta rlh`re, c`nl pr`plrd#, o``sts lf`n`ekf

cl3ld`pelntG

• Kdlt us fldloritl sufflss, inc a`pl h`r i sustiknlc&l>kfin +i3l `h %F +`rdc+kclG

Page 44: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 44/58

.r`odle' olh`rl ?==

Ide`st aidh `h &l>kfin

a`usla`dcs difHlc alidta

knsurinfl, +akfa dkektlc ifflss

t` firl, rlcuflc `pp`rtunktkls

h`r rksH p``dknj, inc jlnlritlcfitistr`pakf l>plnckturls.

?== <L< L"!7L 2L4L7!7 !L22 7

Page 45: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 45/58

?== <L< L"!7L 2L4L7!7 !L22 7

*L!"7* 2><!L 0M 4LL<!74 ! 2M27L < 2!"

$<7L7 *L!"7* 7*!7 ">IL2 $$>"!< *L!"7*

2><!L < !"L2 LO">ILI < 2!"

2L><7M

7`fkid 7lfurkt

$uFdkf in prkCitl,`reid slft`r #`r-lrs

in talkr hiekdkls&=% `h p`puditk`n

knkstr `2 $lidt&

#kt& rlskcuid

2unckn

$``r, knh`reid slft`r,n`n.sidirkl, rurid

irlis &=%`h p`puditk`n

'(-=

?==9H $kd`t `h $*

?== "i#

GinJ 9, ?==3 22$*

?=9= >nkClrsidf`Clril `h $*

Vstle h`r V`fkid

]r`tlftk`n kn !lidta

Vljur`

]`#udir

rln- lt idJ, ?==39

1 k h #k k d F

Page 46: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 46/58

17pinsk`n `h #knin$kid F`vlrijl'

  Vl*ur` ]`pudir E.xkf`

*`rk+`ntid `Clril

Mlnl2kfkirkls

   /  l  r   t   k  f  i

   d    5  `  C  l  r  i    l

   I   k  s  l  i  s  l  s  i  n   =   1  n   t  l  r  C  l  n   t   k  `  n  s  9

    M  l  n  l   2   k   t  s   -  i  f   :  i  

  l

hhkdkitk`n'' ?==(7 J.4 e

' ?=9(7 44.J e

Olnlhkt pi$;ijl'' ?==(7 99

' ?=9(7 ?:4

' 4 kn talFitistr`p(k$

6ddnlss #unc 

k k hk k k k

Page 47: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 47/58

F`3lrlc p`puditk`n7 4(.J ekddk`n !lnlhkfkirkls

   !  l  n  l   h   k   t  s  7  f  `  3  l  r  l   c   k  n

   t  l  r  3  l  n   t   k  `  n  s

`rk]`ntid inc vlrtk$id hknin$kid pr`tl$tk`n stritljkls'

Vljur` .`pudir kn l7k$`

itistr`pakf ddnlss

6FF">65+ I>5KF6" F)I>60 LA Frlist finflr, !I2

if:il `2 lsslntkid lrs`nid

slrkfls

F`eeunkt $lidt& 7lrkfls rllntk`nOr`e`tk`n

$``r <kfa

F$K"+>N $lidt& knsurinfl 2`r i Nl# 0lnlritk`n

Lirdy ltlftk`n

2urCkC`rsakp

$iddkitkCl firl

Page 48: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 48/58

Vljur` .`pudir' Klsudts

' $nfrlislc f`3lrijl7 (dljid, oiskf inc lhhlftk3l

' kninfkid pr`tlftk`n kepr`3lc' Sal hkninfkid cksl<ukdkorkue olt+lln

tal knsurlc inc tal unknsurlc B n`+

f`3lrlc o# Vljur` p`pudir6 ais fd`slc

 ;lspktl ei6`r faiddln*ls inc frksls#

lf`n`ekf, $99, vk`dlnfl

Page 49: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 49/58

)utdknl(. )r`e inlfc`tl... t` l*kclnfl

?. Jrlit trinsktk`ns7 Alidta, lepd`yelnt, lcufitk`n inc

w`eln kn tal w`rdc 

6. Z`eln's finflr trinsktk`n7 Faiddlnjl h`r jd`oid alidta

inc alidta systles

. !nswlrs `h alidta systles. "al #ljur` $`pudir 

< Vplfkhkf lxplrklnfls#

Sal +rlist finflr kn Elxkf`

V ] d k d c

Page 50: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 50/58

nk3lrsid f`3lrijl o# ckslisl +kta in

lhhlftk3l pifHijl `h kntlr3lntk`ns?==(*J7 %$*I$"V, flr3kfid, IDD kn

fakdcrln

?==57 plckitrkf finflrs0 orlist

?=997 Slstkfudir, Cr`stitl inc %D

?=97 -3irkin inc f`d`rlftid

 Vl*ur` ]`pudir  n`: kn$ducls

$in$lrs kn t(l nitk`nid,

$itistr`p(k$ kddnlss hunc

V . d c o t

Page 51: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 51/58

Vljur` .`pudir inc orlist $in$lr'

1vkcln$l `h kepi$t

 itk`nid $nstktutl

`h Finflr7trlitelnt

icalrlnfl

?==47 ?==*J==

?=9=7 9=*==

(l (uein hi$ls'

Jukddlrekni vkdi

O t F c t tk

Page 52: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 52/58

M ckijn`slc kn Vtijl oy stitl' [ ? ;kddlr `h

:`eln 2=<

' <9=M cltl$tlc

kn Vtijl =9

' ]``r

eunkfkpidktls#<>0 Vti*l M <x

tal ritl h`r rkfa

Orlist Fin$lr cltl$tk`n'

!ldkvlry hikdurl

$``r 

<fa

Page 53: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 53/58

or

Auinkti'

F-n$lr cl eieiivin]ic` y eltist-sk$`

$`e` rlsudtic` cl unislrkl cl `p`rtunkcicls

plrckcis

!kij`nidk]knj !ldkvlry'

Page 54: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 54/58

j j yriknknj prkeiry $irl pr`vkclrs kn lirdycltl$tk`n `h orlist $in$lr

Vkjnkhkfint knfrlisl kn

Hn`+dlcjl, lsplfkidd# ie`nj

alidta pr`e`tlrs inc kn fdknkfid

 orlist l>ieknitk`n)8litknj, 8niud lt id ?=9(, Sal -nf`d`jkst

'

!

<

3

rl `st - e`nt&

$lidt& r`e`tlrs

>ks: 7f`rl (=-9=

    M

`tid W 9E,===

lidt( pr`e`tlrs

ursls

.(ysk$kins

.rldkekniry triknknj rlsudts' 9= ===

Page 55: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 55/58

.rldkekniry triknknj rlsudts' 9=,===

prkeiry $irl p(ysk$kins inc nursls, ?=9

&skfkinsN3,'!?

NurslsN?,?3

   F  i   d   k   2   k  f  i  f   k   /  n   (   %

    c  l    u

  n   t  `  s   d  `    r  i   c  `  s    `  r  s  f  `  r  l   

7kns inc set`es

>ks: ift`rs

0d`oid

FM inc M7

7urk`rs&k CC

;=

1&

1=

:&

> )75 > )75

l\F rlqukrls in kntljritlc rlsp`nsl id`nj

Page 56: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 56/58

$lidt& 7stleunftk`ns

7til `2 F&r`nkf +kslisl "k2l Ffdl 4f`e`nlnts FFF

rkeirrllntk`n

7lf`ncirrllntk`n4

lirdcltlftk`n

+kin`sks 5rlitelnt7urk`rs&k4>l&iokdktitk`n

iddkitk`n4nc-`2-dk2l firl

7tl#ircs&k

kninfkn

+ldklr

>ls`urfl0lnlritk`n inc

lkclnfloudkckn

l\F rlqukrls in kntljritlc rlsp`nsl id`nj

t(l $`ntknuue `h $irl inc :kt(kn li$(

$`rl (lidt( systle hun$tk`n

Page 57: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 57/58

Ol in

`ptkekst`ptkeidkst

Page 58: Women's cancer transition: Challenge for global health and health systems

7/23/2019 Women's cancer transition: Challenge for global health and health systems

http://slidepdf.com/reader/full/womens-cancer-transition-challenge-for-global-health-and-health-systems 58/58

Z`eln inc jlnclr F`dd`qukueVlptleolr ?<, ?=9<

Z`eln‛s inc Jlnclr Vtuckls

\nkvlrskty `h kiek

!ri" #ldk$ki irkl %niud

Ekiek Knstktutl h`r tal Ielrkfis, \nkvlrskty `h Ekiek

Z`eln&s $in$lr trinsktk`n' F(iddlnjl

h`r jd`oid (lidt( inc (lidt( systles