Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Neal A Palafox^{1

2}, Leslie Given³, Karin Hohman³, John Ray Taitano⁴, Johnny Hedson⁵, Lee E Buenconsejo-Lum⁶, Kamal Gunawardane⁷, Janos Baksa⁶, Martina Reichhardt⁸

Affiliations

¹ Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA. npalafox@Hawaii.edu.
² Population Sciences in the Pacific, University of Hawai'i Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. npalafox@Hawaii.edu.
³ Strategic Health Concepts, 14035 West 86th Drive, Arvada, CO, 80005, USA.
⁴ Cancer Council of the Pacific Islands, Tamuning, GU, United States, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁵ Emeritus Member of Cancer Council of the Pacific Islands, Pohnpei, Federated States of Micronesia, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁶ Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁷ Emeritus Member of Cancer Council of the Pacific Islands, Calgary, Alberta Canada, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁸ Cancer Council of the Pacific Islands, Yap State Department of Health Services, Yap State, Federated States of Micronesia, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.

PMID: 30535525
PMCID: PMC6311141
DOI: 10.1007/s10552-018-1115-z

Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Neal A Palafox et al. Cancer Causes Control. 2018 Dec.

. 2018 Dec;29(12):1287-1295.

doi: 10.1007/s10552-018-1115-z. Epub 2018 Dec 10.

Authors

Neal A Palafox^{1

2}, Leslie Given³, Karin Hohman³, John Ray Taitano⁴, Johnny Hedson⁵, Lee E Buenconsejo-Lum⁶, Kamal Gunawardane⁷, Janos Baksa⁶, Martina Reichhardt⁸

Affiliations

¹ Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA. npalafox@Hawaii.edu.
² Population Sciences in the Pacific, University of Hawai'i Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. npalafox@Hawaii.edu.
³ Strategic Health Concepts, 14035 West 86th Drive, Arvada, CO, 80005, USA.
⁴ Cancer Council of the Pacific Islands, Tamuning, GU, United States, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁵ Emeritus Member of Cancer Council of the Pacific Islands, Pohnpei, Federated States of Micronesia, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁶ Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁷ Emeritus Member of Cancer Council of the Pacific Islands, Calgary, Alberta Canada, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.
⁸ Cancer Council of the Pacific Islands, Yap State Department of Health Services, Yap State, Federated States of Micronesia, c/o Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, MEB 224, Honolulu, HI, 96813, USA.

PMID: 30535525
PMCID: PMC6311141
DOI: 10.1007/s10552-018-1115-z

Abstract

Introduction: In the early 1990s, a comprehensive cancer control (CCC) approach was developed in the United States (US). In 2003, the US-Affiliated Pacific Islands (USAPI) adopted the CCC approach through a regional coalition, the Cancer Council of the Pacific Islands (CCPI). Using the CCC approach, the CCPI developed jurisdiction-specific cancer coalitions and initiated their respective cancer plans.

Methods: The evolution of the CCC approach and the history of the CCPI regional coalition are reviewed. The outcomes of the regional approach for cancer control in the USAPI are described to illustrate the possibilities, value-added and innovation of using a CCC strategy in a multi-national coalition based in a resource-limited environment.

Results: The CCC approach enabled the CCPI to (1) harmonize cancer control efforts between the six USAPI jurisdictions, (2) represent the USAPI cancer needs as a single voice, and (3) develop a regional cancer control strategy. Outcomes include (1) a regional cancer registry, (2) three sequential regional CCC plans, (3) leveraged resources for the USAPI, (4) enhanced on-site technical assistance and training, (5) improved standards for cancer screening, (6) evidence-based cancer control interventions adapted for the USAPI.

Conclusion: The regional CCPI coupled with the CCC approach is an effective engine of change. The CCC strategies enabled navigation of the political, geographic, cultural, and epidemiologic Pacific environment. The regional partners have been able to harmonize cancer control efforts in resource-limited settings. Regional cancer coalitions may be effective in the global arena for cancer control between communities, states, or countries.

Keywords: CCPI; Comprehensive cancer control; Global cancer control; Pacific; Regionalization; USAPI.

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Figures

**Fig. 1**
Map of the US-Affiliated Pacific Island Jurisdictions https://www.123rf.com/profile_rusak

**Fig. 2**
Proportional distribution of adult cancers in the USAPI, 2007–2015 Pacific Regional Central Cancer Registry, University of Hawai’i

**Fig. 3**
Pacific regional cancer control partners (PRCP)

See this image and copyright information in PMC

References

1. Given LS, Black B, Lowry G, Huang P, Kerner JF (2005) Collaborating to conquer cancer: a comprehensive approach to cancer control. Cancer Causes Control 16(1):3–14 - PubMed
1. The Union for International Cancer Control (UICC) ECLE (2012) Supporting national cancer control planning: a toolkit for Civil Society Organisations (CSOs) Geneva
1. Given LS, Hohman K, Graaf L, Rochester P, Belle-Isle L (2010) From planning to implementation to outcomes: comprehensive cancer control implementation building blocks. Cancer Causes Control 21(12):1987–1994 - PubMed
1. Centers for Disease Control and Prevention (2016) National Comprehensive Cancer Control Program Logic Model Centers for Disease Control and Prevention, Online
1. Comprehensive Cancer Control National Partnership (2018) Comprehensive cancer control national partnership website https://www.cccnationalpartners.org. Accessed 11 Aug 2018 - PMC - PubMed

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Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Affiliations

Comprehensive cancer control planning in the Pacific: the Cancer Council of the Pacific Islands a multi-national regional coalition

Authors

Affiliations

Abstract

Figures

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical