International cooperation in public health in Martinique: geostrategic utility for cancer surveillance in the Caribbean

Joachim, Clarisse; Almont, Thierry; Dramé, Moustapha; Contaret, Cédric; Vestris, Mylène; Najioullah, Fatiha; Aline-Fardin, Aude; Escarmant, Patrick; Leduc, Nicolas; Grossat, Nathalie; Promeyrat, Xavier; Bougas, Stefanos; Papadopoulou, Eva; Vinh-Hung, Vincent; Sylvestre, Emmanuelle; Véronique-Baudin, Jacqueline

doi:10.1186/s12992-020-00551-w

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…Additionally, our assembled sample is representative of the most common cancer sites by sex for Saint Lucia [ 1 , 10 ]. Our findings of medical travel to Martinique coincide with findings in a prior study [ 37 ]. Further, patients from all major hospitals were represented in our key informant group.…”

Section: Discussionsupporting

confidence: 91%

Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia

Auguste

Jones

Phillip³

et al. 2021

IJERPH

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Developing robust systems for cancer care delivery is essential to reduce the high cancer mortality in small island developing states (SIDS). Indigenous data are scarce, but community-based cancer research can inform care in SIDS where formal research capacity is lacking, and we describe the experiences of cancer survivors in Saint Lucia in accessing health services. Purposive and snowball sampling was used to constitute a sample of survivors for interviews. Subjects were interviewed with a questionnaire regarding socio-demographics, clinical characteristics, health services accessed (physicians, tests, treatment), and personal appraisal of experience. We recruited 50 survivors (13 men, 37 women). Only 52% of first presentations were with general practitioners. The mean turnaround for biopsy results in Saint Lucia was three times longer than overseas (p = 0.0013). Approximately half of survivors commenced treatment more than one month following diagnosis (median of 32 days, IQR 19–86 days), and 56% of survivors traveled out-of-country for treatment. Most survivors (60%) paid for care with family/friends support, followed by savings and medical insurance (38% each). In conclusion, cancer survivors in Saint Lucia are faced with complex circumstances, including access-to-care and health consequences. This study can guide future research, and possibly guide practice improvements in the near term.

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Section: Discussionsupporting

confidence: 91%

Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia

Auguste

Jones

Phillip³

et al. 2021

IJERPH

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“…Another possible factor could be the time taken to obtain the visas for Cubans to come to France (for practical training sessions), as well as for French teams’ venue on Cuban territory (for the project implementation and follow-up). However, all the above-mentioned factors should have little or no impact, given the experience of the Cuban authorities in sharing big-data for cancer surveillance in the Caribbean with the IARC [ 15 , 16 ], given the Cuban experience in international cooperation [ 12 , 26 , 27 ] and given the digital revolution in Cuba [ 21 , 22 , 25 ], notably with the implementation of Massive Online Open Courses by the University of Medical Sciences of Havana in cooperation with the Virtual Campus of Public Health of PAHO [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Collaborative digital platform France – Cuba: oncorehabilitation in reproductive and sexual health

Almont

Bujan²,

Joachim

et al. 2021

BMC Med Educ

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Background In the French West-Indies, few studies have been performed on fertility and sexual problems in cancer survivors, which are frequent and recurring issues reported by surveys on unmet needs. Additionally, mutualizing human and material resources and promoting cooperation through a collaborative platform are the most appropriate response to complex health pathways in the Caribbean territories. Implementation of such a collaborative platform will help to launch a strategic Caribbean partnership to transfer theoretical and technical skills and care standards in oncofertility and oncosexuality. Methods We propose to set up a collaborative digital platform to strengthen, from the French expertise, Cuban health professionals’ knowledge, know-how, and skills in oncofertility and oncosexuality. The project will be coordinated by a coordinating, scientific, and supervisory committee, and the main activities will include: Theoretical training in e-learning adapted to low-speed Internet. Practical training in fertility preservation and sexual rehabilitation. Digital multidisciplinary consultation meetings for medical decisions to be taken for complex clinical cases. The platform will benefit from a recurrent evaluation, by the two cancer registries of Martinique and Cuba, with the following performance indicators: number of Cuban professionals trained, number of professionals sensitized, hourly volumes (or number of training courses provided), satisfaction of trained professionals, number of e-RCPs carried out online and number of missionaries supported. These indicators will be set up and analyzed by the registers. This project meets the Cuban and French health policies (cancer plans and national sexual health strategies) and will be implemented in liaison with the Health Agencies of both countries and the Embassy of France in Cuba. Discussion This project aims to provide support through bilateral exchanges to improve reproductive and sexual health in Cuba’s cancer patients. This collaboration will be based on a long-lasting French expertise and a solid Cuban health system. Consequently, this collaborative digital platform will contribute to data collection for cancer surveillance, and the two participating countries will ultimately be identified in the Caribbean as having centers of competence and excellence in oncofertility and oncosexuality with care standards.

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“…The dynamic of scientific collaboration within the Caribbean is a real challenge for both sites of the FWI. Indeed, the language barrier with its Caribbean neighbors, the sociocultural differences, and health care and demographic contexts are heterogeneous across the Caribbean, and in fact, are potentially brakes to this collaboration (28). It is noteworthy that cooperation between the FWI and its Caribbean neighbors has already been initiated with the recent integration of Notes: USA, United States of America; SD, standard deviation.…”

Section: Discussionmentioning

confidence: 99%

Research challenges and opportunities in the Caribbean area: first bibliometric study in the French West Indies, from 1989 to 2018

Contaret

Césaire

Deloumeaux

et al. 2021

Revista Panamericana De Salud Pública

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Objective. To analyze, describe, and quantify the collaborations and scientific output of the two university teaching hospitals of Martinique and Guadeloupe, at the regional, national, and international level. Methods. A bibliometrics analysis was performed from the international databases Web of Science and PubMed, for the period from 1989 to 2018, inclusive (30 years). Three types of bibliometric indicators were used, namely quantitative indicators, performance indicators, and organization-specific indicators. Affiliations of the first and last authors were identified from PubMed. Results. Between 1989 and 2018, a total of 1 522 indexed articles were published with at least one author affiliated to either the University Hospital of Martinique (n = 827) or the University Hospital of Guadeloupe (n = 685). The majority of articles were in category Q1 (35.8% for Martinique and 35.2% for Guadeloupe). In Martinique, over the last 30 years, the three main research areas have been clinical neurology, ophthalmology, and surgery, together representing 28.7% of all research areas, with the highest number of articles published in the field of clinical neurology (n = 81). In the University Hospital of Guadeloupe, the area of hematology was largely represented, with 79 articles published. For both hospitals, the first and last authors of the article published were mainly from mainland France Conclusions. This quantitative analysis shows the development of medical and scientific research in Martinique and Guadeloupe over the last three decades, as well as the extent of their collaborative partnerships at the national and international levels.

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International cooperation in public health in Martinique: geostrategic utility for cancer surveillance in the Caribbean

Cited by 4 publications

References 19 publications

Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia

Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia

Collaborative digital platform France – Cuba: oncorehabilitation in reproductive and sexual health

Research challenges and opportunities in the Caribbean area: first bibliometric study in the French West Indies, from 1989 to 2018

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