The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

Duggan, Catherine; Dvaladze, Allison; Rositch, Anne F.; Ginsburg, Ophira; Yip, Cheng Har; Horton, Susan; Rodríguez, Rolando Camacho; Eniu, Alexandru; Mutebi, Miriam; Bourque, Jean Marc; Masood, Shahla; Unger‐Saldaña, Karla; Cabanes, Anna; Carlson, R. W.; Gralow, Julie R.; Anderson, Benjamin O.

doi:10.1002/cncr.32891

Cited by 77 publications

(141 citation statements)

References 67 publications

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“…More recently, BHGI has proposed a 'phased implementation' methodology for translating resource-stratified guidelines into clinical practice based on principles of implementation research. 5 Cancer registries comprise an essential element in evaluating cancer control strategies and the quality of care, and for setting priorities in public health. Close contact between the cancer registry, researchers and caregivers will improve the quality and use of the data, as well as the ability to understand the relevance of the findings.…”

Section: Quality Management On a Global Scalementioning

confidence: 99%

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Breast Cancer: global quality care optimizing care delivery with existing financial and personnel resources

et al. 2019

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Our vision about breast cancer quality care within a global health framework was recently published by Oxford University Press. The aim of our work was to reflect on the potential to achieve a world-wide improvement in quality care, assessing value for money. The population-based survival estimates from the CONCORD programme and the Breast Health Global Initiative (BHGI) are valuable tools for this global effort. Because cancer care delivery is becoming unsustainable in many countries assessing healthcare value for the cost is becoming increasingly important. Recommendations are made for better global quality care for patients with breast cancer.

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Section: Quality Management On a Global Scalementioning

confidence: 99%

“…More recently, BHGI has proposed a ‘phased implementation’ methodology for translating resource-stratified guidelines into clinical practice based on principles of implementation research. 5 …”

Section: Introductionmentioning

confidence: 99%

Breast Cancer: global quality care optimizing care delivery with existing financial and personnel resources

et al. 2019

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“…Phased implementation as developed by BHGI and detailed in this supplement established situational analysis along with a trained workforce, guidelines, data, and patient pathway as a prerequisite for developing sustainable strategies with which to strengthen breast health care delivery 32 . According to this strategy, strengthening breast health care begins with addressing diagnostic and treatment capacity before focusing on early detection.…”

Section: Introductionmentioning

confidence: 99%

Situational analysis of breast health care systems: Why context matters

Duggan

Dvaladze

Stevens

et al. 2020

Cancer

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BACKGROUND: Implementation of evidence-based, resource-appropriate guidelines for breast cancer control should be preceded by a baseline assessment or situational analysis to assess breast health infrastructure, workforce capacity, patient pathways, existing practices, accessibility, and costs. METHODS: To support the assessment of breast health care systems within the broader context in which they exist, the Breast Health Global Initiative (BHGI) developed, tested, and refined a set of situational analysis tools with which to guide the assessment of breast health care capacity, identify the relative strengths and weaknesses of the health system, and support stakeholders in prioritizing actionable items to advance breast cancer care using evidence-based strategies tailored to their setting. The tools address 6 domains of breast health care delivery: 1) breast cancer early detection practices; 2) breast cancer awareness programs; 3) the availability of breast cancer surgery; 4) the availability of pathology; 5) the availability of radiotherapy, and 6) the availability of systemic therapy services. The current study also describes the more comprehensive International Atomic Energy Agency Programme of Action for Cancer Therapy (PACT) integrated missions for PACT (imPACT) review. RESULTS: As of 2020, 5 formal BHGI situational analyses have been performed in India, Brazil, Panama, Tanzania, and Uganda. As of August 2019, a total of 100 imPACT reviews have been conducted in 91 countries. These assessments can contribute to more informed policymaking. CONCLUSIONS: Situational analyses are a prerequisite for the development of resource-appropriate strategies with which to advance breast cancer control in any setting and should assess services across the entire breast health care continuum as well as the broader structural, sociocultural, personal, and financial contexts within which they operate. Cancer 2020;126:2405-2415.

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“…The guidelines are intended to help guide policymakers, clinicians, and advocates in developing evidence‐based, resource‐appropriate strategies for improving cancer management. How the guidelines are implemented is equally important, and there is growing attention to this process 7 . Patient advocates have an integral role to play in this process, and the Women's Empowerment Cancer Advocacy Network (WE CAN) responded to this challenge by facilitating regional networks of patient advocacy groups and providing opportunities for education and networking 8…”

Section: Introductionmentioning

confidence: 99%

Breast cancer patient advocacy: A qualitative study of the challenges and opportunities for civil society organizations in low‐income and middle‐income countries

Dvaladze

Kizub

Cabanes

et al. 2020

Cancer

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BACKGROUND: Breast cancer advocacy movements, driven by advocate-led civil society organizations (CSOs), have proven to be a powerful force for the advancement of cancer control in high-income countries (HICs). However, although patient advocacy movements are growing in low-income and middle-income countries (LMICs) in response to an increasing cancer burden, the experiences and needs of advocate-led breast cancer CSOs in LMICs is understudied. METHODS: The authors conducted a qualitative study using in-depth interviews and focus group discussions with 98 participants representing 23 LMICs in Eastern Europe, Central Asia, East and Southern Africa, and Latin America. RESULTS: Despite geographic, cultural, and socioeconomic differences, the common themes that emerged from the data across the 3 regions are strikingly similar: trust, knowledge gaps, stigma, sharing experiences, and sustainability. The authors identified common facilitators (training/education, relationship building/networking, third-party facilitators, and communication) and barriers (mistrust, stigma, organizational fragility, difficulty translating HIC strategies) to establishing trust, collaboration, and advancing cancer advocacy efforts. To the authors' knowledge, the current study is the first to describe the role that coalitions and regional networks play in advancing breast cancer advocacy in LMICs across multiple regions. CONCLUSIONS: The findings of the current study corroborate the importance of investing in 3-way partnerships between CSOs, political leaders, and health experts. When provided with information that is evidence-based and resource appropriate, as well as opportunities to network, advocates are better equipped to achieve their goals. The authors propose that support for CSOs focuses on building trust through increasing opportunities for engagement, disseminating best practices and evidence-based information, and fostering the creation of platforms for partnerships and networks.

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The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource‐Stratified Phased Implementation: Methods and overview

Cited by 77 publications

References 67 publications

Breast Cancer: global quality care optimizing care delivery with existing financial and personnel resources

Breast Cancer: global quality care optimizing care delivery with existing financial and personnel resources

Situational analysis of breast health care systems: Why context matters

Breast cancer patient advocacy: A qualitative study of the challenges and opportunities for civil society organizations in low‐income and middle‐income countries

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