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