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1.
Lancet Oncol ; 19(5): e252-e266, 2018 05.
Article in English | MEDLINE | ID: mdl-29726390

ABSTRACT

In low-income and middle-income countries, an excess in treatment failure for children with cancer usually results from misdiagnosis, inadequate access to treatment, death from toxicity, treatment abandonment, and relapse. The My Child Matters programme of the Sanofi Espoir Foundation has funded 55 paediatric cancer projects in low-income and middle-income countries over 10 years. We assessed the impact of the projects in these regions by using baseline assessments that were done in 2006. Based on these data, estimated 5-year survival in 2016 increased by a median of 5·1%, ranging from -1·5% in Venezuela to 17·5% in Ukraine. Of the 26 861 children per year who develop cancer in the ten index countries with My Child Matters projects that were evaluated in 2006, an estimated additional 1343 children can now expect an increase in survival outcome. For example, in Paraguay, a network of paediatric oncology satellite clinics was established and scaled up to a national level and has managed 884 patients since initiation in 2006. Additionally, the African Retinoblastoma Network was scaled up from a demonstration project in Mali to a network of retinoblastoma referral centres in five sub-Saharan African countries, and the African School of Paediatric Oncology has trained 42 physicians and 100 nurses from 16 countries. The My Child Matters programme has catalysed improvements in cancer care and has complemented the efforts of government, civil society, and the private sector to sustain and scale improvements in health care to a national level. Key elements of successful interventions include strong and sustained local leadership, community engagement, international engagement, and capacity building and support from government.


Subject(s)
Delivery of Health Care, Integrated/methods , Developing Countries , Healthcare Disparities , Medical Oncology/methods , Neoplasms/therapy , Pediatrics/methods , Public-Private Sector Partnerships , Adolescent , Age of Onset , Child , Child, Preschool , Delivery of Health Care, Integrated/economics , Developing Countries/economics , Healthcare Disparities/economics , Humans , Income , Infant , Infant, Newborn , Medical Oncology/economics , Neoplasms/diagnosis , Neoplasms/economics , Neoplasms/mortality , Pediatrics/economics , Prognosis , Program Development , Program Evaluation , Public-Private Sector Partnerships/economics , Risk Assessment , Risk Factors
2.
BMC Cancer ; 16: 104, 2016 Feb 15.
Article in English | MEDLINE | ID: mdl-26879701

ABSTRACT

BACKGROUND: Cancer burden among children and adolescents is largely unknown in Bangladesh. This study aims to provide a comprehensive overview on childhood and adolescent cancers and to contribute to the future strategies to deal with these diseases in Bangladesh. METHODS: Data on malignant neoplasms in patients aged less than 20 years diagnosed between 2001 and 2014 (N = 3143) in Bangladesh was collected by the National Institute of Cancer Research and Hospital and ASHIC Foundation. The age pattern and distribution of cancer types were analysed and the incidence rates were calculated. RESULTS: The age-standardised incidence rate was 7.8 per million person-years for children (0-14 years) in the last time period (2011-2014). Retinoblastoma (25%) and leukaemia (18%) were the most common childhood cancers. For adolescents (15-19 years), the age-specific incidence rate was 2.1 per million person-years in the same time period. Most common adolescent cancers were malignant bone tumours (38%), germ cell and gonadal tumours (17%), and epithelial tumours (16%). There were more boys affected (M: F ratio 2.0 in children and 1.4 in adolescents) than girls. CONCLUSION: Cancer incidences were lower than expected most likely due to a low level of awareness about cancer among clinicians and the population, inadequate access to health care, lack of diagnostic equipment and incomplete recording of cases. Improvements on different levels should be made to get a better epidemiologic insight and to detect cancer earlier resulting in a better outcome for affected children and adolescents.


Subject(s)
Neoplasms/epidemiology , Adolescent , Bangladesh/epidemiology , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male
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