Challenges and opportunities in cancer control in Africa: a perspective from the African Organisation for Research and Training in Cancer
Challenges and opportunities in cancer control in Africa: a perspective from the African Organisation for Research and Training in Cancer
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DOI：
10.1016/s1470-2045(12)70482-5
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发表时间：
2013-04-01
期刊：
影响因子：
51.1
通讯作者：
Adewole, Isaac F.
中科院分区：
文献类型：
--
作者：
Morhason-Bello, Imran O.;Odedina, Folakemi;Adewole, Isaac F.
撒哈拉以南非洲的疾病负担过重，面临着非传染性疾病带来的重大公共卫生挑战。虽然传染病继续困扰非洲，但在撒哈拉以南非洲，癌症在整个疾病负担中所占的比例正在上升。预计到2030年，该地区的癌症负担将增加85%以上。在过去几年中，由于对癌症负担的认识不足以及对癌症预防潜力的了解不足，撒哈拉以南非洲地区减少癌症负担的方法收效甚微。成功并不容易，需要在国家、经济和专业之间建立伙伴关系和桥梁。需要在撒哈拉以南非洲采取一种控制癌症的战略办法，以利用在那里行之有效的办法和该区域的独特办法。理想情况下，它应该位于强大、健全和可持续的卫生保健系统内，为所有人提供高质量的卫生保健，而无论其社会或经济地位如何。然而，要实现这一目标，需要新的领导力、批判性思维、投资和理解。我们讨论了撒哈拉以南非洲的现状，并提出了推进该地区癌症控制的想法，包括癌症意识，宣传，研究，劳动力，护理，培训和资金等领域。
Sub-Saharan Africa has a disproportionate burden of disease and faces a major public-health challenge from non-communicable diseases. Although infectious diseases continue to afflict Africa, the proportion of the overall disease burden in sub-Saharan Africa attributable to cancer is rising. The region is predicted to have a greater than 85% increase in cancer burden by 2030. Approaches to minimise the burden of cancer in sub-Saharan Africa in the past few years have had little success because of low awareness of the cancer burden and a poor understanding of the potential for cancer prevention. Success will not be easy, and will need partnerships and bridges to be built across countries, economies, and professions. A strategic approach to cancer control in sub-Saharan Africa is needed to build on what works there and what is unique to the region. It should ideally be situated within strong, robust, and sustainable health-care systems that off er quality health care to all people, irrespective of their social or economic standing. However, to achieve this will need new leadership, critical thinking, investment, and understanding. We discuss the present situation in sub-Saharan Africa and propose ideas to advance cancer control in the region, including the areas of cancer awareness, advocacy, research, workforce, care, training, and funding.