Thank you for your comments and the further useful information that you have provided members in this discussion. Particularly we feel that the key missing ingredient for action against cancer in LMICs is Political Will that you mentioned. Every stakeholder in health care which includes all of us wherever we are should continue the advocacy with policy makers and funders to adopt and implement the six legs/pillars that you also mentioned, with greater emphasis on prevention and awareness creation. That said, I am sure you listed the six pillars in no particular order because if we are to rearrange them we would say: effective prevention; early detection, accurate diagnosis, timely treatment and supportive palliative care, and efficient cancer registration. In a world of scarce resources and in LMICs facing donor fatigue and government inadequate will, such positioning of the legs would save costs whilst still delivering universal quality care.
AFRICA CENTRE FOR CLINICAL GOVERNANCE RESEARCH & PATIENT SAFETY
@Health Resources International (HRI) WA.
National Implementing Organisation: 12-Pillar Clinical Governance
National Implementing Organisation: PACK Nigeria Programme for PHC
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HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk