Meet our "Doers", on their way to become Cities of Tomorrow

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Cali

Colombia

With a population of 2.4 million, Cali is Colombia’s third-largest city, and the first to join C/Can in 2017. Cali is home to one of the oldest population-based cancer registries in the region. Since joining C/Can, two additional healthcare institutions have been supported to establish cancer registration. A Cancer Control Plan has been developed in Cali’s Valle del Cauca region with support from C/Can stakeholders, and guidelines for the management of breast and cervical cancers have been reviewed and adapted. A city-wide sustainability plan has been developed with local stakeholders to ensure the continuity of long-term C/Can projects such as increasing radiotherapy capacity.

186

Health Professionals Engaged

9

Population reached (millions)

24

Participating Health Institutions

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Asunción

Paraguay

Paraguay’s capital city, Asunción, is the country’s most populous, with 2.1 million people. Since joining C/Can in 2017, it has developed policies and guidelines to improve the quality of core cancer care services such as pathology and the delivery of multidisciplinary cancer care. 100+ health professionals have received training and continued mentorship in these areas in collaboration with the American Society of Clinical Oncology, among others. Most significantly, C/Can stakeholders spearheaded the development of a 2018 national cancer law, with a domestic budget allocated.

202

Health Professionals Engaged

6.89

Population reached (millions)

16

Participating Health Institutions

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Yangon

Myanmar

The largest city in Myanmar, Yangon has a population of 7.36 million. Its cancer care services serve the southern part of the country, with an estimated reach of 16.6 million people. Since joining C/Can in 2017, Yangon has taken action to improve the public network of clinical laboratories by developing standard operating procedures, training personnel, and developing a telepathology platform in collaboration with the American Society for Clinical Pathology. C/Can recently secured a partnership with the World Bank’s International Finance Corporation, to work with Yangon to identify and structure sustainable public private partnerships for the existing radiotherapy and medical oncology facilities in Yangon’s public hospitals.

172

Health Professionals Engaged

16.81

Population reached (millions)

20

Participating Health Institutions

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Kumasi

Ghana

Kumasi is Ghana’s second largest city, and the capital of the Ashanti Region, with a population of 4.7 million. Since joining C/Can at the end of 2017, 250 professionals from over 30 healthcare institutions have contributed data to a comprehensive assessment of cancer care needs. Eight projects have been prioritised and developed to address key gaps, including in the areas of radiotherapy, pathology, palliative care and cancer registration. Early achievements include the allocation of a dedicated office and meeting space for the cancer registry, supported by City Hall.

257

Health Professionals Engaged

5.41

Population reached (millions)

31

Participating Health Institutions

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Kigali

Rwanda

Kigali is the capital of Rwanda, with a population of more than 1,6 million. Since joining C/Can in 2018, Kigali has successfully mobilised a multisectoral group of stakeholders, made up of over 120 healthcare professionals and 80 patients from 11 public and private institutions, which contributed data as part of a comprehensive assessment of cancer care needs. Work is underway to finalise the development of plans to address these gaps, including in the areas of information systems, quality imaging procedures and human resource planning.

126

Health Professionals Engaged

1.32

Population reached (millions)

33

Participating Health Institutions

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Porto Alegre

Brazil

With a population of 1.4 million, Porto Alegre is the capital and largest city of the Brazilian state of Rio Grande do Sul. Since joining C/Can in 2018, Porto Alegre has undertaken an extensive assessment of key cancer care capacities and gaps, with input from over 100 patients and 160 healthcare professionals from all the main public and private cancer care facilities. Thirteen projects are underway to address cancer care gaps, including in the areas of patient access to information and financial coverage of priority diagnostic and treatment services.

168

Health Professionals Engaged

3.01

Population reached (millions)

33

Participating Health Institutions

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Tbilisi

Georgia

Tbilisi, Georgia’s capital, has a population of 1.1 million and joined C/Can in 2019. Since then a robust needs assessment involving 27 cancer care institutions, 174 healthcare professionals and 100+ patients has been conducted, with data collected on the capacity of cancer care infrastructure, equipment, healthcare workforce and its management. Cancer care gaps identified include the need for cancer multidisciplinary teams in joint clinical decision making; a quality assurance programme for laboratory medicine, including blood banks; and organised continuous medical education for medical specialists, nurses and technologists.

175

Health Professionals Engaged

1.06

Population reached (millions)

28

Participating Health Institutions

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Leon

Mexico

León, in the central Mexican state of Guanajuato, is the fourth city in Latin America to join C/Can. Cancer is the third leading cause of death in the country. In 2018, more than 83,000 deaths were attributed to cancer, with some 191,000 new cases detected. 1,029 people died of cancer in León in 2018, with breast cancer the main cause. The state authorities have implemented measures to combat the burden of cancer, including efforts to improve the timely detection of breast cancer, and a study to assess the feasibility of developing a population-based cancer registry for the city.

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Greater Petaling

Malaysia

Greater Petaling is the second city in Asia to join C/Can, and is made up of Petaling Jaya and Subang Jaya in Selangor, Malaysia’s most-developed state. It provides cancer care services to a population of just over 1.4 million. WHO data shows that 43,837 new cancer cases and 26,395 cancer deaths were reported in 2018 in Malaysia. The three most frequent cancers in men and women (excluding non-melanoma skin cancer) in 2018 were breast, colorectum and lung. Malaysia is an upper-middle-income country, with the building blocks of a health system firmly in place, but gaps still exist in terms of access to timely diagnosis and care, with relatively low cancer survival rates compared to other upper-middle-income countries.