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Cited by 34Health Policy Implementation ScienceWomen's cancer prevention and managementGlobal Cancer Incidence and Screening

Resource-stratified implementation of a community-based breast cancer management programme in Peru

Duggan, Catherine, Dvaladze, Allison L, Tsu, Vivien, Jeronimo, Jose, Constant, Tara K Hayes, Romanoff, Anya, Scheel, John R, Patel, Shilpen +2 more·2017·The Lancet Oncology
DOI 10.1016/s1470-2045(17)30592-2
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Abstract

Breast cancer incidence and mortality rates continue to rise in Peru, with related deaths projected to increase from 1208 in 2012, to 2054 in 2030. Despite improvements in national cancer control plans, various barriers to positive breast cancer outcomes remain. Multiorganisational stakeholder collaboration is needed for the development of functional, sustainable early diagnosis, treatment and supportive care programmes with the potential to achieve measurable outcomes. In 2011, PATH, the Peruvian Ministry of Health, the National Cancer Institute in Lima, and the Regional Cancer Institute in Trujillo collaborated to establish the Community-based Program for Breast Health, the aim of which was to improve breast health-care delivery in Peru. A four-step, resource-stratified implementation strategy was used to establish an effective community-based triage programme and a practical early diagnosis scheme within existing multilevel health-care infrastructure. The phased implementation model was initially developed by the Breast Cancer Initiative 2·5: a group of health and non-governmental organisations who collaborate to improve breast cancer outcomes. To date, the Community-based Program for Breast Health has successfully implemented steps 1, 2, and 3 of the Breast Cancer Initiative 2·5 model in Peru, with reports of increased awareness of breast cancer among women, improved capacity for early diagnosis among health workers, and the creation of stronger and more functional linkages between the primary levels (ie, local or community) and higher levels (ie, district, region, and national) of health care. The Community-based Program for Breast Health is a successful example of stakeholder and collaborator involvement-both internal and external to Peru-in the design and implementation of resource-appropriate interventions to increase breast health-care capacity in a middle-income Latin American country.

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  • The Peruvian government launched a national program in 2012 that targeted five cancers, including breast cancer, to address cancer prevention, diagnosis, and treatment.

    “the Peruvian government recognized this serious problem and launched a national program in 2012 that targeted five cancers, including breast cancer, to address cancer prevention, diagnosis, and treatment.6”

    From Model for Early Detection of Breast Cancer in Low-Resource Areas: The Experience in Peru (2018) · cites this paper as [6]

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Authors
Duggan, C., Dvaladze, A. L., Tsu, V., Jeronimo, J., Constant, T. K. H., Romanoff, A., Scheel, J. R., Patel, S., Gralow, J. R., & Anderson, B. O.
Affiliations
  • Fred Hutch Cancer Center (US)
  • University of Washington (US)
  • Program for Appropriate Technology in Health (US)
  • Memorial Sloan Kettering Cancer Center (US)
Corresponding author
Anderson, Benjamin O
ORCID
Venue
The Lancet Oncology
Publisher
Elsevier BV
Published
2017-10
Volume
18
Issue
10
Pages
e607-e617
ISSN
1470-2045 (ISSN-L)
DOI
10.1016/s1470-2045(17)30592-2
OpenAlex
W2759686876
Cited by
34
References
33
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2022: 3 · 2021: 8 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 3
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Lancet Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute on Aging
  • National Cancer Institute
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
breast cancer, community health programs, early diagnosis, breast cancer screening, cancer control, stakeholder collaboration, breast cancer awareness, primary care, Peru
MeSH terms
Adult, Aged, Breast Neoplasms, Community Health Services, Developing Countries, Female, Health Plan Implementation, Health Resources, Humans, Middle Aged, Peru, Poverty, Program Development, Disease Management, Needs Assessment

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