SIOP Achievements 2021 CANCaRe Africa

VISION

Children with common and curable cancers in sub -Saharan Africa will achieve survival rates greater than 60% in line with the vision of the Global Initiative for Childhood Cancer (GICC) launched by the World Health Organization (WHO).

MISSION

To develop, implement and assess locally appropriate treatment guidelines and to reduce both ‘treatment abandonment’ and death during treatment to <10%.

ABOUT

The Collaborative African Network for Childhood Cancer Care and Research (CANCaRe Africa) is an inclusive and active regional network founded in 2014. Our vision is that children with common and curable cancers in sub -Saharan Africa will achieve survival rates greater than 60% in line with the vision of the Global Initiative for Childhood Cancer (GICC) launched by the WHO. Our mission is to develop, implement and assess locally appropriate treatment guidelines and to reduce both ‘treatment abandonment’ and death during treatment to <10%.

 

CANCaRe Africa aims to be an inclusive platform for multi-centre clinical research and improvement of care of children with cancer in sub-Saharan Africa. We are a group of clinicians caring for children with cancer in Africa and give priority to interventions and projects with the highest expected impact on survival. Our programme aims for long term, sustainable impact by doing simple things well. In our view local leaders are in the best position to decide on priorities and assess the feasibility of interventions. Together we find sustainable solutions for local challenges. Our intervention projects follow the principles and rigorous methodology of implementation science.

 

Please find here * a recently published paper – ‘Working Together to Build a Better Future for Children with Cancer in Africa’ which summarises, activities, impact and plans for the future of the CANCaRe Africa group.* https://ascopubs.org/doi/pdf/10.1200/GO.20.00170

Members of the Steering Committee

Dr Trijn Israels, Chair

Blantyre, Malawi

Dr Glenn Mbah Afungchwi, Deputy-Chair

Mbingo, Cameroon

Dr Vivian Paintsil, Member

Kumasi, Ghana

Members of the Advisory Committee

  • For Zero Abandonment from Start to Finish:Prof Elizabeth Molyneux, previously Head of Department of Paediatrics, Blantyre, Malawi
  • For SUCCOUR – Supportive Care for Children with Cancer:Prof Lillian Sung, Toronto, Canada, expert supportive care.
  • For the Wilms Africa Project:Prof Kathy Pritchard-Jones, London, UK, expert renal tumours.

Chair CANCaRe Africa

Dr Trijn Israels is a paediatric oncologist who worked for several years in Blantyre, Malawi, combining clinical service and locally relevant clinical research projects. Thereafter she served as the Co-Chair of the Committee on Paediatric Oncology in Developing Countries (PODC) of the International Society of Paediatric Oncology (SIOP) and coordinator of the SIOP PODC working group for adapted treatment guidelines, (co)-authoring several pragmatic adapted treatment guidelines for children with common and curable cancers (Wilms tumour, retinoblastoma, Burkitt lymphoma and supportive care) in low- income countries.

Local (Research) Capacity Building for Childhood Cancer in sub-Saharan Africa

CANCaRe Africa has a bottom-up approach. Local leaders are in the best position to decide on priorities and assess the feasibility of interventions and are leading the steering committees of all our projects and programmes. With grants from Foundation S and SIOP PARC we have been able to build local research capacity and  hire data managers with dedicated time in all sites participating in CANCaRe Africa. This has hugely improved quality of data management which is essential for our programmes and projects.

We aim for CANCaRe Africa and all related projects to be led by African multi-disciplinary clinicians and researchers with sufficient funding for protected time.

Results, impact and publications

Our recommendations are built on rigorously researched, local evidence that is assessed for impact.   In many areas of childhood cancer reliable local data from sub-Saharan Africa are rare. We then develop local data through collaborative research to help decide on priorities and to evaluate the impact of interventions. The figure below represents our cycle of change when identifying a need, developing an intervention and evaluating the outcomes.

Information about the results, impact and publications are found here of the Collaborative Wilms Tumour Africa Project *,  SUCCOUR * and Towards Zero Percent Abandonment*.

*  ‘Working Together to Build a Better Future for Children with Cancer in Africa’ summarises, activities, impact and plans for the future of the CANCaRe Africa group. * https://ascopubs.org/doi/pdf/10.1200/GO.20.00170

Other suggested reading from the CANCaRe Africa group and their work would include:

Israels, T and Molyneux EMM. Paediatric Oncology. Collaborating in Africa – small steps to sustainable success. Nature Reviews Clin Oncol 2014.

Israels, T, Kambugu J, Kouya F et al. Clinical trials to improve childhood cancer care and survival in sub-Saharan Africa Nature Reviews Clin Oncol 2013.

Participating Centres

Currently ten hospitals in seven countries in sub-Saharan Africa are participating in CANCaRe Africa. Other centres are very welcome to join (please contact CANCaReAfrica@gmail.com). For more information about the participating centres and their multi-disciplinary teams, please have a look at the interactive map and click on the countries.

 

Currently participating centres and their leaders are:

Mbingo, Banso and Mutengene Baptist Convention Hospitals, Cameroon  Dr Francine Kouya
Korle Bu Hospital, Accra, Ghana  Prof Lorna Renner
Moi Teaching Hospital, Eldoret, Kenya  Dr Festus Njuguna
Queen Elizabeth Central Hospital, Blantyre, Malawi  Dr George Chagaluka
Parirenyatwa Hospital, Harare, Zimbabwe  Prof Inam Chitsike
Komfo Anokye Teaching Hospital, Kumasi, Ghana  Dr Vivian Paintsil
Jimma University, Jimma,  Ethiopia  Dr Diriba Fufa
College of Medicine and Health Sciences, Gondar, Ethiopia  Dr Mulugeta Ayalew Yimer
Mbarara University of Science and Technology, Mbarara, Uganda  Dr Barnabas Atwiine

 

                                       

Dr Francine Kouya          Prof Lorna Renner                   Dr Festus Njuguna

 

                           

Dr George Chagaluka            Prof Inam Chitsike              Dr Vivian Paintsil

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Projects

Contact

If you are interested and / or would like to support this initiative – please contact us at cancareafrica@gmail.com

Acknowledgement

We are very grateful for financial support from the SIOP PARC – Programme to Advance Research Capacity in low-income countries and a My Child Matters grant from the  Sanofi Espoir Foundation.