Vision

“Every child in Africa will receive the best supportive care to be cured from cancer”

SUCCOUR is co-funded by the International Society of Pediatric Oncology (SIOP), the Sanofi Espoir Foundation – My Child Matters and World Child Cancer UK.

www.fondation-sanofi-espoir.com www.worldchildcancer.org ww.siop-online.org

About

SUCCOUR – Supportive Care for Children with Cancer in Africa is one of the three projects of CANCaRe Africa, the Collaborative African Network for Children with Cancer in Africa. The vision of SUCCOUR is that every child in Africa will receive the best supportive care to be cured from cancer.

Participating centres are from Ghana, Zimbabwe, Kenya, Malawi and Cameroon as shown below.

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SUCCOUR is a comprehensive programme aiming to improve supportive care in participating centres. The programme is building upon the Wilms Africa project and the established regional multi-disciplinary network. Local capacity building is an important element. Other components and objectives include a nursing component, educational activities, collecting locally relevant data to create and evaluate local care pathways for supportive care and the impact of our interventions. The various components of the project are shown below.

We started in 2019 with a baseline assessment of current practices and outcome in supportive care and an educational programme for nurses, recognising and appreciating the essential role of nurses in supportive care.

SUCCOUR Steering Committee members

Dr George Chagaluka

Blantyre, Malawi

Mr Glenn Mbah Afungchwi

Mbingo, Cameroon

Leader of the nursing component

Dr Trijn Israels

Amsterdam, The Netherlands and Blantyre, Malawi

Coordinator

SUCCOUR Advisory Committee members

Prof Elizabeth Molyneux

Liverpool, UK and Blantyre, Malawi

Prof Lillian Sung

Toronto, Canada

Prof Laila Hessissen

Rabat, Morocco

SIOP Africa Continental President

SUCCOUR - Baseline assessment

A baseline assessment of current practices and outcomes was undertaken in four important areas of supportive care; malnutrition and nutritional support, fever and neutropenia, abandonment of treatment and treatment related mortality.  The study was completed in all currently participating centres (Harare, Eldoret, Mbingo, Kumasi and Blantyre) in 2020. In total, 252 patients were included and all data were complete. The results are expected to be published in 2021. The baseline assessment is helping us choose which interventions to prioritise, to plan interventions and learn how best to evaluate their impact.

Please find a summary of the baseline assessment and results in this short video.

Video baseline SUCCOUR (coming soon).

Please find the video of the presentation of Dr Israels at the SIOP 2020 annual conference about the baseline assessment here (kindly create a CaseHippo user account to access the content free of charge)

SUCCOUR - Nursing programme

The SUCCOUR nursing programme is led by Glenn Mbah from Cameroon. A dedicated ‘SUCCOUR’ nurse was identified in each participating centre. This ‘SUCCOUR’ nurse is one of the ward, nursing team and is a role model and advocate for supportive care. Interactive monthly educational web meetings are arranged for the ‘SUCCOUR’ nurses. Thereafter the SUCCOUR nurse uses the same presentation to teach her team. An abstract to the SIOP 2020 annual meeting about this programme won the prize for ‘best SIOP Pediatric Oncology in Developing Countries (PODC) abstract’ for Africa.

Please find the link to Glenn Mbah his presentation at the SIOP 2020 annual meeting here (kindly create a CaseHippo user account to access the content free of charge)

Results, impact and publications

The results of the baseline assessment of current practices and outcomes in supportive care in participating centres are submitted for publication. Based on the results we plan to develop and implement local care pathways and evaluate impact.

The paper below is one of the adapted treatment guidelines of the Committee for Developing Countries (PODC) of SIOP and provides some practical recommendations for supportive care in low- income countries.

Israels T., Renner L., Hendricks M. et al. SIOP PODC: Recommendations for supportive care of children with cancer in a low income setting. Ped Blood Cancer 2013 2013 Jun;60(6):899-904.

Contact

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