Population-Based Cancer Registries (PBCRs) play a fundamental role in cancer control. They collect data to compile information on the occurrence, extent, and outcome of cancer in geographically defined populations. Whilst the basic reporting on cancer incidence and survival by cancer type is extremely useful, other prognostic factors including stage, biomarkers, comorbidities, treatment, and socio-economic parameters are crucial to evaluate, understand, and ultimately reduce the variation of outcomes observed in different populations. To explore current data collection practices of the PBCRs worldwide and comprehend their challenges and future directions, we conducted a web-based survey in collaboration with the Global Initiative for Cancer Registry Development (GICR) led by the International Agency for Research on Cancer (IARC), the International Association of Cancer Registries (IACR), and the North American Association of Central Cancer Registries (NAACCR). Of the 268 invited PBCRs, 141 PBCRs responded to our survey. Although almost all PBCRs reported collecting the basic variables for each cancer (incidence date, basis of diagnosis, topography, morphology and tumour behaviour), fewer collect date of death, stage, treatment, biomarkers, and socio-economic parameters, this issue being more pronounced in LMIC. Most PBCRs confirmed reporting on cancer incidence, but only 60% publish survival results. Other outcomes such as recurrence and patient-reported outcome measures were rarely available. There is a clear need for development and sustained support to maximize the PBCRs' ability to collect data and/or expand coverage area, ideally through significant investment in legislation, financial, human, and technological resources to secure and optimize their potential in cancer control.
Growing premature mortality because of cancer is an increasing public health concern in all countries. This article reviews 10 years of the International Cancer Control Partnership (ICCP) considering the themes of National Cancer Control Plan (NCCP) support, technical assistance, governance, and the renewed momentum of global calls to action. ICCP has provided key resources for the cancer community by hosting a portal with national cancer control and noncommunicable disease (NCD) plans, strategies, guidelines, and key implementation guides for a growing community of best practices. ICCP partners have responded to the changing needs of country planners, adjusting technical guidance as needs evolve from planning to implementation at the national level with an associated shift to peer-to-peer learning and knowledge exchange. The ICCP offer to assist countries in cancer planning continues to be relevant as countries focus on implementation of global initiatives for breast, cervical, and childhood cancers. These initiatives are important to drive priority actions and a systems approach in the emerging road map on NCDs-a message that will be supported by a second global review of NCCPs in 2023. This is critical for driving national action in all countries on cancer and other NCDs in line with global health commitments made for 2030 and adopted by the United Nations General Assemblies. ICCP sees robust systems and financial planning for implementation, monitoring, and evaluation of NCCPs and protection from cancer-related catastrophic expenditure, as critical to longer-term sustainability and success. ICCP calls for national policymakers to prioritize integration of cancer prevention and control into emerging universal health care approaches, including pandemic preparedness/health system resilience and calls for an equity focus in new NCCPs.
The development and implementation of a multicancer early detection (MCED) test that is effective and affordable has the potential to change cancer care systems around the world. However, careful consideration is needed within the context of different health care settings (both low- and middle-income countries and high-income countries) to roll out an MCED test and promote equity in access.
This article reports on the results of qualitative research to investigate the career plans of Indian nurses working in the southern Indian city of Bangalore. The globalized health care market in Bangalore has generated opportunities for an increasingly diversifying profession, many of whose members are keen to pursue global careers, work in specialized clinical settings, and pursue further education, and whose sense of professional identity is strongly influenced by these career choices. The research drew upon interviews with 56 nurses employed across six sites, including public and private health facilities. Decision-making related to the setting of nursing work and the negotiation of boundaries between medical "treatment" were of analytical interest in understanding career drivers and the professional identity of nurses working predominantly in the context of hospital care. Lateral trajectories were found to be important to the construction of a career in nursing—where the extent to which nurses could demonstrate competencies in clinical skill and knowledge and maintain professional control over the practice of nursing are key aspects in constructing a career. The renegotiation of nursing's public image is at the heart of professionalizing strategies being adopted by nursing's leaders and is also evident in the accounts presented by hospital nurses in their depictions of nursing practice and career plans. The findings suggest that greater attention to the professional project of nursing in India and the construction of nursing careers would benefit the development of more responsive human resource policies around the retention of nurses.
Background: Research on Indian nurses has focused on their participation as global migrant workers for whom opportunities abroad act as an incentive for many to migrate overseas. However, little is known about the careers of Indian nurses, or the impact of a globalized health care market on nurses who remain and on the profession itself in India.Objectives: To explore nurses' accounts of entry into nursing in the context of the globalisation of the nursing profession in India, and the salience of 'migration' for nurses' individual careers.Design: Qualitative interview study (n = 56).Settings and participants: The study drew on interviews with 56 nurses from six sites in Bangalore, India. These included two government hospitals, two private hospitals, a Christian mission hospital, a private outpatient clinic and two private nursing colleges. Participants Were selected purposively to include nurses from Christian and Hindu backgrounds, a range of home States, ages and seniority and to deliberately over-recruit (rare) male nurses.Methods: Interviews covered how and why nurses entered nursing, their training and career paths to date, plans for the future, their experiences of providing nursing care and attitudes towards migration. Data analysis drew on grounded theory methods.Results: Nursing is traditionally seen as a viable career particularly for women from Christian communities in India, where it has created inter-generational 'nurse families'. In a globalizing India, nursing is becoming a job 'with prospects' transcending traditional caste, class and gender boundaries. Almost all nurses interviewed who intended seeking overseas employment envisaged migration as a short term option to satisfy career objectives - increased knowledge, skills and economic rewards - that could result in long-term professional and social status gains 'back home' in India. For others, migration was not part of their career plan: yet the increases in status that migration possibilities had brought were crucial to framing nursing as a 'suitable job' for a growing number of entrants.Conclusions: The possibility of migration has facilitated collective social mobility for Indian nurses. Migration possibilities were important not only for those who migrate, but for improving the status of nursing in general in India, making it a more attractive career option for a growing range of recruits. (C) 2013 Elsevier Ltd. All rights reserved.