PACT in Africa
IAEA/PACT and its partners are developing multidisciplinary cancer capacity building projects called PACT Model Demonstration Sites (PMDS) in all WHO regions. In Africa, the PMDS is the United Republic of Tanzania (Tanzania)[Press Release on collaboration between the country and IAEA/PACT], where WHO's Regional Office for Africa (AFRO) plays the leading role as a PACT Partner.
United Republic of Tanzania
PMDS Focus
Over the course of three to five years, IAEA/PACT, WHO and other partners will assist the national authorities in the design, funding, implementation and evaluation of PMDS projects focusing on country specific priorities. They will provide technical expertise and support government efforts in resource mobilization for the implementation of the national cancer control programme, with emphasis on improving cancer registration, educating and training personnel, introducing prevention and early detection programmes, expanding or improving radiotherapy (and nuclear medicine) facilities and services, establishing palliative care, and supporting cancer societies and NGOs. For information on general focus of PMDS click here ».
Cancer Situation, Existing Capability and Unmet Needs
Tanzania has a population of 38 million people. In 2002 there were an estimated 35,000 new cases of cancer (Globocan 2002). Tanzania has a single radiotherapy cancer treatment centre, the Ocean Road Cancer Institute (ORCI) in Dar es Salaam. Patient demand for cancer therapy far exceeds available services. Cancer prevention and early detection are not well developed. Cancer registration and palliation are limited.
PACT's Logistic Role
Organize, coordinate and report on imPACT review mission; coordinate preparation of imPACT report and PACT Model Demonstration Site (PMDS) project work plans; coordinate interagency collaboration and resource deployment and mobilization during PMDS execution.
Resources Committed/Pledged
Current Status
Report of the imPACT mission (May 2006), including recommendations, submitted to the counterparts in the country. Minister of Health and Social Welfare has accepted the report's recommendations and created a National Cancer Control Steering Committee. Interagency planning and preparation in progress for follow-up actions. The Equinox unit already installed and operational at ORCI. Launch ceremony took place in May 2008 at ORCI with several honoured guests, including H.E. President Jakaya Kikwete. Several proposals for planning and funding individual projects on early detection of cervical and breast cancer, on upgrading the cancer registry, on developing palliative care capacity, and on expanding the radiotherapy and nuclear medicine services across the country are under consideration by IAEA/PACT and other partners.
Resources Needed
- Support for cancer registration in collaboration with IARC
- Support for cancer prevention and early detection ($500,000)
- Support to Tanzania Cancer Society and other civil society efforts ($50,000)
- Support for palliation ($350,000)
- Expansion of diagnostic and treatment services ($3-5 million/new centre)
Next Steps
IAEA/PACT and its partners, together with Tanzanian counterparts, will coordinate the formulation of interagency work plans on strengthening all areas of cancer control, each agency according to its mandate and areas of competence. PACT, in coordination with IAEA internal stakeholders, will support national counterparts in implementing work plans and developing proposals for funding. Having already secured the initial grants for the Tanzania PMDS, PACT will continue its fundraising efforts to help the country mobilize the additional resources needed to implement the PMDS.
Expected Outcomes
Increased access to treatment for cancer patients; organized screening; earlier detection of cervical cancer with improved opportunity for and delivery of curative treatment; improved public awareness of and knowledge about cancer early detection and its prevention; enhanced palliative programme; and expansion of radiotherapy centres.
Interagency Partners
PACT works with WHO Headquarters, WHO Regional Office for the Africa (AFRO), WHO Regional Office for the Eastern Mediterranean (EMRO), WHO Country Office, IARC (WHO), American Cancer Society (USA), Axios International (France), Best Medical International (USA/Canada), International Network for Cancer Treatment and Research (INCTR), International Union Against Cancer (UICC), MDS Nordion (Canada), mondofragilis network (France), Open Society Institute (OSI), Program for Appropriate Technology in Health (PATH) (USA), US National Cancer Institute (NCI), Tata Memorial Centre (India) and University of Oxford Department of Clinical Pharmacology (UK). PACT hopes to involve others, especially the private sector.
Member State Counterparts
Responsible PACT Officer
For more information on Tanzania, please contact Mr. Dan Malin.
Potential Centres of Excellence or mentors in the region
- Algeria
- Egypt (EMRO)
- Ghana
- Morocco (EMRO)
- South Africa
- Tanzania
Other countries in the region requesting assistance
- Angola
- Botswana
- Burkina Faso
- Cameroon
- Cape Verde
- Eritrea
- Ghana (imPACT review and follow-up missions in 2006 and 2007)
- Kenya
- Libyan Arab Jamahiriya (EMRO)
- Madagascar (imPACT review in October 2007)
- Malawi (Preliminary review mission in 2007)
- Mali
- Mauritania
- Mauritius
- Morocco (EMRO)
- Niger
- Nigeria
- Senegal
- Sierra Leone
- Sudan (EMRO)
- Uganda
- Zambia
- Zimbabwe
Current donors to PACT in the region