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Batman S, Varon ML, San Miguel-Majors SL, Benitez Majano S, Pontremoli Salcedo M, Montealegre J, Arrossi S, Oliveira MTDC, Oliveira LHD, Luciani S, Milan J, Trimble EL, Schmeler KM, Maza M. Elimination of cervical cancer in Latin America (Project ECHO-ELA): lessons from phase one of implementation. Rev Panam Salud Publica 2023; 47:e113. [PMID: 37489237 PMCID: PMC10361421 DOI: 10.26633/rpsp.2023.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 05/02/2023] [Indexed: 07/26/2023] Open
Abstract
We describe the outcomes of The Extension for Community Healthcare Outcomes-Elimination of Cervical Cancer in The Americas (ECHO-ELA) program, which was developed as a tri-lateral cooperation between Pan American Health Organization (PAHO), the U.S. National Cancer Institute (NCI) and The University of Texas MD Anderson Cancer Center (MD Anderson). The program's purpose is to disseminate strategies for cervical cancer prevention and is structured around the three pillars of the World Health Organization's (WHO) Cervical Cancer Elimination Strategy and the associated 90-70-90 target goals. The target audience includes health authorities from Latin American and Caribbean countries, as well as PAHO's non-communicable disease Focal Points in country offices as well as clinical and public health collaborators. The virtual sessions are held in Spanish for 1.5 hours every month using the ECHO® format. From May 2020 to June 2021, 14 ECHO sessions were held with an average of 74 participants per session (range: 46 - 142). We conducted two anonymous surveys (baseline and follow up) and two focus groups. Respondents stated that the topics they learned the most about included the state of HPV vaccination in the region and strategies for implementing HPV vaccination. Identified needs included support between ECHO sessions and country-specific technical assistance. The ECHO-ELA program provides a forum for increased collaboration between countries in Latin America/Caribbean and the dissemination of best-practice strategies to reach the WHO Cervical Cancer Elimination target goals.
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Affiliation(s)
- Samantha Batman
- The University of Texas MD Anderson Cancer CenterHoustonUnited States of AmericaThe University of Texas MD Anderson Cancer Center, Houston, United States of America.
| | - Melissa Lopez Varon
- The University of Texas MD Anderson Cancer CenterHoustonUnited States of AmericaThe University of Texas MD Anderson Cancer Center, Houston, United States of America.
| | - Sandra L. San Miguel-Majors
- US National Cancer InstituteBethesdaUnited States of AmericaUS National Cancer Institute, Bethesda, United States of America.
| | - Sara Benitez Majano
- Pan American Health Organization (PAHO)Washington, DCUnited States of AmericaPan American Health Organization (PAHO), Washington, DC, United States of America.
| | - Mila Pontremoli Salcedo
- The University of Texas MD Anderson Cancer CenterHoustonUnited States of AmericaThe University of Texas MD Anderson Cancer Center, Houston, United States of America.
| | - Jane Montealegre
- Baylor College of MedicineHoustonUnited States of AmericaBaylor College of Medicine, Houston, United States of America.
| | - Silvina Arrossi
- Consejo Nacional de Investigaciones Científicas y TécnicasCentro de Estudios de Estado y SociedadBuenos AiresArgentinaConsejo Nacional de Investigaciones Científicas y Técnicas, Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
| | - Maria Tereza da Costa Oliveira
- Pan American Health Organization (PAHO)Washington, DCUnited States of AmericaPan American Health Organization (PAHO), Washington, DC, United States of America.
| | - Lucia H. De Oliveira
- Pan American Health Organization (PAHO)Washington, DCUnited States of AmericaPan American Health Organization (PAHO), Washington, DC, United States of America.
| | - Silvana Luciani
- Pan American Health Organization (PAHO)Washington, DCUnited States of AmericaPan American Health Organization (PAHO), Washington, DC, United States of America.
| | - Jessica Milan
- The University of Texas MD Anderson Cancer CenterHoustonUnited States of AmericaThe University of Texas MD Anderson Cancer Center, Houston, United States of America.
| | - Edward L. Trimble
- US National Cancer InstituteBethesdaUnited States of AmericaUS National Cancer Institute, Bethesda, United States of America.
| | - Kathleen M. Schmeler
- The University of Texas MD Anderson Cancer CenterHoustonUnited States of AmericaThe University of Texas MD Anderson Cancer Center, Houston, United States of America.
| | - Mauricio Maza
- Pan American Health Organization (PAHO)Washington, DCUnited States of AmericaPan American Health Organization (PAHO), Washington, DC, United States of America.
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Broeders M, Elfström KM. Importance of International Networking and Comparative Research in Screening to Meet the Global Challenge of Cancer Control. JCO Glob Oncol 2021; 6:180-181. [PMID: 32031454 PMCID: PMC6998027 DOI: 10.1200/jgo.19.00388] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Mireille Broeders
- Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.,Dutch Expert Centre for Screening, Nijmegen, the Netherlands
| | - K Miriam Elfström
- Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.,Regional Cancer Center of Stockholm-Gotland, Stockholm, Sweden
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