Page 0126

international organizations has proved to be essential for

the development of regional projects. Some examples are

the partnership with IARC regarding the implementation of

the Latin American Hub for Cancer Registries, with PAHO,

CDC, NCI and ACS in the development of a common agenda

in cervical cancer control, and with the NCI to improve

quality standards on biobanking.

The development of cooperative actions should be

reciprocally positive. That is, if on the one hand RINC

member countries benefit from technical and financial

support of international agencies, on the other hand the

agencies will benefit from RINC's political outreach and

mobilization capacity in the region. RINC can provide to

agencies with greater access to large geographical areas and

more numerous populations, expanding their approach in

cancer control in the region.

Conclusions

After nearly four years of developing activities, RINC can

and should be considered a milestone in health cooperation

in Latin America. Although some of its cooperation

programmes are still in the implementation phase and with

no tangible evidence of decreasing cancer incidence and

mortality in the region, the network has already been

acknowledged for its achievements and in its capacity to

promote improvements, regarding the three strategic

aspects of integration, technical cooperation and

networking.

As a structuring network of UNASUR - a South American

intergovernmental legal entity created to propel regional

integration on various topics, including health - the Network

of National Cancer Institutes achieved an unprecedented

and unparalleled political outreach, with the ability to

mobilize and enlist the support of governments. The

network has also participated in important international

forums such as the ICCC-5, held in Peru in 2013, the World

Oncology Forum 2014 in Switzerland and the World Cancer

Congress 2014 in Australia, to discuss key issues on the

regional and global control of cancer. Furthermore, RINC

was invited to join the International Cancer Control

Partnership.

The increasing economic dynamism of the Latin American

countries in recent years has imparted greater energy to

South-South cooperation. This model gave rise to UNASUR

and has been guiding the networks in their strategies. In this

context, RINC established a new model for cooperation with

closer links among its members, and promoting knowledgesharing,

networking, mutual capacity-building, information

and best practice exchanges. For the formulation of demandoriented

cooperation programmes, the identification of

common challenges among the countries has been a priority.

In that regard, RINC has also managed to support and

strengthen the role that national cancer institutes and other

governmental cancer institutions play in their own countries

and in the region, making this a uniting factor among them.

Another important aspect for the efficacy of RINC's work

in the region is advocacy. Aiming at raising awareness about

cancer among the populations, Peru's first lady, Nadine

Heredia, was invited to support the cause. Mrs Heredia has

been a tireless leading voice in the implementation of Peru´s

cancer control plan "Esperanza". In April 2014, she was

appointed by UNASUR "Leader and Social Advocate for

Prevention and Control of Cancer" for a two-year term.

Finally, through networking RINC also became a facilitator

for multilateral and bilateral initiatives and agreements

outside the network. Close links and mutual trust among the

countries in Latin America have fostered the ilateral

Agreement on Health between Brazil and Peru, cooperation

on cervical cancer between Italian research institutions and

countries in the region and the organization of a Latin

American research network.

Despite these accomplishments, RINC also faced major

challenges over the past four years to keep running its

projects and ensure the ability to maintain its structure over

time. The regulations and bureaucracy of UNASUR, the

rotation of governments, and the lack of a regional fund to

cover the network´s operations were threats that hampered

the work process and pose a risk to the future of RINC. The

only funds that are currently available for the development

of RINC activities come from the Ministry of Health of Brazil

through a cooperation agreement with PAHO. The

recommendation of UNASUR, in this sense, is that the

institutions organize themselves to provide the necessary

human and financial resources for their actions.

Still, the collaboration model proposed by the Network of

National Cancer Institutes with partnering institutions

working together to tackle the cancer problem in Latin

America has shown its advantages. Other regions of the

world should consider adopting the same strategy. l

Walter Paulo Zoss, MBA, BJ is the Executive Manager of the

RINC/UNASUR - an initiative organized under the auspices of

the Union of the South American Nations to provide regional

cooperation in cancer control. Mr Zoss is a journalist and a

multicultural Senior Expert in health communication with over

19 years experience in the public health sector and

international cooperation projects. As a Swiss and Brazilian

citizen, he resided in Switzerland from 1978 to 1990, where he

REGIONAL INITIATIVES

128 CANCER CONTROL 2015

Index

  1. Page 0001
  2. Page 0002
  3. Page 0003
  4. Page 0004
  5. Page 0005
  6. Page 0006
  7. Page 0007
  8. Page 0008
  9. Page 0009
  10. Page 0010
  11. Page 0011
  12. Page 0012
  13. Page 0013
  14. Page 0014
  15. Page 0015
  16. Page 0016
  17. Page 0017
  18. Page 0018
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. Page 0022
  23. Page 0023
  24. Page 0024
  25. Page 0025
  26. Page 0026
  27. Page 0027
  28. Page 0028
  29. Page 0029
  30. Page 0030
  31. Page 0031
  32. Page 0032
  33. Page 0033
  34. Page 0034
  35. Page 0035
  36. Page 0036
  37. Page 0037
  38. Page 0038
  39. Page 0039
  40. Page 0040
  41. Page 0041
  42. Page 0042
  43. Page 0043
  44. Page 0044
  45. Page 0045
  46. Page 0046
  47. Page 0047
  48. Page 0048
  49. Page 0049
  50. Page 0050
  51. Page 0051
  52. Page 0052
  53. Page 0053
  54. Page 0054
  55. Page 0055
  56. Page 0056
  57. Page 0057
  58. Page 0058
  59. Page 0059
  60. Page 0060
  61. Page 0061
  62. Page 0062
  63. Page 0063
  64. Page 0064
  65. Page 0065
  66. Page 0066
  67. Page 0067
  68. Page 0068
  69. Page 0069
  70. Page 0070
  71. Page 0071
  72. Page 0072
  73. Page 0073
  74. Page 0074
  75. Page 0075
  76. Page 0076
  77. Page 0077
  78. Page 0078
  79. Page 0079
  80. Page 0080
  81. Page 0081
  82. Page 0082
  83. Page 0083
  84. Page 0084
  85. Page 0085
  86. Page 0086
  87. Page 0087
  88. Page 0088
  89. Page 0089
  90. Page 0090
  91. Page 0091
  92. Page 0092
  93. Page 0093
  94. Page 0094
  95. Page 0095
  96. Page 0096
  97. Page 0097
  98. Page 0098
  99. Page 0099
  100. Page 0100
  101. Page 0101
  102. Page 0102
  103. Page 0103
  104. Page 0104
  105. Page 0105
  106. Page 0106
  107. Page 0107
  108. Page 0108
  109. Page 0109
  110. Page 0110
  111. Page 0111
  112. Page 0112
  113. Page 0113
  114. Page 0114
  115. Page 0115
  116. Page 0116
  117. Page 0117
  118. Page 0118
  119. Page 0119
  120. Page 0120
  121. Page 0121
  122. Page 0122
  123. Page 0123
  124. Page 0124
  125. Page 0125
  126. Page 0126
  127. Page 0127
  128. Page 0128
  129. Page 0129
  130. Page 0130
  131. Page 0131
  132. Page 0132
  133. Page 0133
  134. Page 0134
  135. Page 0135
  136. Page 0136
  137. Page 0137
  138. Page 0138
  139. Page 0139
  140. Page 0140
  141. Page 0141
  142. Page 0142
  143. Page 0143
  144. Page 0144
  145. Page 0145
  146. Page 0146
  147. Page 0147
  148. Page 0148
  149. Page 0149
  150. Page 0150
  151. Page 0151
  152. Page 0152
  153. Page 0153
  154. Page 0154

powered by PageTiger