Page 0145

INTERNATIONAL NETWORK FOR CANCER TREATMENT AND RESEARCH

CANCER CONTROL 2015 147

many cancer plans have little impact because of the limited

resources and great difficulty in expanding interventions to

very poor populations which cannot "purchase" their own

health-care needs and which have little or no chance of

expanding their present resources. Having a cancer plan is not

enough. Successful cancer plans require knowledge and a

budget in addition to educated health professionals.

INCTR's structure

INCTR has consultants and volunteers dedicated to the

accomplishment of its goals. Although its headquarters are

located in Brussels, it has branches in the United States,

Canada, Brazil, United Kingdom, France, Egypt, Nepal and

India. Branches are legally established NGOs that contribute

to and conduct programmes and projects that are relevant to

INCTR's mission.

Resource development, administration and programmes

(e.g., adult oncology, paediatric oncology, cancer registries,

pathology and palliative care are supervised by an Executive

Committee or directly by the branches. The Executive

Committee is responsible to INCTR's Governing Council.

Programmes and projects are developed with the participation,

input and advice of various INCTR committees and strategy

groups as well as independent scientific advisers. Programmes

and projects are conducted in collaboration with partner

institutions involved with cancer research, diagnosis and

treatment, including palliative care and education in countries

with limited resources.

Individuals, institutions or organizations often choose to

serve as Associate Members who contribute financially to the

work of INCTR.

What does INCTR do?

INCTR addresses all aspects of cancer control with the overall

goal of lessening the morbidity and mortality from cancer. It

emphasizes training and education of health-care

professionals in LMICs to ensure that "best practices" are

instilled in cancer prevention, early diagnosis, treatment and

palliative care. Research is an integral part of its work with its

partners in LMICs in order to accurately document the cancer

burden - including the types of cancer and extent of disease,

the outcomes of prevention and early detection campaigns and

the efficacy, toxicity and cost of treatment delivered. It also

emphasizes public awareness of cancer, which is an essential

component of early diagnosis. INCTR has a variety of

programmes that are carried out in close collaboration with its

branches as well as its partner institutions in developing

countries. INCTR's current programmes include:

‰ adult oncology;

‰ cancer registry;

‰ clinical research;

‰ foundational;

‰ palliative care;

‰ paediatric oncology;

‰ pathology.

INCTR's projects and achievements

Each INCTR programme has goals and

objectives in line with the overall mission of

the organization, divided into separate

projects. Many projects have been conducted

or are on-going and include:

Adult oncology

‰ Prevention, early diagnosis, and treatment

of selected cancers in poor urban areas and in

rural and tribal regions in the state of

‰ To build capacity for cancer prevention, diagnosis,

treatment and palliation through professional education

and training

‰ To conduct, or provide materials for the conduct of

educational campaigns for the public and primary care

doctors about the causes of cancer and living a healthier life

‰ To work with experts in-country to conduct locally relevant

research on cancer control

Box 2: Strategies

Founder and

active members

Associate members

Advisory Board

Branches

Programmes

Clinical research

Pathology

Paediatric oncology

Cancer registry

Oncology nursing

Foundational

Palliative care

Governing Council

Executive Committee

Committees

Ethical

review

OERC

consortium Funding

Disease-specific

startegy groups A

Figure 2: INCTR structure

0 5 10 15 20 25 30 35 40 45

30

25

20

15

10

5

0

% of global workforce

Size of the dots is proportional to total health expenditure

% of global burden of disease

Western Pacific

Europe

Americas

Africa

South-East Asia

Eastern Mediterranean

(Source: WHO, 2006)

Distribution of health workers by level of health expenditure

and burden of disease, WHO regions

25

Figure 1: Disease burden and resources

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