PACT in Asia (Middle East)
The International Atomic Energy Agency (IAEA) has a long history of supporting successful cancer diagnosis and treatment programmes in the developing world using radiation medicine through its Department of Technical Cooperation (TC) and Division of Human Health (NAHU). Building on this experience, IAEA/PACT and its partners are developing multidisciplinary cancer capacity building projects called PACT Model Demonstration Sites (PMDS) in all WHO regions. In the Middle East, the PMDS is Yemen, where WHO's Regional Office for the Eastern Mediterranean (EMRO) plays the leading role as a PACT Partner.
Yemen
PMDS Focus
Over the course of 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 treatment facilities and services, including radiotherapy, 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 (Baseline 2005-2006)
Yemen has a population of approximately 22 million people and an estimated 11 000 new cases of cancer per year (Globocan 2002). There is one radiotherapy facility in Yemen in the city of Sana'a. Further programme development in cancer treatment, prevention, registration, early detection and palliative care is needed.
PACT's Logistic Role
Organize, coordinate and report on imPACT review mission; review Yemeni National Cancer Control Programme; coordinate preparation of PACT Model Demonstration Site (PMDS) project proposals; coordinate interagency collaboration and resource mobilization and deployment during PMDS project execution.
Resources Committed/Pledged
- Registration support ($15 000-25 000 possible)
- PACT staff time and travel as well as external experts as needed ($60 000)
Current Status (2009)
The Ministry of Public Health and Population prepared a draft national cancer control Plan in March 2008 with support from WHO-EMRO. The WHO country office is providing support and advocacy in tobacco control efforts. IARC is planning to do research on the effect of pesticides used for qat production or cancer incidence. The Gulf Cancer Control Federation held its Fourth International Conference on “Head and Neck Cancer” in Sana'a in February 2009.
An imPACT follow-up technical visit took place in June 2008, during which steps were outlined to establish a National Steering Committee and a national palliative care programme.
International biddings for the construction of the new Cancer Centre in Aden are being prepared. Initial funding ($ 2 million) has been mobilized locally.
Resources Needed
- Support for cancer registration in collaboration with IARC
- Estimated $5 million for radiotherapy, including training of professionals
- Support for cancer prevention and early detection ($500 000)
- Support for palliative care (estimated $150 000)
- Expand diagnostic and treatment services ($2 million)
- Support for cancer civil society efforts
Next Steps
IAEA/PACT and its partners, together with Yemeni 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.
Expected Outcomes
Improved cancer survival rate; support of National Cancer Control Programme; increased number of patients treated with radiotherapy; increased number of doctors trained in radiotherapy; improved cancer registration; increased programmes for prevention and screening of the most common cancers; earlier detection of common cancers with improved opportunity for and delivery of curative treatment; improved public awareness of and knowledge about cancer early detection and its prevention; enhanced palliative care programme.
Interagency Partners
PACT works with WHO , WHO Regional Office for the Eastern Mediterranean (EMRO), IARC (WHO), International Union Against Cancer (UICC) and the International Network for Cancer Treatment and Research (INCTR). PACT also hopes to involve other key organizations in due course.
Key Member State Counterpart Organizations
Responsible PACT Officer
For more information on the Yemen, please contact Mr Jean-Pierre Cayol.
Potential Centres of Excellence or mentors in the region
- Egypt
- Islamic Republic of Iran
- Jordan
- Morocco
- Syrian Arab Republic
- Tunisia
Other countries in the region requesting assistance
- Afghanistan
- Palestinian National Authority
- Syrian Arab Republic
Current donors to PACT in the region