C/Can 2025: City Cancer Challenge Report of the 3rd City Stakeholder Meeting Kumasi, Ghana, 25-26 July 2018
Members of the C/Can 2025 Technical Committee and City Executive Committee for Kumasi, Ghana, came together from 25-26 July at the 3rd City Stakeholder Meeting to present the findings from the needs assessment process, and discuss the priorities for improving access to quality cancer treatment in Kumasi. In parallel, meetings were organized in Accra and Kumasi with key government leaders and potential partners for the initiative.
Needs Assesment in Kumasi: Key findings On the 25th of July, members of the Technical Committee met to share the findings of the needs assessment for each of the disciplines in areas including pathology, laboratory medicine, haematology, radiology and nuclear medicine, medical oncology, radiotherapy, surgery, palliative care, training and education, quality of cancer care, management of oncology services, and community access subgroups. The Technical Committee Subgroup Coordinator delivered a presentation, based on the discussions and findings presented during the pre-analysis meetings held on 12- 13 of July. The aim was to reach unanimous consensus regarding the technical group conclusions and the final priority list to be presented at the Executive Committee meeting. Each presentation covered: a list of professionals and institutions that gathered information to complete the assessment; an overview of the situation at city-level including key challenges, and suggested priority actions to address these problems. In addition to the identification of barriers and priority actions in specific disciplines, several common issues emerged throughout the presentations and subsequent discussion:
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Lack of trained medical professionals and opportunities for training that negatively impact the quality of patient care;
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Insufficient and inadequate equipment and infrastructure for providing quality oncology services;
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Lack of harmonized cancer treatment guidelines and protocols as well as Standard Operating Procedures (SOPs);
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Absence of a Comprehensive Cancer Care Center or dedicated units for cancer care.
A closer look on the shortage of human resources for cancer management in Kumasi Even though the shortage of trained human resources was the most prevalent problem in all areas of cancer care in the city; the most urgent need is in medical oncology. The city already has some trained radiotherapists and surgeons with experience in cancer surgery; but there are very few medical oncologists trained to provide chemotherapy. Training of medical oncologists should be considered as a priority. Similarly, there is a lack of trained nurses with training in chemotherapy, and there is a lack of proper safety protocols and safety gear in the city.and its relevance for patient safety. Specialised training of laboratory personnel and the development of a laboratory quality assurance programme, standardised procedures and reporting, would be important first steps in this regard.
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Identification of priority needs and actions During the City Executive Committee Meeting on 26 July, the C/Can 2025 Regional Director for Africa presented the findings of the needs assessment, including main challenges and priority needs and
The Kumasi City Executive Committee composed of leaders from the city’s major public and private hospitals, academic institutions, patient advocacy groups, civil society, municipal health authorities and Ministry of Health, shared their initial feedback, highlighting the following, •
It is essential to build human resource capacity building in all related cancer treatment subspecialities for professionals working in Kumasi;
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The urgent need to develop cancer treatment protocols as well as safety protocols for cancer care providers in the city;
“Our foremost interest as a HumanCentered Institution is the overall wellbeing of the productive population of the country in particular, and vulnerable groups to cancers in general. The primary focus in this discussion is to push cancers to the front-burner, whip up public enthusiasm, and encourage blue chip institutions and policy makers to appreciate the cries of distress from health care givers and patients alike, and respond appropriately with cancer-relief policies/packages.”
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The need to further develop and support the
Dr. Beatrice Wiafe Addai, Chairperson, Cancer Board, Ghana
engagement.
actions (classified as requiring either low or high investment), identified by the Technical Committee to be included in the City Activity Plan.
Kumasi population-based cancer registry. In parallel to the Executive Committee meeting, the C/Can Partnerships team held a debriefing session with local C/Can 2025 Kumasi partners. During this session, the Partnership Manager provided an overview of the C/Can 2025 initiative, the process followed to date; the work carried out in Kumasi, and discussed next steps regarding partnership
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Next steps
World Cancer Congress
Situation analysis development
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Key findings from the Kumasi City Needs
End July - End August 2018: the Lead
Assessment in the World Cancer Congress to be
Coordinator of the City Needs Assessment
held in Kuala Lumpur, Malaysia.
will finalize the Situation Analysis Report by 24 August, including any missing information, and send the draft document to the Executive Committee for review before 5 September. •
Action planning •
Between October- December 2018: Development of the Kumasi Activities Plan which
From 5th - 12th September 2018: The Executive
will be validated, prioritised, and categorized by
Committee is tasked with providing comments
the City Executive Committee.
on the Situation Analysis report. •
1 - 4 October 2018: Presentation of the
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Partners
End of September 2018: The Kumasi Situation Analysis Report will be available and shared with partners for comments.
Technical Assistance Activities with C/Can
Technical Analysis and Continued Technical Assistance Activities with C/Can Partners •
Starting from January 2019
“C/CAN 2025 assists and guides cities particularly in low and middle income countries to ask and find answers to the many WHY questions in cancer control and management. Why do we have late presentation of cancers at treatment centers? Why do we not have adequate human resources for cancer care in countries? “The selection of Kumasi as the first learning city for the City Cancer Challenge in Africa provides an opportunity for the city to harness all resources, human and capital to contribute to improving cancer prevention and control. The Ghana Health Service NCD Control and Prevention Programme is fully supportive of this drive and will play an active role in the various activities.” – Dr. Dennis Odai Laryea, Programme Manager, Non-Communicable Diseases/ Disease Control Department, Public Health Division/ Ghana Health Service Headquarters/ Accra, Ghana
Why do we not have adequate infrastructure and equipment for cancer diagnosis and treatment? What are the possible sources of funding for cancer care? The answers to these questions have guided the situation analysis and subsequent prioritization of the city’s needs with the active participation of local stakeholders. I have no doubt that this will really allow us to develop an implementable, comprehensive and locally informed strategic plan for cancer control in Kumasi. ” - Dr. Baffour Awuah, Consultant Radiation Oncologist, KATH and Special Advisor to the Minister of Health of Ghana
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Technical Committee Meeting
Attendance Technical Committee Members Present: Adom Joseph, Medical Physicist, Komfo Anokye Teaching Hospital
Deborah Otchere Baiden, Statistician, Kumasi Cancer Registry
Adu Tutu Amankwa, Radiologist, Komfo Anokye Teaching Hospital
Dorcas Yeboah, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital
Adu Tutu Nkansah, Laboratory Technologist, Bomso Clinic
Dorothy A. Antwi, Senior Staff Nurse, Oncology Dept., Komfo Anokye Teaching Hospital
Adwoa Opoku Amankwaa, Statistician, Manhyia District Hospital
Dr Anita Eseenam Agbeko, General Surgeon, Komfo Anokye Teaching Hospital
Akua Wiafe Addo, Laboratory Technologist, Breast Care International
Dr Azaare Nsoh, General Surgeon, Manhyia District Hospital
Alberta Delali Dzaka, Principal Nursing Officer, Oncology Dept, Komfo Anokye Teaching Hospital
Dr Ben Oti Asante, Physician, Peace And Love Hospital
Alozie Esther, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital Aminamah Prince, Laboratory Technologist, Peace And Love Hospital Ann Addo, Laboratory Technologist, Peace And Love Hospital Appiah Francis, Administrator, Breast Care International Asaana Eric, Administrator, Kumasi South Hospital Asiedu Isaac, Journalist, Silver FM Asoogo Comfort, Principal Nursing Officer, Oncology Dept, Komfo Anokye Teaching Hospital Bernice Opoku Agyemang, Nurse, Peace And Love Hospital Bright Minkah, Laboratory Technologist, Suntreso Government Hospital Charles Peprah, Pharmacist, Peace And Love Hospital Clement Nimoh Kessie, Administrator, Bomso Clinic Comfort Boateng, Principal Nursing Officer, Peace And Love Hospital Cornelia Agyei, Nurse, Breast Care International Daniel Okai Mensah, Radiographer, Komfo Anokye Teaching Hospital Debora O. Amanfo, Radiotherapist, Oncology Dept., Komfo Anokye Teaching Hospital
Report of the 3rd City Stakeholder Meeting, 25-26 July 2018
Dr David Dinuiu A. , Physician Specialist, Aninwah Medical Center Dr E. B. Osei – Bonsu, Head Oncology Dept, Komfo Anokye Teaching Hospital Dr Edward A. Boateng, General Surgeon, Komfo Anokye Teaching Hospital Dr Francis Aitpillah, General Surgeon, Komfo Anokye Teaching Hospital Dr Ishmael Kyei, General Surgeon, Komfo Anokye Teaching Hospital Dr Joyce B. M. Tiweh, General Surgeon, Manhyia District Hospital Dr Kwabena Amoako-Atta, Physician Specialist, Peace And Love Hospital Dr Kwame Boadu, Medical Director, Kumasi South Hospital Dr Kwasi Twumasi-Baah J, General Surgeon, Komfo Anokye Teaching Hospital Dr Paa Ekow Hoyte-Williams, Plastic Surgeon, Komfo Anokye Teaching Hospital Dr Richard Enimil, Physician, Suntreso Government Hospital Dr Samuel Mensah, General Surgeon, Kumasi South Hospital Dr Shirley Owusu-Ofori, Head Transfusion Medicine, Komfo Anokye Teaching Hospital
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Dr. F.M. Hoyte-Williams, Radiation Oncologist, Komfo Anokye Teaching Hospital Draumatu Salam, Nurse, Manhyia District Hospital Elizabeth Dankwah Boahen, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital Elizabeth Sorvor, Laboratory Technologist, Suntreso Government Hospital Emma Brew Abiadoo, Head Of Laboratory Services, Peace And Love Hospital Emmanuel Atakorah, Laboratory Technologist, Tafo Government Hospital Emmanuel W. Fogbedze, Medical Physicist, Komfo Anokye Teaching Hospital Eric Addison, Head Medical Physics Unit, Komfo Anokye Teaching Hospital Eric Kofi Aidoo, Laboratory Technologist, Manhyia District Hospital Eric Komson, Radiographer, Komfo Anokye Teaching Hospital Ernestina Asamoah, Nurse, Breast Care International Fati Ibrahim, Radiographer, Aninwah Medical Center Faustina Asante, Administrator, Network For Health Research Foundation Francis Agyemang, Medical Statistician, Oncology Dept., Komfo Anokye Teaching Hospital Frank Anati, Administrator, Kumasi South Hospital Frank Osei-Bonsu, Laboratory Technologist, Kumasi South Hospital Gloria A. Nyame, Peace And Love Hospital Henampong Wiafe E, Administrator, Breast Care International
Thomas Appiah, Radiographer, Aninwah Medical Center Vivian Osei Amankwah, Komfo Anokye Teaching Hospital Joyceline K. Bonnah, Administrator, Kumasi Metropolitan Assembly Kofi B. Mensah, Head Of Pharmacy, Oncology Dept., Komfo Anokye Teaching Hospital Kwabena Adjei, Pharmacist, Oncology Dept. , Komfo Anokye Teaching Hospital Kwaku Duah, Medical Physicist, Komfo Anokye Teaching Hospital Kwame Atta K. Boakye, Head Of Pharmacy, Peace And Love Hospital Kwasi Twum, Radiologist, Komfo Anokye Teaching Hospital Linda Adu Gyamfi, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital Linda Asuming, Nurse, Breast Care International Linda Opoku, Nurse, Breast Care International Listowell Antwi Boateng, Laboratory Technologist, Bomso Clinic Lucy Aneyaa, Senior Staff Nurse, Oncology Dept., Komfo Anokye Teaching Hospital Marian Winful, Journalist, The Crusader Newspaper Mary Tawiah, Administrator, Peace And Love Hospital Mensah Bismark, Laboratory Technologist, Peace And Love Hospital Michael Asiedu Yeboah, Senior Staff Nurse, Oncology Dept., Komfo Anokye Teaching Hospital Mike Owusu, Administrator, Coalition of Ngo In Cancer Mirekkua Eunice, Nurse, Breast Care International
Isaac Ewuah Mensah, Information Technologist, Peace And Love Hospital
Mrs Marian Akpaloo, Nurse, Komfo Anokye Teaching Hospital
Joana Nyame, Administrator, Global Cervical Charity Foundation
Nana K. Blankson, Radiologist, Kumasi South Hospital
Joyce K. Bonnah, Laboratory Technologist, Kumasi Metropolitan Assembly
Nana Kyei Frempong, Administrator, Breast Care International Odoom Joseph, Journalist, Light TV
Joyce Kwarteng, Journalist, Adehye TV
Opoku Peprah Brown, Administrator, Medilab
Senam Kudjawu, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital
Osei K. Acheamfour, Medical Physicist, Komfo Anokye Teaching Hospital
Simon Opoku Afriyie, Journalist, Life FM
Patrick Agyekum, Accountant, Peace And Love Hospital
Sonia Cobbold, Statistician, Kumasi Cancer Registry
Piesie Kojo Frank, Journalist, Oman FM
Stephanie Boadi, Statistician, Kumasi Cancer Registry
Prince Agyapong, Health Insurance Officer, Peace And Love Hospital
Report of the 3rd City Stakeholder Meeting, 25-26 July 2018
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Priscilla Bediako, Laboratory Technologist, Peace And Love Hospital
Mr. Michael Bapambe Ataogye, Metropolitan Coordinating Director, Kumasi Metropolitan Assembly
Reynolds O. Okyere, Medical Physicist, Komfo Anokye Teaching Hospital
Dr. Ernest Osei-Bonsu, Oncology Department Head, Komfo Anokye Teaching Hospital
Richard Ampofo, Information Technologist Specialist, Peace And Love Hospital
Prof. Daniel Ansong, Dean of the School of Medical Sciences, KNUST
Richard Mensah, Journalist, Ashh Fm
Prof. Ellis Owusu Dabo, Dean of School of Public Health, KNUST
Richard Oduro, Radiographer, Aninwah Medical Center Richard Opoku, Administrator, Breast Care International Richard Vikraah Dunneh, Laboratory Technologist, Komfo Anokye Teaching Hospital Rita Achiaa, Principal Nursing Officer, Breast Care International Robert Appiah, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital
Ms. Patience Yeboah Ampong, Director of Nursing, Komfo Anokye Teaching Hospital Mrs. Vivian Gyasi Sarfo, President of Peace and Love Survivors Association, Breast Care International Dr. Baffour Awuah, Kumasi Registry Director and Consultant Radiation Oncologist, KATH and Special Advisor to the Minister of Health of Ghana
Saah Bonsu Josephine, Nurse, Peace And Love Hospital
Dr. Mrs. Beatrice Wiafe Addai, President and CEO, Peace and Love Hospital, Breast Care International
Samuel Kachungu, Laboratory Technologist, Komfo Anokye Teaching Hospital
Dr. Alberta Britwum-Nyarko, Metropolitan Health Director, Kumasi Metropolitan Assembly
Sandra C. Yeboah-Manu, Nursing Officer, Oncology Dept., Komfo Anokye Teaching Hospital
Dr. Fred Adomako-Boateng, Deputy Director of Regional Care for Ashanti, Ghana Health Service
Kumasi City Executive Committee
UICC Staff Present:
Hon. Antwi Osei Assibey, Metropolitan Chief Executive, Kumasi Metropolitan Assembly (Chair)
Dr. Jose Jeronimo, C/Can 2025 Lead Coordinator, City Needs Assessment
Hon. Kwaku Agyeman-Manu, Minister of Health, Ghana Ministry of Health
Ms. Eva Ciurana Casademont, C/Can 2025 Partnership Manager
Dr. Anthony Nsiah-Asare, Director General, Ghana Health Service
Dr. Happy Agoudavi, C/Can 2025 Regional Director for Africa
Hon. Simon Osei Mensah, Regional Minister, Ashanti Regional Coordinating Council
Dr. Emmanuel Amamkwaa-Frempong, C/Can 205 Kumasi City Manager
Dr. Oheneba Owusu Danso, Chief Executive Officer, Komfo Anoyke Teaching Hospital
Mr. Fred Kwame Awittor, C/Can 2025 Kumasi Data Capture Specialist
Mr. Dennis Laryea, Program Manager for NonCommunicable Diseases, Ghana Health Service
Union for International Cancer Control 31 – 33 Avenue Giuseppe Motta 1202 Geneva, Switzerland T +41 (0)22 809 1811 F +41 (0)22 809 1810 E info@uicc.org www.uicc.org Inaugural Kumasi Executive Committee Meeting, 07 February 2018
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