Abstract 70: Integrated Cancer Management in Indonesia: Synergism to Achieve a Good Quality Cancer Management 2020-2024

Abstract

Abstract Purpose: Numerous long-term efforts have been established for cancer control by Indonesian government. Still, these efforts seem incapable of keeping up with the increasing number of cancer cases and have not yielded satisfactory outcomes. To further enhance Indonesia's cancer control program, we proposed strategies that mainly focus on prevention and early diagnosis, which consider a promising investment in cancer control. Rather than solely concentrating on treatment plans, which may result in cost-inefficiencies and augmenting its state financial burden. Methods: A thorough situational analysis for Indonesia's cancer control was performed, including cancer risk factors, screening and early detection, access to cancer care and palliative care, human resource, and cancer registry. The analysis was performed by data collection from literature reviews, site surveys at primary health care, tertiary health care, Indonesia Health Care Insurance, and in-depth interviews with national experts in various professional organizations and NGOs. Based on these findings and analysis, a proposed cancer control program was then formulated by the National Cancer Control Committee (NCCC) and Ministry of Health with WHO-SEAR. Results: The NCCC has formulated National Cancer Control Program for 2020-2024 with three main visions, increased healthy lifestyle, plenary cancer control and prevention, and effective data-based cancer control, which is well pictured in the 'hour-glass' approach. The strategy mainly focuses on health promotion and primary prevention synergized by other healthcare systems such as cancer care, cancer registry, and palliative care. Conclusion: Efforts should focus on the three primary cancers in Indonesia, which significantly impact cancer burden, namely breast cancer, cervical cancer, and childhood cancer. Therefore, Indonesia will achieve reasonable cancer control and reduce cancer burden. However, formulating NCCP is crucial to help the country pan out its priorities and action plan in cancer control. Each country should decide its strategy and approach, which is most relevant to their situation. Citation Format: Soehartati Gondhowiardjo, Tiara Bunga Mayang Permata, Nurhanita, Novi Elis Khumaessa, Putri Maharani, Nicholas, Lusi Tania Rahmartani, Steven Octavianus. Integrated Cancer Management in Indonesia: Synergism to Achieve a Good Quality Cancer Management 2020-2024 [abstract]. In: Proceedings of the 9th Annual Symposium on Global Cancer Research; Global Cancer Research and Control: Looking Back and Charting a Path Forward; 2021 Mar 10-11. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2021;30(7 Suppl):Abstract nr 70.