Cancer surveillance is central to the design, implementation and evaluation of Cancer prevention and control programs. As defined universally, Cancer surveillance is the ongoing, timely, and systematic collection and analysis of information on cancer. For Cancer prevention and control efforts to be successful, timely dissemination of Cancer data to the public is essential. Such data enable both proper design and evaluation of prevention and control activities. Cancer registration is an important component of Cancer surveillance. It is the fundamental method in many countries by which information is systematically collected about the occurrence of Cancer (incidence), about the types of Cancer that occur (histology, morphology, and behaviour), the anatomic location (topography), the extent of disease at the time of diagnosis (stage), the kinds of treatment received by Cancer patients, and the outcomes of treatment and clinical management (mortality and survival). Cancer registration has been taking place in West Bank and Gaza since 1996, and the cancer registry activities have undergone several rounds of reorganization. To our knowledge, these changes have happened without any evaluation of the cancer surveillance process. A critical and thorough assessment of cancer registration has not previously been performed.
Progress and Improvements
- A detailed description of the current cancer situation was conducted in both West Bank and Gaza.
- A national report on the current situation of Cancer Registry at the national level was prepared.
- Two assessment workshops were conducted in the presence of the International Agency for Research on Cancer (IARC) team in West Bank and Gaza, and a technical report was provided to the PNIPH by the IARC.
- Several meetings were conducted in cooperation with the MoH decision-makers to agree on a roadmap for Cancer Registry improvements.
According to PNIPH assessment and the IARC team recommendations, the requirements of Cancer Registry improvements are:
- Accountable and visible leadership through the appointment of directors;
- A long term plan for capacity building of cancer registrars;
- A switch to active data collection and follow-up of data sources;
- The active involvement of stakeholders in an advisory board.
- Quality-oriented standard operating procedures must be developed for the whole continuum of data flow.
- Ministry of Health: http://www.moh.ps/index/Books/BookType/2/Language/ar
- Gaza Strip data: http://www.moh.gov.ps/portal/category/s5-2011-06-02-06-26-44/c45-2011-06-22-10-31-14/