MODULE 1.

Planning

Planning involves:

“An honest understanding of an organization’s history. A systematic examination of an

organization’s environment. The rigorous assessment of an organization’s mission. Clear vision
of organizational goals. A mapping process presenting ways of reaching those goals. An
inclusive, collaborative process for gathering information, ideas, opinions and intuitions on
which goals and decisions are based. A realization that planning never stops.”

Cancer control planning is necessary for any resource setting in order to respond to the cancer
needs in populations through preventing cancer, detecting it early, curing it and caring for people
affected by it. This module addresses some basic aspects of planning, and discusses how to
determine whether a plan is needed and, if so, how to draw up a strategic plan.

At the end of the lecture, the trainee will be able to:

1. define what is the meaning of the plan in the context of Cancer Control;
2. identify the needs through a needs assessment for Cancer Control Program; and
3. to identify effective approaches for cancer control in your countries; and
4. to learn the art of lobbying for cancer prevention and control to policymakers.
This module is divided into four (4) topics:

1. Pre– Planning

2. Planning Step 1

3. Planning Step 2

4. Planning Step 3

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MODULE 1. Planning

As part of Module 1 learning activities, you need to:

Do: Module 1 Pre-quiz (Pre-test assessment)

View: Module 1 Introductory Video
Read:
a. Pre-planning (Module 1 Topic 1)
b. Planning Step 1 (Module 1 Topic 2)
c. Planning Step 2 (Module 1 Topic 3)
d. Planning Step 3 (Module 1 Topic 4)

Listen: Module 1 Podcast

Watch: Summary video (Takeaway points)
Take: Module 2 Post-quiz

Do: Module 1 Post-quiz (Post test assessment)

NOTE: Once you pass Module2 post-assessment, you may proceed to Module 3.

Optional readings (Link):

[Link]

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MODULE 2. Prevention (Cancer Registration)

Cancer prevention is an essential component of all cancer control plans because

about 40% of all cancer deaths can be prevented.

Important cancer risk factors – such as tobacco use – are also risk factors for
other chronic diseases, including cardiovascular disease and diabetes. Cancer
prevention should, therefore, be planned and implemented in the context of other
chronic disease prevention programmes, as well as in the context of overall cancer
control planning.

This part of the course will discuss implementing effective cancer prevention by controlling
major avoidable cancer risk factors

Three steps of planning on prevention will be discussed:

1. How to assess the extent of cancer problem
2. Advice on what can be done to the cancer problem
3. Advice on how to translate knowledge into practice

At the end of the lecture, the trainee will be able to:

1. investigate the present state of the cancer problem, and cancer control services or
programs;
2. formulate and adopt policy;
3. identify the steps needed to implement the policy; and
4. assess the current situation of cancer registration, key challenges and;
5. identify options to address the challenges.

This module is divided into three (3) topics:

1. Step 1- Planning on Prevention

2. Step 2- Planning on Prevention

3. Step 3- Planning on Prevention

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MODULE 2. Prevention (Cancer Registration)

As part of Module 2 learning activities, you need to:

Do: Module 2 Pre-quiz (Pre-test assessment)

Read:
a. Taking Action and Cancer Risk factors Module 2 Topic 1)
b. Step 1- Planning on Prevention (Module 2 Topic 2)
c. Step 2- Planning on Prevention (Module 2 Topic 3)
d. Step 3- Planning on Prevention (Module 2 Topic 4)

Listen: Module 2 Podcast

Watch: Summary video (Takeaway points)
Take: Module 2 Post-quiz
Do: Module 1 Post-quiz (Post test assessment)
NOTE: Once you pass Module2 post-assessment, you may proceed to Module 2.

Optional readings (Link):

[Link]

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MODULE 3. Early Detection (Prevention and Early Detection)

Every year, millions of cancer patients could be saved from premature death and
suffering if they had timely access to early detection and treatment.

Early detection is based on the concept that the sooner in its natural history the
cancer is detected, the more effective the treatment is likely to be. The aim of early
detection is to detect the cancer when it is localized to the organ of origin and before it
invades the surrounding tissues and distant organs, or for some sites, to detect a
precancerous lesion.

Early detection of cancer includes early diagnosis (by creating awareness in the
public and among healthcare professionals) and screening. Organized screening is the
systematic application of a screening test in a presumably asymptomatic population.
Opportunistic screening is the unsystematic application of screening tests in routine
health services

There are two main components of early detection programmes for cancer:
 Early Diagnosis
 Screening

At the end of the lecture the trainee will be able to:

1. learn the concepts of early detection of cancer;
2. learn the components of early detection programmes for cancer;
3. learn the components of early detection;
4. review the current status of the country in terms of monitoring and evaluation of
risk factors for cancer as well as the programmes for risk reduction; and
5. to learn the components of an organised cancer screening program keeping in
view the national situation and context.

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MODULE 3. Early Detection (Prevention and Early Detection)

This module is divided into four (4) topics:

1. Pre Planning

2. Planning Step 1

3. Planning Step 2

4. Planning Step 3

As part of Module 3 learning activities, you need to:

Do: Module 3 Pre-quiz (Pre-test assessment)

Read:
a. Early Detection: Pre-Planning
b. Early Detection: Planning Step 1
c. Early Detection: Planning Step 2
d. Early Detection: Planning Step 3

Listen: Module 3 Podcast

Watch: Summary video (Takeaway points)
Take: Module 3 Post-quiz
Do: Module 3 Post-quiz (Post test assessment)
NOTE: Once you pass Module 3 post-assessment, you may proceed to Module 4.

Optional readings (Link):

[Link]
sequence=1

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MODULE 4. Diagnosis and Treatment (Management and Care)

Treatment aims to cure disease, prolong life, and improve the quality of remaining life after the
diagnosis of cancer is confirmed by the appropriate available procedures. The most effective
and efficient treatment is linked to early detection programmes and follows evidence-based
standards of care. Patients can benefit either by cure or by prolonged life, in cases of cancers
that although disseminated are highly responsive to treatment, including acute leukaemia and
lymphoma. This component also addresses rehabilitation aimed at improving the quality of life
of patients with impairments due to cancer.

This module discusses how to plan and implement an effective diagnosis and treatment
programme using a public health approach, within the context of a national cancer control
programme. It will be updated within the next 5 years as it is intended to evolve in response to
new knowledge, evidence-based information, national needs and experience.

At the end of the lecture the trainee will be able to:

1. learn how to plan and implement an effective diagnosis and treatment programme using a
public health approach, within the context of a national cancer control programme.

2. identify the causes of causes and feasible interventions to address them; and

3. prioritize solutions and design an action plan to strengthen cancer management and care.

This module is divided into four (4) topics:

1. Key-Messages and Pre-planning

2. Planning Step 1

3. Planning Step 2

4. Planning Step 3

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MODULE 4. Diagnosis and Treatment (Management and Care)

As part of Module 4 learning activities, you need to:

Do: Module 4 Pre-quiz (Pre-test assessment)

Read:
a. Diagnosis and Treatment (Key Messages and Pre-planning)
b. Diagnosis and Treatment Planning Step 1
c. Diagnosis and Treatment Planning Step 2
d. Diagnosis and Treatment Planning Step 3

Listen: Module 4 Podcast

Watch: Summary video (Takeaway points)
Take: Module 4 Post-quiz
Do: Module 4 Post-quiz (Post test assessment)
NOTE: Once you pass Module 4 post-assessment, you may proceed to Module 5.

Optional readings (Link):

[Link]
sequence=1

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MODULE 5. Palliative Care

Palliative Care meets the needs of all patients requiring relief from symptoms, and the needs of
patients and their families for psychosocial and supportive care. This is particularly true when
patients are in advanced stages and have a very low chance of being cured, or when they are
facing the terminal phase of the disease. Because of the emotional, spiritual, social and
economic consequences of cancer and its management, palliative care services addressing the
needs of patients and their families, from the time of diagnosis, can improve quality of life and
the ability to cope effectively.

Despite cancer being a global public health problem, many governments have not yet included
cancer control in their health agendas. There are competing health problems, and interventions
may be chosen in response to the demands of interest groups, rather than in response to
population needs or on the basis of cost- effectiveness and affordability.

Low-income and disadvantaged groups are generally more exposed to avoidable cancer risk
factors, such as environmental carcinogens, tobacco use, alcohol abuse and infectious agents.
These groups have less political influence, less access to health services, and lack education
that can empower them to make decisions to protect and improve their own health.

Palliative care is an urgent humanitarian need worldwide for people with cancer and other
chronic fatal diseases. Palliative care is particularly needed in places where a high proportion of
patients present in advanced stages and there is little chance of cure .ideally, palliative care
services should be provided from the time of diagnosis of life-threatening illness, adapting to the
increasing needs of cancer patients and their families as the disease progresses into the
terminal phase. They should also provide support to families in their bereavement.

Effective palliative care services are integrated into the existing health system at all levels of
care, especially community and home-based care. They involve the public and the private sector
and are adapted to the specific cultural, social and economic setting.

In order to respond to the cancer priority needs in a community and make the best use of scarce
resources, palliative care services should be strategically linked to cancer prevention, early
detection and treatment services for both adults and children.

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MODULE 5. Palliative Care

At the end of the lecture the trainee will be able to:

1. learn how to plan and implement an effective diagnosis and treatment programme using a
public health approach, within the context of a national cancer control programme.

2. identify the causes of causes and feasible interventions to address them; and

3. prioritize solutions and design an action plan to strengthen cancer management and care.

4. to learn the components of a national cancer control programme and to apply them

in your local context.

This module is divided into three (3) topics:

1. Key-Messages and Pre-planning

2. Planning Step 1

3. Planning Step 2

As part of Module 5 learning activities, you need to:

Do: Module 5 Pre-quiz (Pre-test assessment)

Read:
a. Palliative Care Key Messages and Pre-planning
b. Palliative Care Planning Step 1
c. Palliative Care Planning Step 2
Listen: Module 5 Podcast
Watch: Summary video (Takeaway points)
Take: Module 5 Post-quiz
Do: Module 5 Post-quiz (Post test assessment)
NOTE: Once you pass Module 5 post-assessment, you may proceed to Module 6.

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MODULE 6. Policy and Advocacy

Advocacy for cancer control is needed in any resource setting in order to influence policy and to
urge decision-makers to create an environment conducive to improving the way cancer control
knowledge is put into practice. This module addresses some basic aspects of advocacy, and
discusses how advocacy strategies for effective comprehensive cancer control planning and
implementation might be developed. It is based on, and is complementary to, the Planning
module, which provides a template for the overall cancer control planning process and its
implementation. It will be updated within the next 5 years as it is intended to evolve in response
to new knowledge, national needs and experience in advocacy.

There is no single right way to advocate. The guidance provided in this module is thus not
intended to be prescriptive but rather to be selected as appropriate to the country context, and
revisited as the advocacy process progresses through its planning, implementation and
evaluation phases. As

The key messages for people involved in advocating for comprehensive cancer control planning
and implementation are as follows:

 Advocacy for cancer control is most likely to be successful if it is synchronized with

advocacy for non-communicable diseases and other cancer-related problems. By
combining their voices to deliver the powerful message that comprehensive and integrated
cancer control is more effective than fragmented or isolated approaches, advocates can
make a real difference.

 Successful cancer control greatly depends on the ability of stakeholders to define the value
of a comprehensive cancer control framework to policy-makers and other potential
resource providers whose sustained support is crucial.

 The lifeblood of advocacy is good strategic communication, which educates people about a
need and mobilizes them to meet that need in a collaborative way. Participants in the
advocacy process need to interact and freely share information regarding cancer control,
and other chronic diseases and related issues.

 Good communication skills in those advocating for cancer control are vital. These include
being able to speak clearly and concisely, and an ability to convey complex information in
an organized and easy-to- understand manner.

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MODULE 6. Policy and Advocacy

Learning Outcomes:

At the end of the lecture the trainee will be able to:

1. Discusses how advocacy strategies for effective comprehensive cancer control planning
and implementation might be developed

2. Define of advocacy

3. Define is advocacy leadership

4. Discuss what is public policy

5. Differentiate social marketing, lobbying and social mobilization

This module is divided into nine (9) topics:

1. Key-Messages and Introduction

2. Advocacy Step 1

3. Advocacy Step 2

4. Advocacy Step 3

5. Advocacy Step 4

6. Advocacy Step 5

7. Advocacy Step 6

8. Advocacy Step 7

9. Advocacy Step 8 and Conclusion

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MODULE 6. Policy and Advocacy

As part of Module 6 learning activities, you need to:

Do: Module 6 Pre-quiz (Pre-test assessment)

Read:
a. Advocacy Key Messages and Pre-Planning
b. Advocacy Step 1
c. Advocacy Step 2
d. Advocacy Step 3
e. Advocacy Step 4
f. Advocacy Step 5
g. Advocacy Step 6
h. Advocacy Step 7
i. Advocacy Step 8 and Conclusion

Listen: Module 6 Podcast

Watch: Summary video (Takeaway Points)
Take: Module 6 Post-quiz
Do: Module 6 Post-quiz (Post test assessment)
NOTE: Once you pass Module 6 post-assessment, you may proceed to Module 7.

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MODULE 7. Philippines Law on Cancer Control
(Republic Act 11215)

The National Integrated Cancer Control Program shall serve as the framework for all cancer-
related activities of the government. The program’s objectives as are follows: 1) decreasing the
overall impact and mortality of all adult and childhood cancer, 2) lessening the incidents of
preventable cancer in adults, 3) preventing cancer recurrence and secondary cancer among
survivors and people living with cancer, and 4) providing timely access to optimal cancer
treatment and care for all cancer patients. The proposed National Integrated Cancer Control Act
also seeks to 5) make cancer treatment and care affordable, 6) improve the experience of cancer
treatment and care for patients and families, 7) support the recovery and reintegration to society
of cancer survivors, and eliminate the various forms of burden on patients, people living with
cancer, survivors, and their families.

Learning Outcome

At the end of the lecture, the trainee will be able to:

1. Understand Republic Act 11215 or the National Integrated Cancer Control Act

For further readings, kindly click the following links below:

[Link]
[Link]
[Link]
[Link]

As part of Module 6 learning activities, you need to:

Do: Module 7 Pre-quiz (Pre-test assessment)

Read:

a. Cancer Control Act

b. Cancer Control Act First Reading

c. Cancer Control Act First Reading

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MODULE 7. Philippines Law on Cancer Control
(Republic Act 11215)

Watch: Summary video (Takeaway points)

Take: Module 7 Post-quiz

Do: Module 7 Post-quiz (Post test assessment)

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