Role of the National Cancer Control Program in Developing Healthy Policies and Creating Supportive Environments for Cancer Prevention in Cameroon (2004-2019)
Bibliographic record
Abstract
RESUME Objectif. Evaluer les activites du Programme National de Lutte contre le Cancer (PNLCa), en rapport avec l’elaboration de politiques saines et la creation d'environnements favorables a la prevention et a la lutte contre la maladie au Cameroun. Population et methodes. Une analyse des politiques de lutte contre le cancer mises en place de 2004 a 2019 a ete menee au PNLCa, par l’approche d'evaluation qualitative mixte conformement a la Charte d'Ottawa de la promotion de la sante. Resultats Des politiques saines de lutte contre le cancer existent au Cameroun, mais leur mise en œuvre par le PNLCa est peu efficace. Aussi, le pays ne dispose ni d'une strategie nationale de prevention du cancer integrant des approches de promotion de la sante, ni de directives nationales coordonnees dans le cadre des Maladies Non Transmissibles (MNT) ou de plan de communication integre sur les facteurs de risque modifiables de cancers et autres MNT. Toutefois, quelques activites importantes favorables a la prevention de la maladie ont ete menees. Ainsi les activites de prevention sont axees sur le depistage, sur l'evitement des facteurs de risque ou l'identification precoce des symptomes de la maladie. En outre, aucun plan de gestion precis reliant toute femme diagnostiquee avec des lesions precancereuses a un traitement et un suivi rapide n’a ete mis en place. Conclusion. Il est necessaire de revoir d'inclure une strategie efficace de prevention du cancer qui integre les approches de promotion de la sante inscrites dans la charte d'Ottawa.ABSTRACTObjective. This study evaluated the activities of the National Cancer Control Program (NCCP) in creating healthy policies and supportive environments for cancer prevention and control in Cameroon. Population and Methods. A health policy analysis was conducted at the NCCP, using a mixed qualitative evaluation approach. Cancer control policies and health promotion events of the NCCP from 2004 - 2019 were evaluated with reference to the Ottawa Charter of health promotion. Results Several healthy policies for cancer control exist in Cameroon, but NCCP doesn’t contribute to the development and /or implementation of these policies. A few significant activities have been done by the NCCP in creating supportive environments for cancer prevention. However, Cameroon does not have an effective national strategy for cancer prevention that integrates health promotion approaches, with no coordinated national guidelines within the framework of Non communicable diseases (NCDs) and no Integrated Communication Plan on modifiable risk factors for cancers and other NCDs. As such preventive activities are focused on screening, with little or no awareness campaigns on risk factor avoidance (health enhancement and cessation education) or early identification of disease symptom, and with no clear management plan to link all women diagnosed with precancerous lesions to timely treatment and follow up. Conclusion. There is need to review policies of the NCCP in Cameroon, and to include an effective cancer prevention strategy which fully integrates health promotion approaches as enshrined in the Ottawa charter of health promotion.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".