INTEGRATED REPORT 2017/18

Toll-free 0800 22 66 22 | www.cansa.org.za CONTENTS

Purpose and Mission - Page 2 Service Delivery - Providing Care and Support - Page 27 Board of Directors - Page 3 Marketing - Promoting the CANSA Brand - Page 36 Chairperson’s Report - Page 5 Sustainability - Together we Drive Sustainability - Page 43 Message from the CEO - Page 6 Human Resources - Developing Our People - Page 53 How we Operate - Page 9 Volunteers - Volunteer Development and Management - Page 57 How we Manage Governance - Page 10 Central Business Unit - Page 60 Governance Structure - Page 12 Northern Business Unit - Page 65 Research - Funding Research in South Africa - Page 13 Southern Business Unit - Page 70 Advocacy - Knowledge into Action - Page 19 Audited Summarised Financial Statements - Page 79

1 OUR PURPOSE OUR MISSION is to lead the fight against cancer in is to be the preferred non-profit South Africa organisation that enables research, educates the public and provides support to all people affected by cancer

OUR 5 PILLAR STRATEGY

Maintain and improve sustainability of CANSA

Drive successful volunteer engagement and management programmes

Aract, retain and develop human capital OUR Maintain and enhance CANSA's reputaon and brand VALUES

Drive transformaon across CANSA

2 OUR BOARD OF DIRECTORS NON-EXECUTIVE DIRECTORS

AS OF SEPTEMBER 2018

Derek Foster Dr Martin Chairperson: Board Mandew Chairperson: Remuneration Committee Prof. Patrick Dr. Rosie Arbuthnot Mngqibisa Vice Chairperson and Chairperson: Social Chairperson: Research and Ethics Committee Committee

3 EXECUTIVE DIRECTORS

Bothwell Judge Faan Elize Joubert A Mazarura Hancke Chief Executive Officer Chairperson: Audit Member Committee

Ms Vuyokazi Memani-Sedile Rudolf Chairperson: Investment van Jaarsveld Committee Chief Financial Officer

4 CHAIRPERSON REPORT

DIRECTORS MANAGEMENT RESULTS We're grateful for a board of directors that is CANSA is proud to have a management team The financial results for the year is well balanced in terms of the knowledge it led by the very capable and experienced Elize commendable and certainly displays the brings to bear, the experience its members Joubert, who has vast experience and cumulative fruits of the turn-around efforts have and the dedication that each and every involvement in CANSA's affairs. She is by all at CANSA, despite the economic one brings to the table. There were no supported by a well-disciplined, experienced environment with ever escalating expenses changes in the constitution of the board of and extremely dedicated team of personnel, and pressure on income. We were once directors during the year. without which CANSA certainly cannot exist blessed with good bequests this year which and honour its business goals. They are assisted our budget targets. This is the The board and CANSA fully subscribe to and continuously faced with severe pressure due outcome of a dedicated team at CANSA practice the good governance principles as to the economic environment of our country involving everybody who honoured the set out in the King IV and previous reports. as well as abroad, while also having to cope expenditure budget and worked hard to fill with the inaccessibility of patients due to the income gap. The board's appreciation is security reasons and conditions of extended to all our employees and COUNCIL OF infrastructure across the country. However, volunteers that are part of the CANSA family. their capability to make ends meet with the GOVERNORS limited financial and human resources is The board has the privilege of the wise legendary. support of the Council of Governors, which fills an oversight role of CANSA's board and The involvement of all our volunteers in directors. These experienced volunteers CANSA's activities are appreciated and Derek Foster have a vast knowledge of CANSA and its acknowledged. Their involvement assists in Chairperson activities, and assist as 'sounding boards' in CANSA better performing its calling. their regions. Although this Council is not required by the Companies Act or King IV, the board is of the opinion that their involvement enhances good governance within CANSA's management and board.

5 MESSAGE FROM THE CEO FIT FOR THE FUTURE

During 2017/18 we've further positioned CANSA as a strong national and international contributor in the health arena following a successful three year-turnaround. I proudly share some of the highlights with you.

RESEARCH CANSA research is mainly related to lowering cancer risk, early detection and care and quality of life issues for cancer survivors. Our funding of 32 Type A research projects at universities and research institutions continued to build the capacity of South African researchers and the results guide the services and advocacy efforts that CANSA offers. A total of 27 degrees were awarded to students at six universities. In our Type B category research, the anti-tobacco health awareness campaign was evaluated, placing focus on the science of health communication. It informed us to formulate better communicate risk-reduction messages in a targeted way. A study on the attitudes and behaviour surrounding e-cigarette usage was also initiated. The outcomes of five Type C research projects will assist CANSA to enhance service delivery for cancer patients and those affected by cancer dealing with cancer stigma, palliative care and staff-burnout in dealing with death and dying. We also joined an international multi-site study on late prostate cancer (IRONMAN) where 450 men over three years will be recruited to participate at five treatment sites in South Africa. Attention was also given to streamlining reporting requirements for funded researchers, to help us get the best return on our financial investment, by implementing a new budget structure and guidelines. The CANSA Seal of Recognition and Cause Related Marketing programmes underwent management improvements to ensure sound governance and making sure that endorsed products will not be in conflict with our CANSA values and brand. A total of three new products were awarded the Seal of Recognition.

6 ADVOCACY SERVICE DELIVERY ALLIANCES AND INTERNATIONAL Together with our partners, we working hard Our unique service offering encompasses all to make decision makers in our country cancers and continues to make a significant PARTNERSHIPS COLLABORATIONS aware of the necessary changes needed to impact offering much needed care and We continue to work with our alliances such A great highlight was representing the Union reduce the public's cancer risk and to protect support to those affected. as the Cancer Alliance of SA and the South for International Cancer Control (UICC) at the the rights of cancer patients and caregivers. African Non-Communicable Diseases 67th World Health Organization (Regional Ÿ CANSA contributed to updating the A total of nine health awareness campaigns Alliance (SA NCD Alliance) to actively Committee for African Region Meeting) held national Breast and Cervical Cancer: were implemented in the year reaching over campaign to ensure needs and cancer- in Zimbabwe in August 2017. I delivered two Prevention and Control Policies 2.7 million people (excluding media). We control challenges are addressed at the statements on behalf of UICC, calling all Ÿ We continue to assist with queries mainly focused on cancer education, highest level and that commitments by World Health Organization and United regarding health insurance, individuals promoted health and awareness regarding government, are followed through. Together Nations member countries to step up cancer- rights and smoking in public places, cancer risk factors. Our screening and early with our partners amongst others, we: control and access for treatment through cancer patients' rights in the workplace detection services enable early diagnosis to Ÿ Lobbied for finalisation of a National Universal Health Care in their countries. and address access issues to oncology allow more effective treatment. More than Cancer Control Plan for approval by 30 850 people were screened in communities Parliament I was also privileged to be invited by the treatment Global Non-Communicable Diseases Alliance Ÿ and at their workplaces. Ÿ Are represented on the steering We make the public aware of their right to to attend an advocacy training programme quality care, pain control and palliative We cared for 50 300 patients and their committee of Fix the Patent laws coalition - we aided in getting approval of the new and to participate in sessions of the World care information and subscribe to the families with the assistance of 2 015 trained Health Assembly in Geneva in May 2017. World Health Organization's pain control volunteers. Care and support to cancer Intellectual Property policy and still campaigning for affordable medicines for CANSA participated in the cancer resolution guidelines patients and their loved ones were rendered communications campaign of the UICC by Ÿ We welcomed the Liquor Amendment Bill through 125 support groups across the cancer patients Ÿ Working with the Cancer Alliance to lobby which the World Health Organization was that highlights the harmful effects of country, home-base care in more than 500 requested to adopt a global cancer-control alcohol related to cancer to which we communities, clinical care and counselling for cancer access and treatment - hercepatin (one of the treatment resolution, which was successfully passed in made a comprehensive submission services at our 28 CANSA Care Centres across May 2017. A further full sponsorship allowed Ÿ medications for breast cancer) is now on We remain influential in promoting anti- the country and support services at public me to attend the second Global NCD Alliance tobacco legislation and private treatment centres. We also the essential medicines list Ÿ Forum in Sharjah, United Arab Emirates in Ÿ CANSA addressed access to treatment offered full accommodation and transport to Support the Cancer Advocacy programme outlined in a Toolkit developed by the December 2017 that addressed the rising issues with a focus on the KZN Oncology and from treatment centres for 1 843 burden of non-communicable diseases, crisis and worked with the Human Rights patients for the duration of their treatment of Cancer Alliance Ÿ including that of cancer. Council six to eight weeks in our Care Homes. We Back the sugar tax to lower consumption, Ÿ We've created, reviewed and updated accommodated 378 parents in CANSA TLC high sugar intake indirectly increases the Through my attendance of the UICC Cancer over 300 cancer fact sheets to help facilities while 7 186 paediatric cancer cancer risk by promoting obesity Leadership Summit in November in Mexico educate and reduce the cancer risk patients, siblings and family members City, we ensured CANSA's commitment as a received care and support in communities. well-recognised global role player.

7 adoption. A Risk Appetite Framework for As part of the planning, an internal PROMOTING THE tolerance guidelines for the main risk Communications and Engagement Survey categories was also initiated to enhance risk Audit was done in May 2017 conducted by an CANSA BRAND management practices in CANSA. independent service provider. It's pleasing to During the past year CANSA increased media see that largely internal communication is exposure by 7.1% with health awareness and performing well, with scores above 60% mostly positive and valuable media stories. SUSTAINABILITY satisfaction for most variables analysed. Following the survey and recommendations, We welcomed SABC3 as a media partner as It was another tough year for non-profit during the current financial year, we part of International Nelson Mandela Day organisations. Ongoing political implementing several changes and updated and CANSA Shavathon 2018. Videos that uncertainties, high unemployment and low training programmes including a spotlight on promoted our service offerings were growth rates continue to place more and 'Values' and also established road shows introduced and shared cancer survivor more pressure on our donors to meet stories to support our marketing efforts while financial commitments. We now focused on driving sustainability and our visitors to our website went up by 6.8%. getting fit for the future to deliver on our This required a tight reign over financial mission mandate. We're excited about our Social networking on CANSA's online performance with real time monitoring, future! platforms continue to be valuable for ongoing forecasting for year-end and interaction and also provide a tool for the timeous interventions that resulted an public to donate online by managing their overall surplus of R1, 1m (before earmarked own fundraising initiatives and this and utilising growth funds). WORDS OF generated over R1.4 million. APPRECIATION CANSA won the Public Service Category in the I thank all those who volunteered their time 2017 Standard Bank Top Women Awards on GETTING FIT FOR and expertise to support CANSA's work; all 17 August 2017 at Emperors Palace. As our loyal donors for their financial support, CANSA CEO, I was a finalist in the 15th annual THE FUTURE despite difficult economic times; our highly National Business Awards, in the 'Top A five-year planning strategy is on the horizon dedicated CANSA staff who work together to Performing Business Leader of the Year aided by CGF Research Institute who assisted ensure CANSA is run smoothly and effectively Award' category while our organisation was the facilitation of our CANSA strategy 2018 – and who deliver our services. My thanks also also listed as a finalist in the 'Top Performing 2022. It leverages CANSA's unique strengths to the CANSA Board of Directors for their Public Service Award' category. and also takes into account future business excellent leadership. It's a pleasure working landscape and challenges. with such a dynamic and engaged group who GOVERNANCE We'll continue to build on CANSA's core take their role seriously and conduct it so competencies of: professionally. During the reporting period, the CANSA Ÿ Caregiving capabilities and track record Board of Directors attended numerous Ÿ Our respected reputation and brand workshops including Governance training by Ÿ Volunteer base and management the CFG Research Institute to improve its programmes governance. In addition, a review of the Ÿ In-house research capabilities CANSA Memorandum of Incorporation (MOI) Ÿ Innovative fundraising initiatives was conducted. The new revised MOI, Ÿ Technology platforms aligned with the Companies' Act and King IV, Elize Joubert is to be presented to members' at the Annual Chief Executive Officer General Meeting in September 2018 for

8 HOW WE OPERATE Sustainability Northern Business Unit • Gauteng Service • Limpopo Delivery • North West

OPERATIONS Central Executive Business Unit • Free State • KwaZulu-Natal Committee • Mpumalanga (EXCO) Southern Chief Executive Officer Business Unit • Eastern Cape Chief Operations Officer • Northern Cape Elize Joubert • Western Cape

Chief Financial Officer Rudolf van Jaarsveld Financial Management (Risk Management & Governance)

CENTRALISED FUNCTIONS Marketing & Human Communication Resources

Research, Health & Advocacy

9 HOW WE MANAGE GOVERNANCE

We focus mainly on optimising performance In addition, a review of the CANSA During 2017, an overall risk appetite through sound governance, best practice Memorandum of Incorporation (MOI) was OPERATION RISK framework was established categorising and ethical behaviour, with emphasis conducted. The new revised MOI, aligned COMMITTEES CANSA's risks to improve managing risk. on standardisation, integration, adherence with the Companies' Act and King IV, is to be There are four EXCO-managed operation risk to legislation as well as a culture of presented to members' at the Annual committees that meet quarterly, while the THE CANSA ETHICS accountability. General Meeting in September 2018 for most significant operational risks within the HOTLINE adoption. CANSA structure are reported on and The CANSA KPMG Ethics Hotline received no ROLES AND addressed at EXCO on a monthly basis. SUB-COMMITTEES OF THE calls. Owing to the KPMG negative reputation RESPONSIBILITIES The risk committees are: that may be associated with CANSA, the Ÿ In accordance with the King III BOARD Finance and Sustainability Risk hotline was discontinued with KPMG. Committee for financial management and recommendations, CANSA has adopted Audit ensures effective financial and broader As of September 2018, a new facility, Whistle integrated reporting to reflect the business risk management within the organisation. sustainability Ÿ Blowers was implemented at CANSA for staff reality that strategy, risk, performance and Chairpersons provides advice and guidance Service Delivery Risk Committee Ÿ and stakeholders. sustainability have become inseparable. The regarding business practices within Human Resources Risk Committee Ÿ philosophy of the report revolves around operations. Quality Assurance committee overseeing leadership, sustainability and corporate Investment promotes and ensures solid the standardisation and integration of all citizenship. We have a level seven Broad- investment practice and growth. policies and procedures Based Black Economic Empowerment Remuneration (REMCO) enhances sound, Regular meetings and forums are held to (B-BBEE) contributor, as measured by the transparent and fair human capital practice ensure the sharing of ideas and concerns, as Department of Trade and Industry scorecard, and employment equity. well as the promotion of communication to with a further certificate stating our black Research (RESCOM) ensures relevant and enhance understanding, cooperation and beneficiary base percentage as 85%. effective allocation and management of integration. The internal audit process research funding. During the reporting period, the CANSA continues, identifying non-adherence to Social and Ethics promotes integration and CANSA policies and procedures as well as Board of Directors attended numerous oversees social and ethical matters relating workshops including Governance training by possible risks and gaps to be addressed to CANSA. within the current working processes at the CFG Research Institute. They further Nominations ensures that the Board has the participated in a strategic planning session in EXCO level. Emphasis is placed on appropriate composition for it to execute its consequence management within a culture June 2018 to develop a broad CANSA duties effectively. strategic framework. of accountability, with zero-tolerance of non- performance and misconduct.

10 CONNECTING

WITH YOU - OUR Stakeholder How we engage Message Ÿ Communities - the public Ÿ Online and website clinical support Ÿ Access to info and education, message of Hope Ÿ Membership opportunities Ÿ Opportunity to get involved in the fight against Ÿ E-newsletters cancer STAKE- Ÿ Survivors, caregivers and Ÿ Dedicated and interactive 'Champions of Hope' and Ÿ Solidarity, support and care those affected by cancer 'CANSA Caring for the Carers' and Facebook sites Ÿ Sense of belonging by honouring, empowering Ÿ iSurvivor - online programme to help guide cancer Ÿ Platform to spread their message of hope as survivors champions in CANSA's programmes and projects Ÿ Survivor network gatherings Ÿ Presence at all CANSA Relay For Life events HOLDERS Ÿ One-on-one training sessions and meetings Ÿ E-newsletters Ÿ Volunteers Ÿ Active participation in our health campaigns, service Ÿ Education regarding the cancer challenge delivery programmes and income generating projects Ÿ Active involvement Ÿ Face-to-face and conference call training and meetings Ÿ Ownership in the fight against cancer Ÿ Leadership opportunities and programmes to develop Ÿ Sharing their resources and talents in their own talents communities We place a high importance on Ÿ Network and acknowledgement gatherings Ÿ E-newsletters building relationships and engaging Ÿ Road shows with our stakeholders. We value the Ÿ Ÿ Ÿ buy-in, active participation and Partners (corporates, Integrated Report and AGM meetings Opportunity to achieve their goals in respect of donors, suppliers and Ÿ Roadshows their social responsibility feedback from all stakeholders. This government) Ÿ Donor recognition and network gatherings Ÿ Enhancing their image and credibility in the market Ÿ through a meaningful partnership with CANSA includes identifying risks and Wellness programmes Ÿ Cause-related programmes Ÿ Employee wellness and development challenges and dealing with any key Ÿ CSI partnership programmes concerns raised by them. Ÿ E-newsletters Ÿ Employees Ÿ Regular email and monthly reports Ÿ Opportunity for learning and growth Ÿ Regular 'CANSA on the Move' newsletter Ÿ Using their talents, passions and abilities to make a Ÿ Quarterly 'Learning and Review' sessions, strategy and difference in the communities in the fight against team workshops cancer Ÿ Monthly strategic forums and meetings to ensure Ÿ Social development programmes integration and efficiency (Marketing and Research Ÿ Mentorship and growth Operation Committee) Ÿ Strategic training workshops Ÿ Face-to-face sessions Ÿ Talent management and development programme Ÿ Road shows Ÿ Governance structures: Ÿ Quarterly and regular feedback meetings Ÿ Compliance and adherence to legislation Board of Directors, Council Ÿ Network gatherings Ÿ Risk management of Governors, Board sub- Ÿ AGM meetings Ÿ Integrity committees, Regional and Ÿ Regular 'CANSA on the Move' newsletter Ÿ Transparency Business Unit Councils Ÿ Ÿ Ÿ Ad hoc workshops as needed Active involvement and participation in the fight Executive Committee with Ÿ E-newsletters against cancer Operational risk committee Ÿ and quality assurance Roadshows committee

Ÿ Compliance and adherence to legislation Ÿ Risk management Ÿ Integrity Ÿ Transparency Ÿ Active involvement and participation in the fight against cancer GOVERNANCE STRUCTURE

7-10 Members composed of (as of September 2018): • 3 Executives maximum Board of • 8 Non-Executives maximum President + 2 Unit Governors per Business Unit Council Directors (Northern, Southern and Central) Overseeing Strategic Risks through Council of Governors

Audit Investment Sub- Social and Remuneration Ethics committees (REMCO) of Board Chairpersons Research (RESCOM) Nominations

Regional Chairs form Business Unit Council Council Business Chairs Liaison Unit Council of Unit Councils form Committees Northern, Chairpersons Committee as Southern, sub-committee of the Board Central

12 RESEARCH FUNDING RESEARCH IN SOUTH AFRICA

CANSA is one of the very few public funded organisations in South Africa that has TYPE A RESEARCH Grants of up to R1.2 million over three years sustainable funding for research. Funds, mainly donated by bequest, have been are awarded to projects based on scientific Our Type A funding programme is aimed at merit. For the 2017 deadline, 47 applications invested for use in enabling cancer research. The funds are currently used across five MBChB and PhD cancer researchers based at research programmes categorised Type A, B, C, D and E. CANSA’s core research focus is were received of which nine projects were South African universities and research funded. We awarded R5 255 948 to this on epidemiology, early diagnosis, lowering the cancer risk and optimising patient care. organisations. The purpose of this funding is programme, of which, CANSA contributed to support high-quality research to advance R3 941 961. A total of six projects came to an CANSA ensures that the scientific findings and knowledge gained from research realign management and improve outcomes for the our advocacy focus and strengthen our education and service delivery programmes to end on 31 March 2018 and 15 are ongoing most common cancers in South Africa. This with nine planned to begin as of April 2018. enhance public benefit. Each year, approximately R7 million is dedicated to direct research programme accepts applications on See https://www.cansa.org.za/type-a- research costs. the following topics: research-projects/ on cansa.org.za for a Ÿ Epidemiology and determinants of the detailed summary of projects focusing on burden of cancer in South African basic science, clinical and public health populations research categories. Ÿ Health seeking behaviours and early detection and diagnosis of cancer PUBLICATION AWARDS Ÿ Health promotion and risk reduction of CANSA rewards researchers who publish cancer, with a particular focus on their work in accredited journals with an behavioural risk reduction amount of R10 000 per publication. In total Ÿ Optimal patient care including R350 000 was paid to the following rehabilitation and palliative care services researchers who completed their projects in Ÿ Other health services and health system 2016: research relating to the above categories Ÿ Health economics of cancer, including Professors Anna-Mart Engelbrecht, Annie economic burden of cancer and its risk Joubert, Catherine Kaschula, Jennifer factors, and cost effectiveness research Moodley, Amanda Swart, Willie Van Heerden Ÿ Research relating to cancer and Dr Theo Nell. biology/biochemistry/molecular biology as these relate to early detection, risk reduction and patient care.

14 GRADUATES ARISING FROM QUOTES FROM CANSA DETECTIVE BOOKLETS CANSA GRANTED PROJECTS These booklets showcase some of the Type A ENDED 31 MARCH 2018 RESEARCHERS research CANSA has funded. A new booklet, CANSA acknowledges the importance of ‘Women's Pathways to Breast Cancer building the capacity of a new generation of “The CANSA grant enabled a Diagnosis and Care’, written by Prof Jennifer cancer researchers to further develop much baseline learning from which Moodley of the University of Cape Town, was produced and added to CANSA’s series. Go to needed advances in cancer research in South we were awarded a 5 year NIH Africa. Where appropriate, Type A grants http://www.cansa.org.za/cansa-research- permit students to work under the grant to establish an detectives-booklets/ for a list of all booklets. supervision of the Principal Investigator and epidemiology research grant holder to obtain a postgraduate programme in cancer at Wits” MEET OUR NEW qualification. At the end of March 2018, a - Maureen Joffe - total of 11 researchers completed their CANSA DETECTIVES CANSA DETECTIVES The very real prospect of eradicating Tracking the Cervical Cancer Virus CANSA research grants. We’re proud to be “My association with CANSA liver cancer in southern Africa in South African Men and Women contributing towards the development of a has been very fruitful and new cohort of cancer researchers for South pleasant and I do foster the Africa. role the organisation played Emanating from these projects were the and still playing today in our following 27 degrees awarded to students: quest to study (prevent) the Ÿ BMedSc = 1 incidence of cancer” - Wentzel Ÿ Cancer affects us all... Cancer affects us all... BSc Honours = 8 Gelderblom - Ÿ MSc = 10 Ÿ MPhil = 1 “With CANSA funding, we CANSA DETECTIVES CANSA DETECTIVES CANSA DETECTIVES Ÿ ‘Designing Weapons Against Cancer’ in Silico Analysis, Gene Therapy for Cancer Treatment Novel Strategies in PhD = 7 Synthesis and in Vitro Evaluation of Novel Anticancer Agents Chemotherapeutic Intervention embark, for the first time in SA, At the following universities: to utilise patient derived Ÿ University of Cape Town = 8 glioma tissue to develop a Ÿ University of Stellenbosch = 6 cancer sphere model. I really Ÿ University of Pretoria = 3 hope to, in the long run, use Ÿ Rhodes University = 4 this as a preclinical screening Ÿ Cape Peninsula University of Cancer affects us all... Technology = 4 system, to work together with Cancer affects us all... Cancer affects us all... Ÿ Wits University = 2 the surgeons to provide the most powerful chemotherapy. CANSA DETECTIVES CANSA DETECTIVES Women's pathways to breast cancer Hodgkin Lymphoma in young people Glioma patients have currently diagnosis and care in South Africa: history and mystery a life expectancy of 12-24 months after diagnosis. So, I am very thankful for the support received from CANSA” - Ben Loos -

Toll-free 0800 22 66 22 Toll-free 0800 22 66 22 www.cansa.org.za www.cansa.org.za

15 RESCOM MEMBER feasible, effective and sustainable way. TYPE B RESEARCH: TYPE C RESEARCH: CANSA’s Head of Research is working with CANSA would not be able to run the REDUCING RISK ENHANCING SERVICE Type A funding programme without two researchers with experience in the invaluable expertise of our This is research conceptualised and DELIVERY working with organisations that offer Research Committee (RESCOM), conducted by CANSA, sometimes in This is research conceptualised and compassionate work. Data collection is made up of a group of cancer collaboration with other institutions. conducted by CANSA, sometimes in complete with ten confidential in-depth research experts based at South Projects are focused on reducing public collaboration with other institutions. qualitative interviews held including African institutions. They contribute exposure to cancer risks. Projects relate to optimising services to confidential online quantitative surveys done with 56 staff providing data for the to funding and other decisions in Ÿ cancer patients and addressing their needs. Evaluation of CANSA’s Anti-Tobacco needs assessment. This informed the support of CANSA’s Research Campaign - A priority is to look more Ÿ IRONMAN (International Registry for department. We welcomed one new Men with Advanced Prostate Cancer) development of phase two of the project, critically at the way we communicate an intervention for support that was member to the committee: health information to the public and Project: Funded by the Movember Foundation, CANSA is co-ordinating piloted over a six month period with two Professor Johnny Mahlangu is a to explore ways of improving. A teams within CANSA, after which a postgraduate student from UCT South Africa’s participation in a global Professor (Personal) of observational study on advanced prostate quantitative and qualitative evaluation of Haematology, Faculty of Health conducted a content analysis of campaign the intervention was conducted. Data is materials, as well as a focus group with cancer, overseen by the Prostate Cancer Sciences at the University of the Clinical Trials Consortium aimed at currently in the final stages of analysis. Witwatersrand and Head of School students to ascertain perceptions of the Ÿ Cancer Stigma Project: The stigma campaign materials and information. The determining the best way to manage of Pathology, Faculty of Health advanced prostate cancer. Medical associated with cancer has been found to Sciences at the University of the results provided useful feedback resulting play a significant role in negatively in CANSA implementing some changes to history, treatment information, blood Witwatersrand and National Health samples, and patient-reported outcomes impacting the psychosocial wellbeing of Laboratory Service. He has a special improve our information and services. cancer patients, as well as cancer risk Ÿ are collected from all participants to interest in haemostasis and Knowledge, attitudes and behaviour reduction behaviour and adherence to surrounding e-cigarette usage - There is investigate which treatment and care thrombosis, clinical trials and other practices deliver the best outcomes. The treatment. While there is research aspects of clinical and diagnostic currently very little information regarding evidence of this internationally, this has prevalence of e-cigarette usage in South study aims to recruit 5 000 men globally, haematology and pathology. 450 of whom will come from South Africa, not been examined in any detail in South Africa and the way in which e-cigarettes Africa. The experiences of our Service are used among the youth (for e.g. as a recruited from five different clinical sites working closely with CANSA. We’re Delivery team indicate that cancer stigma stop smoking aid or as a gateway to is a significant problem in many of the cigarette smoking). Further, public excited to be involved and assisting address South Africa’s highest incidence communities in which they work. CANSA perceptions and beliefs regarding the launched a qualitative study in KwaZulu- safety of e-cigarettes is largely unknown cancer in men. Ÿ Staff support project: Many of our service Natal and Cape Town. A total of 40 in South Africa. A postgraduate student interviews and six focus groups with from UCT is currently conducting a study delivery staff play a significant role in supporting those with and affected by cancer patients were conducted to to collect some initial data on these issues explore experiences of stigmatisation, its to help inform CANSA’s messaging and cancer. This can at times be challenging work requiring considerable emotional impact, how people have coped and what health campaigns, as well as our advocacy their needs are for support. In addition, work. input. CANSA recognises that for the service delivery team to be able to offer a six focus groups were conducted with high-quality, sustainable support service, members of the public to explore from an it’s important that they too are external perspective why cancer is stigmatised. adequately supported. We initiated a Ÿ study to assess the support needs of our staff and intervene to offer support in a

16 Ÿ Data is currently being written up and the diverse skin tones and geographic regions to convene and Chair sessions, for panel COLLABORATIONS results finalised as an academic in South Africa at two time points (Winter discussions and meetings publication to be used to inform and Summer) in order to establish Ÿ Dr Jennifer Githaiga - attended the African Head of Research, Dr Melissa Wallace interventions to address stigma in the whether darker skin tones are at risk for Organisation for Research and Training in attended AORTIC’s 11th International communities. Vitamin D deficiency and therefore at Cancer (AORTIC) conference in Kigali, Conference on Cancer in Africa from 7 to 10 Ÿ Evaluation of training for oncology increased risk. Data collection and Rwanda to present a poster entitled November 2017, in Kigali, Rwanda. The registrars in palliative care: CANSA is analysis is complete and a manuscript is in ‘Symptom awareness measures for breast theme was: ‘Cancer in Africa: Making Strides, co-funding with UCT, a study led by Dr preparation. and cervical cancer diagnosis in Sub- Creating Solutions’. Dr Wallace gave a Rene Krause, Prof Jeanette Parkes, Dr Liz Saharan Africa: a literature review’ presentation on ‘Behavioural Science and Ÿ Gwyther, Dr David Anderson and Dr Nadia TYPE E PROJECTS Dr Zainab Mohammed - attended the Cancer Control’, highlighting the importance Hartman, to evaluate a palliative care African Organisation for Research and of behavioural factors in cancer control These projects are aimed at building the module being implemented with Training in Cancer (AORTIC) conference in interventions. oncology registrars at six universities capacity of South African cancer researchers Kigali, Rwanda to present two papers across South Africa. Findings will inform through funding or co-funding of symposia entitled ‘Non-Hodgkins Lymphoma in any improvements needed for the training and congresses on cancer research as well as Africa: a literature review’ and ‘HIV- on this extremely important topic. travel grants of researchers presenting at associated Multicentric Castleman’s research conferences or attending training Disease: a clinical review of 53 cases locally and internationally. TYPE D PROJECTS: presenting to a single institution in South Travel grants were awarded to: Africa’ COLLABORATIVE Ÿ Dr Kate Hamilton - attended the 49th Ÿ Prof Jennifer Moodley for hosting a RESEARCH Congress of the International Society of cancer research symposium at UCT - The These projects are funded by CANSA and Paediatric Oncology (SIOP) in Washington Cancer Research Initiative at the Faculty of usually take the form of a partnership to present a poster entitled ‘Differential Health Sciences, University of Cape Town between CANSA and one or more research survival rates in state funded and private hosted a Cancer Research Symposium institution with the objective of combining funded paediatric oncology units in entitled ‘Prioritising Cancer’, co-funded by resources to achieve a common goal. Such Johannesburg, South Africa’ CANSA on 17 February 2018. The aim was projects have budgets in the region of Ÿ Dr Margie Venter - attended the to foster integrated, interdisciplinary R1 million. SASCRO/SASMO Congress at Sandton research to address the growing cancer Convention Centre to host a workshop burden. The programme covered the Ÿ Vitamin D: Determinants of serum 25- entitled ‘Serious illness conversation following topics across five sessions: Public hydroxyvitamin D levels in adults in the workshop’ health, cancer surveillance, ethics; Western Cape Province of South Africa: Ÿ Dr Nadia Beringer - attended a full-time Precision medicine and cancer therapies; There is some evidence that vitamin D observership and training on bone Prevention and early detection; Palliative deficiency has been found to be marrow transplants at Great Ormond care and survivorship and Making a associated with an increased risk of Street Hospital in London, UK difference. The event attracted 120 breast, prostate and colorectal cancer. Ÿ Prof Jeanette Parkes - attended the 49th delegates and a CANSA exhibit table on Exposure to solar radiation is a major Congress of the International Society of research was hosted. UCT cancer source of Vitamin D production. Greater Paediatric Oncology (SIOP) in Washington researchers showcased their research exposure is required by those with darker as a co-organiser, speaker and Chair of a through poster presentations and displays. skin tones in order to produce Vitamin D. session Several Type A CANSA-funded researchers, CANSA is funding a study led by Janicke Ÿ Prof Alan Davidson - attended the 49th past and present, gave presentations at Visser at Stellenbosch University to Congress of the International Society of the event. CANSA’s Head of Research, Dr determine Vitamin D levels of people with Paediatric Oncology (SIOP) in Washington Melissa Wallace presented CANSA’s funding programme and priorities.

EVENTS, PRESENTATIONS AND 17 AG OETLÉ MEMORIAL AWARD

The AG Oettlé Memorial award is presented in 2017 OETTLÉ AWARD remembrance of the late Dr Oettlé, a cancer CANSA was delighted to present this award to Professor researcher and epidemiologist working in the South Greta Dreyer, who has devoted her professional life to the African Institute for Medical Research in field of gynaecologic oncology in SA. Greta Dreyer graduated Johannesburg in the 1960’s, financed by CANSA. His from the University of Pretoria in 1987 with an MBChB, an research over 16 years strengthened the theory that MMed in 1994 and a PhD in 2011. She is currently an environment may play a considerable role in causing Associate Professor and Head of the Gynaecologic Oncology cancer. He discovered an epidemic of oesophageal Unit at Pretoria Academic Hospital and the University of Pretoria. Her unit admits about 400 new patients with cancer in Africa and particularly the East Coast of cervical cancer per year. South Africa. After his premature death, his family and colleagues decided to create the Oettlé Professor Dreyer has vast experience in the management of Memorial awards to be awarded by CANSA to cancer risk, including cancer risk estimation, genetic testing, recipients who had significantly contributed to counselling, cancer screening and cancer prevention strategies. This stems mainly from her intensive involvement cancer control in South Africa. with the Familial Cancer Clinic since 1997 and her involvement in HPV research and testing since 2004. She actively engages in research in women's cancer. Her main interests include viral oncogenesis, cancer prevention in women who are predisposed through inheritance or immune depletion. Greta is also interested in building research capacity and development of surgical skills in under-resourced areas. Greta has trained 39 postgraduate students in an area of high relevance to the cancer landscape in South Africa and currently supervises 10 students. Her research outputs include 47 publications in peer-reviewed journals, 15 published conference papers/keynote addresses and five technical reports.

18 ADVOCACY KNOWLEDGE INTO ACTION CANSA’S HEALTH AWARENESS CAMPAIGNS: REDUCING WORLD NO TOBACCO DAY 31 MAY CANCER IN THE WORK PLACE The campaign was in keeping with objectives During July, we placed the spotlight on THE CANCER BURDEN according to World Health Organization identifying potential hazards in the Between 30–50% of cancers can be lowered by avoiding risk factors and implementing existing (WHO) demonstrating the threats that the workplace, providing information on evidence-based risk reduction strategies. Cancer’s Health Awareness Campaigns are aimed at tobacco industry poses to the sustainable occupational carcinogens (cancer-causing creating awareness on changing or avoiding key risk factors that can significantly lower the burden development of all countries, including the agents) and offering solutions on managing of cancer. These include tobacco consumption, overweight and obesity, unhealthy diet, alcohol health and economic well-being of their and reducing the risk of cancer in the intake, and levels of physical inactivity, as well as exposure to other known cancer risk factors. The citizens. We raised awareness regarding the workplace. Occupation related cancer exists conditions in which people live and work and their lifestyles influence their health and quality of health implications of using tobacco products in air pollution, UV radiation and indoor life. and also the cost and how it all leads towards radon and according to WHO, lung cancer, a negative impact on the economy. Emphasis mesothelioma, and bladder cancer are the was further placed about Hookah, or hubbly most common types of occupational cancers. bubbly use, especially concerning among the CANSA collaborated with the South African youth. Society of Occupational Health Nursing Practitioners throughout the country’s nine CANSA has an e-Kick Butt programme that provinces. assists with quitting smoking (www.ekickbutt.org.za) and has also awarded the CANSA Smart Choice Seal to Allen Carr’s quit smoking programme.

20 DID YOU KNOW 1. Prostate 1. Breast SA MEN 2. Cervical 2. Colorectal SA WOMEN Ÿ 115 000 South Africans are diagnosed LIFETIME 3. Lung 3. Origin Unknown* LIFETIME with cancer each year RISK 1:7 4. Origin Unknown* 4. Colorectal Ÿ 6/10 is the cancer survival rate 5. Kaposi Sarcoma ? 5. Uterus RISK 1:8

* 'Originan unknown' means that it is not possible to determine where the cancer originated in the body Stats as per SA Naonal Registry 2014

KNOWING THE BIG FIVE THAT BIG FIVE LEADING TYPES OF THROW SHADE AT SKIN CANCER WORLD CANCER DAY 4 FEBRUARY ASSAIL SOUTH AFRICAN WOMEN CANCER AFFECTING MEN South Africa country’s population has one of World Cancer Day takes place each year on In October, as part of Woman’s Health November is designated as Men’s Health the highest skin cancer rates in the world. In February 4, providing the platform for the Awareness month, CANSA highlighted the Awareness month and CANSA focused on the 2013, according to the 2013 National Cancer world to unite and raise the profile of cancer five leading types of cancer that five leading types of cancer affecting men in Registry, 23 704 incidents of skin cancer were in a positive and inspiring way. CANSA indiscriminately afflict women in South Africa South Africa. They are prostate, colorectal, diagnosed (13 923 males and 9 781 females). encouraged everyone in all cities and towns - breast, cervical, colorectal, uterine and lung Kaposi sarcoma (a type of skin cancer), lung We stressed the need for being SunSmart to take part and support the 3rd year of the cancer. Early detection and diagnosis, and bladder cancer. We stressed that while lower the risk of skin cancer. Campaign World Cancer Day campaign, and live the reduces the severity of the disease and also some disease risk factors cannot be materials raised awareness regarding the slogan of ‘We can. I can.’ We urged everyone decreases the mortality rate. By paying controlled such as family history, age and three main types of skin cancer that can to be more active in the fight against cancer greater attention to the ‘Big Five’, women are race, others can be minimised by following a affect everyone regardless of skin type, age or by incorporating sport-related and wellness better prepared to reduce their personal wholesome eating plan, maintaining a ethnic background being ‘Basal Cell activities into daily routines. Physical activity cancer risk and avoid the physical and healthy weight, not smoking, avoiding Carcinoma’, ‘Squamous Cell Carcinoma’ and has been shown to combat cancer, including: emotional impact that can accompany a alcohol intake as well as doing regular the most dangerous one - ‘Malignant risk reduction, helping cancer patients cancer diagnosis. We advocated clinical exercise. CANSA also rolls out the ‘MANVan’ Melanoma’. CANSA has mole-mapping manage the side-effects of treatment such as breast examinations, Pap smears and healthy initiative through funds raised from the dermoscope devices, (FotoFinder) used to fatigue, depression and heart damage. lifestyle risk assessments offered at CANSA Hollard Daredevil event providing free health examine moles and also offers skin Several sports and wellness activities were Care Centres and it’s Mobile Health Clinics checks and support programmes, as well as examinations. held in February and March 2018 including country-wide to increase early detection. raising awareness of male-specific cancers. family fun runs (Gijima for CANSA, Lace Up CANSA also supports patients and families For Cancer and Get CANSA Active). through counselling and support groups.

21 #WorldCancerDay #WeCanICan Ÿ A BALANCED LIFESTYLE IS LINKED FACTS SHEETS AND Xhosa and Zulu and incudes WhatsApp Welcomed the Liquor Amendment Bill TO YOUR CANCER RISK access. The team responds to questions and that highlights the harmful effects of The campaign centred around living a POSITION STATEMENTS comments submitted through the CANSA alcohol related to cancer to which we balanced, healthy lifestyle that can be Based on the latest research, to date, over website and info email address. Specialised made a comprehensive submission Ÿ achieved by making smart food choices, 300 fact sheets and positon statements have clinical queries were referred to health and We remain influential in promoting anti- doing regular exercise, maintaining a healthy been created, revised or updated to help clinical specialists for follow-up. tobacco legislation educate and reduce the cancer risk. They are Ÿ Lobbied as part of the Cancer Alliance for weight, avoiding tobacco and alcohol. A total of 5 486 people (global and national) found on www.cansa.org.za or a copy the finalisation of a National Cancer Nutrition, physical activity and body accessed the Information Service of composition all play a central part in lowering can be requested via our toll-free line Control Plan for approval by Parliament which 474 people received support and Ÿ the cancer risk. Educational and informative (0800 22 66 22). Is represented on the steering committee counselling, 1 166 people enquired about of Fix the Patent laws coalition, we aided materials were distributed regarding tips to Information ranges from: Types of cancer; CANSA services, 437 ponytail hair donation reduce the cancer risk, how to read food in getting approval of the new Intellectual Known causes of cancer; Screening and queries were received, 215 people offered Property policy and still campaigning for labels to lower the sugar and salt intake, testing for cancer; Coping with cancer; volunteer services and 166 requests were nutrition tips, how sugar promotes obesity as affordable medicines for cancer patients Treatment; Conditions giving rise to cancer; made for health talks. Ÿ Working with the Cancer Alliance we well as risks and symptoms of colorectal Carcinogens and possible carcinogens; CANSA received 1 056 main queries lobby for cancer access and treatment - cancer. We encourage the public to lower Reducing the cancer risk; Patient Rights and regarding the following cancers: breast, hercepatin (one of the treatment their sugar intake. CANSA’s Healthy Lifestyle the Rights of Caregivers and Cancer and cervical, ovarian, colorectal, childhood, medications for breast cancer) is now on Risk assessment is a tool mainly used to help nutritional guidelines. A total of 4 288 fact prostate, testicular, skin and lung. They also the essential medicines list assess a person’s health risks related to sheets were downloaded through enquired about anti-tobacco awareness and Ÿ Support the Cancer Advocacy programme cancer at exhibitions, events, health talks and Researchgate. on our website. other less common cancers. outlined in a Toolkit developed by the Cancer Alliance HEALTH24 CHILDHOOD CANCER AWARENESS Clinical advice and support – we responded Ÿ Back the sugar tax to lower consumption. Our Health Consultant, provides answers to Greater awareness of the warning signs of and checked 4 415 online queries for support High sugar intake indirectly increases the any cancer related questions and often other childhood cancer can encourage earlier and information via the CANSA website and cancer risk by promoting obesity health related queries via an online format on diagnosis and lead to improved outcomes. social media. a weekly basis. Part of CANSA’S Childhood Cancer Awareness campaign aimed at educating the INFORMATION SERVICE, SCIENCE INFLUENCING POLICY AND public on the early warning signs and in South AND RESOURCE CENTRE (BASED IN LEGISLATION Africa, the Saint Siluan Warning Signs list. WESTERN CAPE) Together with our partners, we working hard The advice given to parents by CANSA should CANSA Toll Free 0800 22 66 22 - to make decision-makers in our country they have any concerns about their child [email protected], WhatsApp: 072 197 9305 aware of the necessary changes needed to showing symptoms, they need to seek (English and Afrikaans) & WhatsApp: reduce the public's cancer risk and to protect medical help soonest. Children with cancer 071 867 3530 (Xhosa, Zulu, Sotho and the rights of cancer patients and caregivers need to receive the right treatment, Siswati) Ÿ CANSA contributed to updating the preferably in a paediatric oncology unit. We national Breast and Cervical Cancer: also offer a programme called CANSA Tough Our trained information officers continue to Prevention and Control Policies Living with Cancer (TLC) that supports not empower, inform and support patients, their Ÿ Make the public aware of their right to only the diagnosed child or teen, but also the caregivers, families and friends by providing quality care, pain control and palliative family and loved ones affected by cancer as up-to-date and credible information about care information and subscribe to the well as children who have a parent with cancer and resources in a personalised, World Health Organization's pain control cancer. CANSA embraces a holistic approach confidential and timely manner. The phone guidelines to include all aspects of physical, spiritual, service is available in English, Afrikaans, psychological and social well-being.

23 JOINING THE FIGHT FOR NON-COMMUNICABLE AFFORDABLE MEDICINES DISEASES CANSA together with the Cancer Alliance, CANSA is a co-founder of the South African Doctors Without Borders, Treatment Action Non-communicable disease Alliance (NCD Campaign, Section 27 and other stakeholder Alliance) along with the Heart and Stroke representatives are advocating to influence Foundation, Diabetes SA and the Patient and amend the Patent law that will result in Health Alliance of Non-Governmental more affordable medicine for cancer and Organisations (PHANGO) and its 27 primarily other chronic patients. patient–based groups. On 24 October 2017 activists and cancer, HIV In May 2017, the CANSA CEO was invited by and tuberculosis survivors, took to the the international NCD Alliance to attend an streets in support of the Department of Trade Advocacy Training Programme and and Industry’s efforts to reform patent law. participated in sessions of the World Health This was in support of the government’s draft Assembly in Geneva. CANSA further policy on intellectual property (IP). The participated in the cancer resolution march was implemented to submit our communications campaign of the Union for comprehensive comments on the draft IP International Cancer Control (UICC) where policy. The IP Policy Framework has since the World Health Organization was been approved by the South African requested to adopt a global cancer-control Government. At this stage the policy only resolution that was successfully passed in serves as a guide to the legal framework that May 2017. A further full sponsorship allowed is needed to amend the Patent Law. Together our CEO to attend the second Global NCD we helping to appeal to the Department of Alliance Forum in Sharjah, United Arab Trade and Industry to urgently prioritise the Emirates in December 2017. ADVOCATES FOR CANSA ANTI-TOBACCO During the year, our Advocacy team assists development of Bills to support the The CANSA Advocacy team continues receive In August 2017, the Free State Non- the public regarding tobacco legislation by adjustments that are needed to ensure several enquiries for CANSA to assist and help Communicable Diseases Alliance (FSNCD contacting the various departments of affordable access to medicines, especially with health insurance, individual rights Alliance) was established between several environmental health to ensure inspection of cancer medication. regarding smoking in public places, banning non-profit organisations and government premises take place. To commemorate World Cancer Day, the departments. Initiated by CANSA, the aim is of smoking in public places, cancer patients’ Cancer Alliance announced the eight lead provincial civil society advocacy to assist rights in the workplace as well as to address CANSA attended the 17th World Conference medicines at a ‘Patent Reform’ Media / in fulfilling legislative commitments access issues to oncology treatment in on Tobacco or Health, Cape Town (7-9 March Round Table webinar on 30 January 2018 regarding NCD prevention and control. The certain regions. 2018) considered the premier, international which will be the focus of a concerted two Alliance has led to the establishment of a conference on tobacco control. With the year campaign to change the path of cancer childhood cancer work group to assist and theme, ‘Uniting the World for a Tobacco-Free treatment in our country. support patients as a collective. Generation’, South African youth ambassadors led discussions on The eight medicines have been chosen from a A FS NCD Alliance Seminar was also hosted on empowerment and skills-building for case study of 24 life-saving cancer medicines 7 March 2018 addressing international tobacco control. A focus was on preventing published in October 2017 by Cancer Alliance trends to combat NCDs and to strengthen our young people from starting to smoke rather and Fix The Patent Laws. The research and voice on behalf of patients. than focusing on cessation. the advocacy campaign are funded by a grant from the Open Society Foundation. SAY #NoToTobacco 24 Ÿ PATIENT ADVOCACY ENHANCING Ÿ SOUTH AFRICAN VALUES AND We also attended the Council for Medical ETHICS FOR UNIVERSAL Schemes Indaba that took place in Ÿ KwaZulu-Natal (KZN) PARTNERSHIPS AND HEALTH COVERAGE Centurion on 24 October 2017. On behalf Ÿ Our Advocacy team partnered with the ALLIANCES Ÿ In March 2018, CANSA collaborated with of civil society, CANSA took part in the Cancer Alliance and Medical Rights To strengthen CANSA’s position as global and the Priority Cost Effective Lessons for process of reviewing Prescribed Advocacy Network and the media to national cancer control influencer and role System Strengthening South Africa Minimum Benefits regarding nutrition in highlight the plight of delayed treatments player, our Advocacy team participated at the (research unit based at Wits University palliative care setting. on cancer patients at Addington and School of Public Health) to set priorities following activities: Ÿ Inkosi Albert Luthuli Hospitals. In 2017 about universal health coverage in South THE CANCER ALLIANCE TOOLKIT Ÿ CANSA arranged for patients to be Ÿ SUPPORTING THE CALL FOR Africa. CANSA supports the Cancer Alliance interviewed and to share their stories on CANCER AWARENESS IN THE Advocacy toolkit, based on the Carte Blanche (television show). Patients’ COMMUNITY Ÿ THE PROJECT – South African Values Photovoice research outcomes of Dr Lynn Edwards and Linda Greeff. This research concerns were received via our toll-free Ÿ On 29 October 2017, CANSA supported and Ethics for Universal Health Coverage captures the felt needs and experiences line, online platforms and direct the Ministerial Public participation is focused on developing a policy-oriented of a representative sample of cancer interaction with the advocacy programme on Cancer awareness for ethics framework to guide future patients and caregivers in South Africa. department. We further attended the Women in Duduza, Gauteng. We coverage decisions for the National The Cancer Alliance has distilled this into KZN Health Portfolio Committee contributed cancer awareness talks and Health Insurance. We shared nine Priority Areas of concern, which also meetings to keep informed regarding information on the importance of cancer considerations that are most important to align with the UICC World Cancer findings from the oversight committee. screening, early detection and access to patients with cancer such as access to Declaration. For each Priority Area the treatment. Free screening was offered to screening, referrals, investigations and Ÿ All of the advocacy efforts led to an toolkit provides fact sheets, policy briefs community members together with the diagnosis, access to specialist cancer investigation by the South African Human and notes on how to meet the challenges, local Department of Health. treatment, pain control and palliative Rights Council in August 2017 finding that care. aimed at policy and decision makers. We the rights of cancer patients were Ÿ UNIVERSAL HEALTH COVERAGE distribute and share information utilising violated. Currently, to address the (UHC) DAY 2017 Ÿ STRENGTHENING CANCER all our platforms and highlight CANSA’s shortage of oncologists, the Provincial specific advocacy role. Ÿ CANSA hosted a UHC event on ALLIANCE COLLABORATION department of Health entered into 12 December 2017 that was attended by WITH TREATMENT ACTION private partnership with the Wits Ÿ FIGHTING CANCER TOGETHER the Health Department, health care Ÿ We participated at a Treatment Action Oncology Consortium. To date, one of the Ÿ The CANSA CEO represented the UICC professionals, the SANCD Alliance and Campaign training workshop on radiation machines have been restored at at the 67th World Health Organization other civil society organisations that are 19 March 2018 together on behalf of the Addington Hospital. In July 2018 our (WHO) Regional Committee for Africa instrumental in the promotion of Cancer Alliance providing orientation and CANSA Mkhuhla Care Home in Durban, meeting, held in Zimbabwe in universal health coverage for all in South cancer education. accommodated the first patient that was August 2017. She delivered two Africa. attending radiotherapy at this hospital. Ÿ OPTIMISING PRIVATE PUBLIC statements calling on all WHO and United CANSA continues to refer problem cases PARTNERSHIPS Nations member countries to step up to the Human Rights Council in KZN and Ÿ CANSA participated at a Netcare Group cancer-control and access for treatment we also offer support and counselling to information sharing workshop on through Universal Health Care in their affected families and patients. pancreatic cancer on 2 September 2017 countries. that included oncologists and surgeons Ÿ She further attended the UICC Cancer from the private sector. Leadership Summit in November 2017 in Mexico City, to ensure CANSA’s commitment to stay a well-recognised global role player.

25 choices – the aim being to promote a smart, substances. As is the case for food, the ATTRITION & ADDITION ® healthy and balanced lifestyle. The Seal also same strict test requirements apply to Although CANSA has lost some Seal partners helps consumers identify products free of non-edible consumer products wishing to in the past, the overall number has steadily toxins, carcinogenic, mutagenic and qualify for the CANSA Smart Choice Seal. grown from year to year – attrition being reprotoxic substances. Eligibility of the Seal is Although the products considered in this SunSmart ChoiceTM mainly due to new products coming onto the determined by CANSA standards and category are those with a relevance to market and not making in a tough requirements in various categories based on cancer, a holistic health approach is competitive environment. The established local and international peer reviewed applied. stalwart brands however, have increased in Ÿ research. Natural environment protection: number and remained supportive of the Products that offer protection against The Seal is also strategically applied to assist CANSA Seal – with some going back more factors in the natural environment that than 20 years. in cleaning-up consumer product categories may lead to cancer. In this category, ® containing undesirable substances, by consideration is given to solar radiation, SEAL AND SEAL-PARTNER awarding the Seal to select non-offensive water quality and the quality of air we MARKET GROWTH products in the same category and actively TM breathe. Products that pass the relevant Particularly rewarding in the past financial SMART CHOICE promoting it as such – the aim being that the strict protection requirements qualify for year has been the 16% growth in sunscreen competitors will follow suit when their the CANSA Seal of Recognition; CANSA sales value, 25% growth in Canola oil sales market share starts to drop. Such an example Smart Choice Seal; or the CANSA value and 55% growth in UV- apparel sales is that the various cling-wrap brands available CANSA AS CONSUMER SunSmart Choice Seal – and include value. Collectively the Seal income has on retail shelves are now all PVC-free since WATCHDOG among others sunscreen, UV-protective generated R3.1 million in 2017/8. Sylko (the last odd-one-out) finally followed garments, apparel and shade items. In the absence of public and consumer health suit and stopped producing PVC cling-wrap. Ÿ Processing and food preparation: THE HIGHEST ACCOLADES protectors such as the Environmental Products, equipment and processes that Our thanks and appreciation goes to all our Protection Agency (EPA); the Centre for In terms of said consumables, we constantly enhance and result in improved smart partners who have supported us in our Disease Control and Prevention (CDC) and strive to apply our resources for maximum and balanced lifestyles. Products in this advocacy and awareness campaigns. We also the Food and Drug Administration (FDA) in impact on the broader public by focusing on category require proven research results thank the public for their unwavering the USA – CANSA has taken on the massive product categories consumed in mass. to qualify for the CANSA Smart Choice support of CANSA programmes and responsibility to assist in public health Determining the latter would have been Seal and include food preparation initiatives that aim to enable South Africa to (particularly in terms of cancer) by acting as impossible however, had it not been for the equipment and juice extractors. become a cancer-free society public watchdog. The sole aim being to consumer research statistics worth several Ÿ Health Programmes: Education that reduce cancer risk on all fronts i.e. in terms of million rand over the past years, provided pro enhances and results in improved, smart After 28 years of immeasurable support the environment; industry; the workplace; bono by Nielsen – for which CANSA is truly and balanced lifestyles. Products in this (starting with the launch of the ‘Cancer Can the retail sector consumer goods and grateful. category also require proven research Be Beaten’ campaign in 1990) we at CANSA behavioural dangers such as tobacco and The CANSA Seal is awarded in the following results to qualify for the CANSA Smart are immensely appreciative for all the alcohol consumption. five categories: Choice seal. It includes exercising support received from creative agencies, Ÿ Food: Edible consumer products that may production houses and our media partners. THE CANSA SEAL OF RECOGNITION equipment and courses; dietary guides; assist in reducing the risk of cancer, but weight control courses and guides; In addition to lobbying and advocacy also promote smart health choices in smoking cessation courses and subject- initiatives at all level of government and general, free of all known toxins, related books. industry – CANSA created the CANSA Seal of carcinogenic, mutagenic and reprotoxic Recognition (CANSA Smart Choice and substances. A detailed list of associated products can be CANSA SunSmart Choice Seal) to guide and Ÿ Non-foodstuffs: Non-edible consumer found on www.cansa.org.za encourage consumers to read product labels products, free of all known toxins, and to assist them in making informed carcinogenic, mutagenic and reprotoxic

26 SERVICE DELIVERY CANSA SERVICE DELIVERY

The year under review was a focus on building on star care and support offerings. FACILITY BASED CARE AND in metropolitan regions: Pretoria, Through our star offerings – CANSA Care Homes, CANSA TLC facilities, Stoma clinics, SUPPORT PROGRAMMES Johannesburg, Durban, Richards Bay, Bloemfontein (2) George, Cape Town (2) Corporate Wellness and mobile screening - we’re able to engage and empower Ÿ A total of 28 Care Centres are staffed by Polokwane, Rustenburg and Port patients, corporates and the public addressing all facets of cancer control. None of highly professional registered nurses who Elizabeth. CANSA is proud to be the only the risk- reduction and patient-centred work we do would be possible without the deliver comprehensive cancer risk non-profit organisation that addresses reduction, early detection and care and strength of partners, supporters, volunteers, patients and professional staff. the need for accommodation and support programmes to cancer survivors travelling between the Care Homes and We offer facility, community and workplace based programmes to meet the various and those affected by cancer. treatment centres. needs of patients and their families during and after treatment and clients in need of Ÿ Facility based care and support Ÿ CANSA Tough Living with Cancer (TLC) is programmes include: support groups, education and screening programmes. our childhood cancer support programme counselling, stoma care, specialist wound with three CANSA TLC facilities for The facility and workplace based programmes are driven by registered nurses and care and breast prosthesis, loaning of children / teens and parents and families social workers, while the community based, follow the principles of community medical equipment, and corporate affected by cancer: screening and wellness programmes. mobilisation and development. Community members contribute to our programmes Ÿ CANSA TLC Nicus Lodge at Steve Biko Ÿ Our Care Homes provide a home-away- through their commitment and willingness to be trained as CANSA volunteers. Academic Hospital in Pretoria from-home experience that includes Ÿ CANSA TLC Paediatric Oncology Ward accommodation for patients undergoing in Pietersburg Provincial Hospital in cancer treatment at oncology and Polokwane treatment clinics. Patients stay for an Ÿ CANSA TLC Family Lodge in Durban average of six weeks and receive meals and transport to and from treatment centres. We have 12 CANSA Care Homes

28 ONLINE SUPPORT POSITIVE FEEDBACK COMMUNITY CANSA offers online support mainly through “I would like to say thank you from the bottom of my heart for what BASED CARE AND our iSurvivor e-online programme, providing CANSA TLC has done for my family. We live far away from Inkosi guidance on how to travel the cancer journey. Albert Luthuli Hospital and spending time with my little one who is in SUPPORT (www.iSurvivor.org.za). It's a free, 20 week hospital was becoming difficult as we had nowhere to stay. Being able email-guide written by a cancer survivor to PROGRAMMES help other survivors cope better. Once to stay at the CANSA TLC Lodge in Durban meant that we could spend Community mobilisers are trained to build registered online, patients and survivors at least 1 day with him a week and then return to Port Shepstone for community structures to support CANSA. The receive weekly communication from 'Aunt another week of work. It has been so difficult to be away from him. The role of trained volunteers, caregivers Sophia' that is informal and has helpful CANSA staff are always so welcoming and it feels just like home. Thank (including home-based) forms the back bone resources and information to help cope. To you CANSA TLC for helping us in our time of need, we are blown away of our community based care and support date, over 1000 active survivors signed up. by your generosity.” – Nelendree Naidoo, mother of five-year old boy programmes. CANSA's eKick-butt programme is an online diagnosed with Leukemia smoking cessation programme guiding and SUPPORT GROUPS supporting members to stop smoking. A total of 90% of the more than 2 000 current CANSA's active support groups connect subscribers find this programme helpful in patients, survivors and their loved ones with their efforts to stop smoking. others who have 'been there' for insight, CANSA TOUGH LIVING WITH CANSA IN-PATIENT PALLIATIVE moral support, understanding and hope and Further, we have various online support CANCER (TLC) CARE UNITS inspiration. Support groups include: Hoping platforms offering support, receiving and CANSA's TLC programme supports not only Adult palliative in-patient unit (PIPU rooms), is Coping; Sharing & Caring; Cancer specific providing encouragement from fellow the diagnosed child or teen, but also family or in partnership with local homes for the groups and Stoma. We also provide regular members and sharing stories: loved ones affected by cancer. We embrace a elderly and various service organisations, visits to oncology treatment centres offering Ÿ Facebook Group: Champions of Hope - holistic approach to include all aspects of provide specialist palliative care for people support and care as well as a Tough Living CANSA Survivors for cancer Survivors physical, spiritual, psychological and social who cannot spend their last few weeks at with Cancer (TLC) support groups for children https://www.facebook.com/groups/Cha wellbeing. We educate and promote home or when caregivers are in need of relief and families affected by cancer. We ran a total mpionsofHope/ awareness of childhood cancers and early for short periods. An environment is created of 125 groups throughout 2017/8 reaching Ÿ Facebook Group: CANSA Caring for the detection at schools and at community level that is as relaxing and homely as possible 6 500 people. Carers - for caregivers helping cancer and train volunteers to take hands with us with the latest medical and nursing Survivors (patients) and make an impact in their local community. equipment available. A holistic assessment https://www.facebook.com/ CANSA TLC further offers support groups, of the patients' circumstances is done prior to groups/CANSACaregivers/ prosthetic assistance, skills development admission and access is based on availability Ÿ Facebook Group: CANSA - TLC specifically programmes and educational ward of the room. CANSA has nine fully functioning POSITIVE for children and families affected by programmes. PIPU rooms based in the Western Cape (5), cancer https://www.facebook.com/ Gauteng (2) and Northern Cape (2) with plans FEEDBACK groups/CANSATLC/ to extend this services to all provinces during 2018/9. “Thank you Aunt Sophia. Your message of hope and courage came at the right time. I'm fighting a mental battle and I intend winning it hands down. I wasn't built to break.”

29 CANCERCARE COPING KITS COMMUNITY HOME-BASED Other health screening is performed, such as The CancerCare Coping Kit provides practical CARE HEALTH healthy lifestyle risk assessments, HIV rapid tests (a finger-prick blood test) and blood advice to newly diagnosed patients and their Our CANSA Home-Based Care services are AWARENESS glucose tests for diabetes. loved ones and caregivers. It helps them to rendered in mostly hospital, out-patient and Early detection and health promotion is key cope with the cancer journey and equips community home-based care settings. This CANSA's nine Mobile Health Clinics travel to to reducing the cancer risk. CANSA achieves them to make more-informed choices. Just service provides an opportunity for patients remote areas offering free screening, this through national health awareness over 1 000 kits were distributed and can be and their loved ones to have care and support reaching people who would otherwise not campaigns - SunSmart, Balanced Lifestyle, accessed via the CANSA website in audio or in the comfort of their own home or current have access to screening. Screening is offered Anti-tobacco, Women's, Men's, Children and printed format. environment. Volunteers aim to compliment at special events, corporate wellness days Youth Health as well as Environmental cancer the trained professional community nurses, and community facilities at affordable fees control awareness. HONOURING CANCER social workers and CANSA Community that cover basic costs for consumables and SURVIVORS Mobilisers dealing with care and support, by laboratory services. Owing to our CANCER SCREENING Annually, International Cancer Survivors' supporting the patient and their primary partnerships with various laboratories who We fight cancer by making people aware of Day, is celebrated in the first week of June. caregivers. offer special rates to CANSA, we able to offer early detection of cancer, the importance of a high quality service at a low price. Clinical Survivors, caregivers and their loved ones are A total of 11 875 patients and their loved cancer screening, as well as leading a screenings are conducted by registered recognised for their role in fighting cancer. ones benefitted from home-based care balanced lifestyle. nurses who are regularly upskilled. Services Cancer survivors were addressed by fellow during the year under review. survivors who shared their experiences and The following affordable screening tests and are made free of charge to those who cannot provided guidance and inspiration to those afford them via secures sponsors and PHAKAMISA NAVIGATOR examinations are available at most CANSA fighting cancer. Some regions visited Care Centres countrywide and Mobile Health earmarked funds. PROGRAMME survivors at oncology and treatment centres. Clinics: Sadly, after a seven-year partnership, Ÿ Pap smear - screening test for the early CORPORATE WELLNESS We have assisted 853 789 beneficiaries with AstraZeneca's sponsorship ended. diagnosis of cervical cancer Corporate wellness programmes offer our range of services. Phakamisa assisted CANSA to support many Ÿ Prostate Specific Antigen tests (PSA) - a businesses the opportunity to invest in the breast cancer patients and play a vital role in blood and finger-prick test to help detect health and wellbeing of their employees. community education and early detection. In prostate abnormalities Through health impact assessments, the reporting period, 113 active Navigators Ÿ Clinical Breast and SureTouch wellness days help to lower the cancer risk POSITIVE served 6 644 cancer patients, impacting on examinations and encourage early detection. It also 39 555 people through direct one-on-one Ÿ Skin and FotoFinder examinations – mole provides a cost effective method to FEEDBACK contact, clinic visits and public meetings. mapping derma scope device for demonstrate care for employees. examining moles and spots “I would like to thank you for all The wellness days and early detection Ÿ Colorectal screening–testing for occult you have done for us and for the screening events grew from 111 to 153. In (concealed) blood in stools. help with the eggshell mattress total the CANSA Care Centres did 40 621 and nebuliser. It was really a screenings at Care Centres, Corporates and great help to my Mom when she mobile clinics. During these events 2 504 was not well. Your support has abnormalities were detected and referred. been wonderful.” Daughter of a patient in Rustenburg.

30 31 32 HOLLARD DARE DEVIL RUN PARTNERSHIPS The Daredevil Run was held on THANK YOU Collaborating with cancer like-minded 16 March 2018 in Johannesburg, Durban, We thank our Service Delivery partners and networks and working together with the Bloemfontein, Cape Town and Nelspruit in sponsors who generously supported us departments of Health, Social Development the form of a 5km run. Daredevils wear financially and in other ways: and Education and Public Works ensures a nothing but a speedo in support of male Ÿ ABSA more holistic and effective cancer control cancer awareness. The Run promotes early Ÿ AECI approach. We also partner with the South detection of prostate and testicular cancers Ÿ AstraZeneca (Phakamisa) African Non communicable Diseases and general cancer awareness. Free Prostate Ÿ Avon Justine iThemba Alliance, Alliance for Access to Palliative Care, Specific Antigen (PSA) tests were provided Ÿ Breast Health Foundation the Cancer Alliance, as well as other non- free by the CANSA team to all Daredevil Ÿ Cupcakes for kids with Cancer profit organisations and cancer-related participants over the age of 40. A total of 497 Ÿ Decorland bodies in South Africa. PSA tests were done leading up to and on the Ÿ Equera health day of all events. Ÿ Foundation of Professional Development Our Service Delivery team has formal Ÿ Garden Court working agreements that are regularly The R550 000 raised during the 2017 events Ÿ Independent Clinical Oncology Network reviewed with Childhood Cancer Foundation are used to run educational screening (ICON) South Africa (CHOC); Hospice Palliative Care programmes for men via the CANSA Hollard Ÿ Kerksondermure Association (HPCSA), International MANVan. Men used the opportunity to learn Ÿ KFC R2 a child Childhood Palliative Care Network (ICPCN), more about testicular and prostate cancer Ÿ KPMG International Association for Hospice and and to be tested for prostate cancer. CANSA Ÿ Netcare Palliative Care (IAHPC), Reach For Recovery performed 5 376 PSA tests of which 303 Ÿ Outsurance and Skin Cancer Foundation. showed abnormalities. Ÿ Protea Lodge This approach ensures a firm foundation for Ÿ Rainbows and Smiles cooperation, avoiding duplications of care PINK TREES FOR PAULINE Ÿ Spar KZN and support offerings and allows opportunity Once again, we partnered with Pink Trees for Ÿ St John Ambulances for referrals to and from organisations. We Pauline where participants take to the Ÿ Woolworths also collaborate with various government streets, wrapping the trees outside their Ÿ Umduduzi Hopsice departments such as the Departments of home, office and public places with pink Ÿ Zebbies lighting Health, Social Development and Education as fabric. The attention is focused on cancer and well as Public Works at national and cancer awareness. Funds raised through this provincial levels. campaign is set aside for accommodation during cancer treatment, home-based care Grants were received from the Department nursing, feeding schemes for cancer affected of Social Development for care and support patients, training social workers and also for programmes amounting to R4 million in supplying wigs, prosthesis and wheelchairs. A Gauteng, Western Cape and Free State. total of just over R350 000 was raised in 2017. These grants assist CANSA to subsidise social work positions and to assist with facility care in some areas. CANSA is also a beneficiary of the National Lottery Commission funding comprehensive health programmes and advocacy initiatives.

33

THANK YOU FOR YOUR #CANSACareAndSupport SUPPORT

LOOK CARE & SUPPORT CANCER SCREENINGS HEALTH SCREENING Ÿ Assessed 7 948 people to assess their Ÿ Supported 6 939 cancer paents through 30 881 CONDUCTED IN healthy lifestyle risk,performed 1 683 our 125 support groups and our 1 569 WHAT YOU blood glucose tests for diabetes while trained care and support volunteers TOTAL 1 544 cholesterol tests were provided Ÿ Visited and supported 11 155 paents at Ÿ 6 974 Pap smears (screening test to HELPED Ÿ 19 936 individual informaon and public and private oncology units idenfy women at risk of developing educaon sessions were conducted with Ÿ Counselled 3 548 people at our CANSA cancer of the cervix) and facilitated an our screenings US TO Care Centres addional 2 129 in partnership with the Ÿ Welcomed 1 843 individual paents to Department of Health ACHIEVE our 11 CANSA Care Homes Ÿ 11 900 Clinical Breast examinaons to EDUCATION & Ÿ Facilitated Home-Based Care for 3 861 detect breast lumps and facilitated an ASSISTANCE addional 1 501 in partnership with the paents and 9 861 home visits with the Ÿ A total of 1 351 236 people were reached IN 2017/18* Department of Health help of our trained care and support directly through 4 541 health talks and Ÿ 6 204 Prostate Specific Angen (PSA) tests volunteers as well as caregivers 3 934 exhibions with the help of 1 097 Ÿ to detect prostate abnormalies and A total of 378 parents and loved ones health promoon volunteers facilitated an addional 677 in accommodated in CANSA TLC facilies Ÿ 232 radio talks were hosted to educate partnership with the Department of while 7 186 paediatric cancer paents, about cancer Health siblings, family members and their loved Ÿ Distributed 8 9 6 0 5 i nfo r m a o n Ÿ 368 skin examinaons and 3 444 ones received care and support pamphlets and over 1 930 posters to Ÿ FotoFinder examinaons to examine 144 Phakamisa volunteers supported promote health awareness campaigns moles and spots 2 291 breast cancer paents Ÿ A total of 134 885 youth were reached Ÿ Ÿ 1 957 abnormalies detected were Made medical loan equipment available through 731 school programmes referred for further follow up to 2 001 people Ÿ Responded to 4 415 online queries for Ÿ Ÿ Expanded workplace screening and Responded to 23 092 queries through support and informaon telephonic counselling and informaon wellness programmes by 30% sessions Ÿ Provided 519 stoma support sessions to stoma paents and their loved ones

*Based on financial year, 1 April 2017 to 31 March 2018

35 BRAND & REPUTATION MANAGEMENT PROMOTING THE CANSA BRAND

We continue to be a relevant source of comment on cancer control issues through our SABC3 came on board as part of strong working relationships across all media. During the past year CANSA achieved International Nelson Mandela Day media exposure amounting to the value of almost R170 million (advertising value donating toiletries, food and vouchers to equivalent), an approximate increase of 7.1%. The circulation steadied out as with the the value of R60 000 to CANSA Care previous year, with mostly positive and valuable media stories. Homes and the CANSA TLC Lodge in Pretoria. The SABC3 team, Mrs SA Finalists and other guests attended the handover in July 2017 that was featured on the Real Talk show. CANSA introduced videos that promoted PRO BONO our service offerings and shared cancer POSITIVE survivor stories to support our SERVICES FEEDBACK marketing efforts. A total of three videos CANSA enjoys the pro bono services of were produced during the year and can Newsclip with news analysis of coverage. Just seen the #cansa tv ad on be viewed on the CANSA website Through regular updates, we able to monitor Dstv… love it! Tweet by Haseena (cansa.org.za). and report on all exposure received and show Cassim via @CANSA that our health message is being received by AWARDS most communities, even the rural and poor resourced regions as well as those with CANSA won the Public Service Category in the limited access to health services. Our 2017 Standard Bank Top Women Awards on gratitude to Biz Community who provided 17 August 2017 at Emperors Palace. CANSA with free media releases as well as the Elize Joubert, CEO was a finalist in the 15th Caxton group based in Gauteng who annual National Business Awards, in the 'Top provided us with Performing Business Leader of the Year free advertising Award' category while CANSA, the s p a c e i n t h e organisation was also listed as a finalist in the reporting period. 'Top Performing Public Service Award' category.

37 www.cansa.org.za Great interest was also shown regarding PROMOTING INTERACTIVE AND CANSA's website, consisting of an average of CANSA's screening, care and support HEALTH ENGAGING WITH over 1 100 pages of information, currently offering, especially counselling/support includes over 300 Fact sheets (on more than groups provided, CANSA Care Homes and AWARENESS THE COMMUNITY 50 types of cancer), Position Statements and specialist care/treatment provided. also cancer and nutritional guides. Over CANSA is represented on the editorial Our fully interactive CANSA website not only We feature an interactive quick-response 679 085 pages were viewed by more than committee of the Life magazine, managed by provides reliable and accurate information to 'Write on our Wall' and 'Comments' section 236 172 visitors with new visitors up by 8.9%. the Lifehealth Care group and printed the public, it also makes use of social to allow the public to interact with us. This site provides information on coping with quarterly. We consult on cancer and health networking platforms as well as GivenGain's Further, an 'Ask CANSA' button is added to all cancer, treatment, carcinogens and possible related topics and contribute articles for the online fundraising tools to stay in touch with web pages to facilitate sharing of information carcinogens, nutritional guidelines regarding magazine that is distributed to all its client, our stakeholders. via the toll-free information team cancer, screening and testing for cancer and staff and patients at Life Healthcare hospitals ([email protected]). how to lower the risk through leading a country-wide. CANSA makes use of an online communication platform, Touchbase Pro that balanced lifestyle. We partner with the Buddies for Life lifestyle provides direct electronic marketing, design A total of 4 288 fact sheets were downloaded magazine that is published bi-monthly, and targeted email and mobile messaging. through Researchgate. specifically supporting the 'Oncology Google Ads is made use of, giving CANSA up Buddies' section catering for cancer Increased interest and interaction was to USD10 000 per month worth of search POSITIVE awareness, education and support. CANSA's experienced, especially during international engine advertising free of charge. service offerings are included in the annual and national campaigns. FEEDBACK Cancer Survivor Guide. Most visited pages were: Wow how absolutely amazing ENGAGING cansa care centres contact CANSA's website features online versions of BY NUMBERS details, donating human hair these letters have been. it has both magazines. really helped me on my journey • 18 media releases distributed reaching to make wigs availability of wigs, hubbly bubbly or and sad that it comes to an end. 11 851 media partners hookah smoking increases God bless you and keep you all • 38 e-newsletters distributed reaching over cancer-risk, get screened safely in his care. 1,2 million subscribers early detection, south Regards Michelle • 1 534 new e-newsletter subscribers african cancer statistics and womens health • 30 targeted email campaigns reached @CANSA thank you for the info. recipients As frightened as I am, I know I can turn to you guys. You are a great org. Thank you for your support. @Nikki_Seboni

38 SOCIAL NETWORKING There is also a Facebook support group 'CANSA Caring for the Carers', for caregivers PLATFORMS of cancer patients. We share information Social networking continues to be a valuable which helps caregivers nurture themselves, platform for CANSA's interaction with our as well as fact sheets / info re CANSA services stakeholders that showed an increase of over to help them care for their patients. 14.7% in membership during the previous Caregivers are invited to share their story and year. We have a presence on Facebook, wisdom with others in the group. Twitter, Instagram, LinkedIn, YouTube and Pinterest. Further, we use SlideShare and We continued our presence on the YouTube to share information with the SlideShare platform to share our cancer public. education and health information more effectively on Powerpoint slideshows on the CANSA has enhanced its Facebook presence website and social media. Our health in regional communities. A total of 28 information slide shows were viewed over regional Facebook pages are 'Liked' by 60 487 89 862 times last year. followers, an increase of over 14%. The national Facebook page has over 14 000 followers. Instagram proves an ever expanding platform to interact with the POSITIVE public with follower base grown by more FEEDBACK than 37%. Twitter provides a communication base in a more immediate time-frame, I had a friend staying I am in tears as I am so grateful to each especially during events. As part of risk- at Mkhuhla House and every one of you for your absolute management, the regional Facebook pages many years ago , and amazing service. This really means so are to merge as part of the national page in now have another much to me and to my dad, you wouldn't the next financial year. friend in the care of understand. your system . I am so ONLINE CARE AND SUPPORT grateful that there are Sr Prabashni, thank you so much for Facebook groups for 'Champions of Hope' going the extra mile to assist my dad. and 'CANSA TLC' are aimed at individuals with still facilities in Durban very specific needs and serve as a support to care for cancer Cara, you are a superstar for getting the and counselling platform for cancer patients with the ball rolling and making the time get survivors, their loved ones and those affected dignity and attention assistance for my dad & I. by cancer. The group format is suited towards they deserve . You are member inputs, discussion and participation doing amazing work . Vlooi, Gerda, you ladies are truly and serves as a platform to share care and amazing. support between members. The group has a Thank you . Tracey 'family feel' as members are quick to You are all true Angels for the work you encourage and share advice with fellow do and I am eternally greatful to you all. members. CANSA shares fact sheets / info re CANSA services and refers members to their Clare Everts local CANSA Care Centres for support.

39 Some partners went the extra mile and CANSA INDUSTRY TRENDS leveraged their partnership by hosting extra Our Head of Marketing and Communication activities to help raise further awareness and SOCIAL MEDIA was invited by the Public Relations Institute funds. MEMBERSHIP of South Africa (PRISA) as a Chief Judge of the Significant highlights include: 2018 PRISM awards. The PRISM's is a Ÿ A total of 25 finalists were selected at the programme that recognises public relations Mrs SA charity ball hosted by CANSA in ONLINE GIVING and communication management April 2017 who helped to raise awareness Fundraisers are recruited and nurtured as programmes adding value to the bottom line and over R1million through Cuppa For online champions called 'Activists' who through a strategic and business- focused CANSA and other events that were held create, advertise and manage their own approach. country-wide. Candice Robbertze from fundraising initiatives for CANSA through a She was also was invited as a guest presenter Pretoria was awarded Mrs SA Charity GivenGain platform made available on our regarding Media and Brand Reputation at the 2018 at the finals in November 2017 for CANSA website. A total of R1 419 066 was Mail & Guardian Corporate Reputation helping to raise the most income. raised on all CANSA websites via the Workshop held on 28 September 2017. Ÿ Emperors Palace, Peermont Flagship GivenGain platform, showing an increase of resort hosted the its second Garden of 18%. The site also allows for Activists to Lights, in Kempton Park from select a specific national project to support – PARTNERING FOR 7 December 2017 to 3 January 2018 that CANSA Shavathon, CANSA Relay For Life, raised R300 000 for CANSA. Cuppa For CANSA and CANSA Active. THE CAUSE Ÿ A cheque handover breakfast was held Partnering with CANSA has the potential to with City Lodge with CANSA receiving a be highly beneficial. Matched-giving R210 000 donation behalf of tea and CUT FOR THE programmes involving employees and their coffee drinkers at 22 Road Lodge hotels participation in our national and other around the country. CAUSE projects, as well as cause related Ÿ aQuelle once again partnered in the fight We received over 5 900 donated ponytails of partnerships, can be a source of opportunity, against cancer and donated R100 000 as hair to make wigs for cancer patients, mostly innovation and competitive advantage. We part of its 'Pink for a Purpose' campaign, received at annual Shavathon events. Many appreciate the support and engagement of from the sales of its special edition of the hair donors have special messages and all our corporate partners and donors who bottled water. reasons why they are donating their hair, have contributed to the cause of fighting Ÿ Twinsaver highlighted breast health either they have lost a loved one to cancer, or cancer. awareness by donating R2 for every would like to make a cancer survivor feel special edition pack of Twinsaver Twin ply Our consumer orientated partnerships assist beautiful again. Our hair donors come from to CANSA. The pack also featured cancer in raising funds and awareness for all CANSA all walks of life and include little ones. Wigs survivors who shared their personal initiatives and programmes. Through our are hand-made and it's a lengthy process cancer journey. A total of R300 000 was partners, customers interact with our brand resulting in 46 wigs being distributed by the raised towards breast cancer education. when they buy stationery, select which Head Office. Ÿ A CANSA 'Men Who Care' event was held jewellery to buy or choose which clothing on 4 November 2017 with Dr Michael Mol item to purchase. Cause-related partnerships and Chef Shaun Smith as main speakers further help improve brand recognition and promoting awareness and education create a competitive edge within the regarding cancers affecting men. The consumer market, as well as encourage event raised R6 840. positive media coverage and increase customer loyalty.

40

Ÿ Samsonite came on board and donated Thank you to all our donors and partners who Ÿ Scania Finance Southern Africa (Pty) Ltd 10% of all online sales of its luggage range have contributed to the fight against cancer Ÿ The Bead Coalition (PTY) LTD and raised R20 000 during October 2017. in the reporting period as at end March 2017: Ÿ The Red Carnation Hotel Collection South Ÿ The 12 Apostles Hotel hosted its High Ÿ Atterbury Theatre Africa tea event that raised R31 171 on Ÿ Azen Foods Ÿ The Relate Trust 28 September 2017 with guest speakers, Ÿ Carpe Diem Media Ÿ Theriso Mobu Mrs Charity 2017, Clair Gardiner and Head Ÿ Chippers Direct CC Ÿ Tinissa Trading 170 CC of Research, Dr Melissa Wallace. Ÿ City Lodge Group Ÿ Viginia De Fraitas Ÿ Tempest Car Hire – Proudly partners with Ÿ CLE Properties CC Ÿ Woolworths & My School CANSA and the Sanlam Cancer Challenge Ÿ Coker Family Charitable Trust Ÿ Zana Manzi Services as the national car rental sponsors and Ÿ De Hoek Country Hotel & Spa supplier. Tempest offers short term car Ÿ Diagnostic Radiological Services Artists and entertainers: rental services to the leisure and domestic Incorporated Marthinus Höll; Tessa de Wet; Nellie de Jager; corporate markets. Ÿ Downes Murray International Tobie Jooste; Etienne Labuschagne; Michael Ÿ The Brooklyn Theatre in Pretoria Ÿ Emperors Palace Heyns; Emanuel Pietersen; Magriet von generously provide space to CANSA on a Ÿ FirstRand Corporate Centre Volunteers Loggerenberg; Babs Putar; Renee Blom; permanent basis for art exhibits and other Ÿ Flash Living (Pty) Ltd T/A ENJO SA Marian Scher; Barbara Breed; Theo von events. Ÿ Guvon Group Stryp; Koos Bronkhorst; Hennie Luus; Liana Ÿ Advertising agency, FCB Cape Town Ÿ Hollard van der Walt; Minette Van Rooyen; Tersia created campaigns pro bono for CANSA. Ÿ I-Collect Textile Recycling (Pty)Ltd Dorfling; Café Artiste; Bousie; Aspasia 'Testi-monials' set out to remove the Ÿ Johann Breytenbach-Roux FA @ Callinicos awkwardness around talking about Discovery testicular cancer, and drives awareness Ÿ Knowledge Resources Pty Ltd about early how to self- examine and help Ÿ LegalWise detect signs and symptoms. The Ÿ Manna Employment Pty Ltd campaign, which has global appeal, Ÿ Miiskin Aps features animated 'testicles' (brought to Ÿ National Contract Cleaner Association life by Hellocomputer) giving their own Ÿ Nine Five Nine Seven (Pty) Ltd testi-monials about cancer and how Ÿ Old Mutual they have been personally affected. Ÿ Pentel South Africa (Pty) Ltd Testi-monials is live on Ÿ Petreanze Creations CC T/A Klaas Vakie www.testi-monials.co.za. A second Ÿ PostNet Advertising (Pty) Ltd version of the series was produced and Ÿ PT4U shared on CANSA platforms during 2017. Ÿ Rexel FCB further produced a short video at no Ÿ Samsonite Southern Africa (Pty) Ltd cost promoting the CANSA brand. Ÿ Satin Pillow Cases

42 SUSTAINABILITY TOGETHER WE DRIVE SUSTAINABILITY

CANSA focuses on financial and organisational factors to ensure sustainability of our third lowest globally. CANSA experienced a organisation. Maintaining financial sustainability is crucial for CANSA’s long-term CANSA RELAY 4.6% growth in number of events hosted, 3% survival and effectiveness while ensuring we fulfill our mission. growth in number of teams participating and FOR LIFE 0.5% growth in income. CANSA performs at a CANSA meets the needs of key stakeholders, particularly beneficiaries and supporters In 2017 the Global Relay For Life programme higher average rate compared to some global through organisational stability. The CANSA national income projects and programmes was hosted in 26 countries and 956 partners secure a steady flow of funds. Despite the political uncertainties, high unemployment communities outside the USA according to and low growth rates that led to less contributions to non-profit organisations, we the American Cancer Society. It’s an CANSA RELAY FOR LIFE impactful, mostly overnight experience enjoy the support of many volunteers and donors that assist with a viable and strategic SUMMIT mobilising cancer survivors and the The Relay For Life Advisory Team played host approach. community to stand together in the fight for the over 100 delegates for 9th annual against cancer. And it creates a platform for gathering with the theme, ‘Power of Purple’. survivorship, caregiver recognition, cancer The Summit provides the training platform awareness and generation of income. for staff and volunteers for nurturing, During the CANSA Relay For Life season, we mentoring and recognising the impact of our hosted 69 events, recruited 2 972 teams, national volunteer structure. Also joining the engaged with more than 62 000 Relayers and Summit to train and workshop were guests celebrated 5 207 survivors in association with from the American Cancer Society global 724 volunteer committee members. This Relay For Life programme – cancer survivor, includes CANSA Relay Recess events, aimed Lori Bremner and youth leader volunteer at primary schools offering the opportunity Caitlin de Vos. to take education and community service to The CANSA Relay For Life Advisory Team the classrooms in a fun and exciting way. consists of dedicated leader volunteers that CANSA Bark For Life events were also held represent each province that work together that honour the caregiving qualities of canine with the CANSA Sustainability Divisional companions and recognising canine cancer Managers. Riaan Loubser (Chairperson), survivors while sharing CANSA's health Leilani Geduld (representing the Northern messages. Business Unit) Michelle Carless (representing A total of R9 423 580 was raised with the the Southern Business Unit), and Elise Fourie average expense being 8.6%, which is the represents the Northern Business Unit.

44 CANSA RELAY FOR LIFE CBU LUMINARIA CEREMONY INCOME GENERATION NATIONAL AWARDS Recognition: CANSA Relay For Life, Welkom Ÿ Recognition: Most Income (R407 521) to and Honourable Mention: CANSA Relay For CANSA Relay For Life, East Rand Recognition and awards are provided at the SUVIVOR RECRUITMENT Life, Welkom Ÿ Honourable Mention: 2nd highest Summit based on 28 day feedback reports Ÿ Recognition: Most Survivors (334) to income (R392 839) to CANSA Relay For and also CANSA Spirit of Relay awards in CANSA Relay For Life, Durban MISSION & FIGHT BACK Life, Pretoria recognition of special ceremonies: Ÿ Honourable Mention: 2nd highest CEREMONY Ÿ Honourable Mention: 3rd highest income number of survivors (107) to CANSA Relay Recognition: CANSA Relay For Life, (R190 064) to CANSA Relay For Life, For Life, Pietermaritzburg Harrismith and Honourable Mention: CANSA Corporate Ÿ Honourable Mention: 3rd highest Relay For Life, Witbank number of survivors (80) to CANSA Relay HIGHEST AVERAGE INCOME For Life, Secunda SURVIVOR & CAREGIVER PER TEAM Ÿ Recognition: Most Income per Team TEAM RECRUITMENT RECOGNITION (R8 671) to CANSA Relay For Life, East Ÿ Recognition: Most Teams (57) to CANSA Recognition: CANSA Relay For Life, Secunda Rand Relay For Life, Durban and Honourable Mention: CANSA Relay For Ÿ Honourable Mention: 2nd highest Ÿ Honourable Mention: 2nd highest Life, Witbank income per team (R4 007) to CANSA Relay CENTRAL number of teams (53) to CANSA Relay For CBU = For Life, Brits BUSINESS UNIT Life, Nelspruit NBU Ÿ Honourable Mention: 3rd highest income (Free State, KwaZulu-Natal Ÿ Honourable Mention: 3rd highest (R3 960) to CANSA Relay For Life, and Mpumalanga Provinces) number of teams (52) to CANSA Relay For SUVIVOR RECRUITMENT Corporate Life, Pietermaritzburg Ÿ Recognition: Most Survivors (150) to CANSA Relay For Life, Roodepoort LUMINARIA CEREMONY INCOME GENERATION Ÿ Honourable Mention: 2nd highest Recognition: CANSA Relay For Life, Vaal and Ÿ Recognition: Most Income (R184 964) to NORTHERN number of survivors (137) to CANSA Relay CANSA Relay For Life, Brits NBU = CANSA Relay For Life, Reservoir Hills BUSINESS UNIT For Life, East Rand Ÿ Honourable Mention: 2nd highest (Gauteng, North West and Ÿ Honourable Mention: 3rd highest MISSION & FIGHT BACK CEREMONY income (R182 439) to CANSA Relay For Limpopo Provinces) number of survivors (110) to CANSA Relay Recognition: CANSA Relay For Life, East Rand Life, Port Shepstone For Life, Corporate and Honourable Mention: CANSA Relay For Ÿ Honourable Mention: 3rd highest income Life, Corporate (R178 926) to CANSA Relay For Life, TEAM RECRUITMENT Escourt SOUTHERN Ÿ Recognition: Most Teams (148) to CANSA SURVIVOR & CAREGIVER SBU = Relay For Life, Pretoria RECOGNITION BUSINESS UNIT HIGHEST AVERAGE INCOME Ÿ Honourable Mention: 2nd highest Recognition: CANSA Relay For Life, East Rand (Eastern, Northern and PER TEAM Western Cape Provinces) number of teams (71) to CANSA Relay For and Honourable Mention: CANSA Relay For Ÿ Recognition: Most Income per Team Life, Vaal Triangle Life, Vaal Triangle and CANSA Relay For Life (R12 077) to CANSA Relay For Life, Ÿ Honourable Mention: 3rd highest Louis Trichardt Harrismith number of teams (70) to CANSA Relay For Ÿ Honourable Mention: 2nd highest Life, Polokwane income per team (R8 334) to CANSA Relay For Life, Bloemfontein Ÿ Honourable Mention: 3rd highest income (R7 998) to CANSA Relay For Life, Bethlehem

45 SBU HIGHEST AVERAGE INCOME PER TEAM Ÿ Recognition: Most Income per Team SUVIVOR RECRUITMENT (R25 855) to CANSA Relay For Life, Ÿ Recognition: Most Survivors (244) to Aggenys CANSA Relay For Life, East London Ÿ Honourable Mention: 2nd highest Ÿ Honourable Mention: 2nd highest income per team (R14 563) to CANSA number of survivors (240) to CANSA Relay Relay For Life, Worcester For Life, Athlone Ÿ Honourable Mention: 3rd highest income Ÿ Honourable Mention: 3rd highest (R8 538) to CANSA Relay For Life, Paarl number of survivors (181) to CANSA Relay For Life, Vredenburg LUMINARIA CEREMONY Recognition: CANSA Relay For Life, TEAM RECRUITMENT Langeberg and Honourable Mention: CANSA Ÿ Recognition: Most Teams (207) to CANSA Relay For Life, SA Navy Relay For Life, East London Ÿ Honourable Mention: 2nd highest MISSION & FIGHT BACK CEREMONY number of teams (90) to CANSA Relay For Recognition: CANSA Relay For Life, Life, Athlone Worcester and CANSA Relay For Life Ÿ Honourable Mention: 3rd highest Hessequa and Honourable Mention: CANSA number of teams (72) to CANSA Relay For Relay For Life, Clanwilliam Life, Malmesbury SURVIVOR & CAREGIVER INCOME GENERATION RECOGNITION Ÿ Recognition: Most Income (R530 996) to Recognition: CANSA Relay For Life, CANSA Relay For Life, East London Vredenburg and Honourable Mention: Ÿ Honourable Mention: 2nd highest CANSA Relay For Life, Olifantsrivier income (R529 346) to CANSA Relay For Life, Paarl Ÿ Honourable Mention: 3rd highest income (R324 750) to CANSA Relay For Life, George

CELEBRATE REMEMBER FIGHT BACK #CANSARelayForLife

46 Jorina Strydom

GLOBAL HEROES OF HOPE AMERICAN CANCER SOCIETY, CANSA is proud of our ambassadors selected GLOBAL SPIRIT OF RELAY over the past eight years. Relay For Life Global Heroes of Hope are survivors that promote AWARDS participation in Relay events, share their CANSA's Relay For Life programme received cancer stories and promote awareness about global recognition with five Global Spirit of our care and support programmes. Relay awards: Ÿ Student Event Award: Honourable Celebrating - For 2017/2018, this great Mention – CANSA Relay For Life, CAPA honour was awarded to cancer survivors, (Pretoria) Anthea Bingle (Cape Town), Sadiyah Moerat Ÿ Team Award: Honourable Mention – (Mossel Bay), Elaine Bronhorst (Vereeniging) Marais Cancer Support Team from CANSA and Jorina Strydom (Welkom). Gregory Relay For Life, Malmesbury Naidoo (Durban) was appointed as the first Ÿ Event Award: Honourable Mention – Global Hero of Hope Caregiver. CANSA Relay For Life, George Ÿ Remembering - Sadly Jana Grobler (Pretoria) Staff Award: Honourable Mention – passed away in July 2018 before she had the Andries du Preez from CANSA Relay For In Memoriam Life Middelburg, Witbank and Jana Grobler opportunity to fulfill her role as a Hero of Hope. And Global Hero of Hope, Jana du Bronkhorstspruit. Ÿ Plessis (Bloemfontein) who was appointed in Volunteer Award: Winner – Merle Singh 2011, passed way in 2017. Both their legacies from CANSA Relay For Life, Garden Route. will live on through their family, friends, Relay committee and CANSA staff.

47 PROMOTING SHAVATHON CANSA HOPE SHAVATHON 2018 Media partners raised awareness and helped promote the Shavathon campaign through So many people showed their support for Public Service Announcements (PSA’s) CANSA Shavathon in February / March 2018 provided by national and regional media which generated R5.2 million to help fund partners. Thank you mainly to SABC 3 and CANSA’s care and support programmes. A SABC Foundation as well as Primedia radio total of 266 malls and shopping centres; 41 stations for giving us free air time. SABC also organisations; 275 workplaces and 141 gave free airtime to broadcast a TV ad as well schools and tertiary institutions participated. as hosted its own Shavathon event in March Over 46 000 cans of spray were shipped 2018. PSA’s were produced using the voice countrywide in South Africa. More bibs, over of Rozanne McKenzie from Jacaranda capes, clippers, and stencils had to be FM. ordered to meet the demand. We’re extremely thankful to all malls / shopping In the lead up to the national event, SABC 3’s centres for providing space for public Expresso attended a Shavathon organised by Shavathon events and to our long-standing Globeflight and CANSA, which included a partners Globeflight, Aerosol, Wahl, couple of Lions rugby players. Just before the Limegreen and Newsclip. main event, beloved comedian Marc Lottering, and Mela presenter, Carishma CANSA introduced ‘Shades of Pink’ walks and Basday, joined Expresso in-studio on ‘Sprayathons’ that we implemented as part 23 February 2018. Cancer survivor, Wadiah of Shavathon during August to October to Salie (Global Hero for Hope as part of CANSA raise further awareness and funds. Relay For Life) was also interviewed. Just over R69 00 was raised from online Many popular community radio stations donations through individual and corporate hosted live broadcasts on the weekend of 25 activists and donors via social media & 25 March 2018. Some were Jacaranda FM platforms. The 2018 campaign saw many of at Montecasino, Radio 786 at Kenilworth them shaving their heads and / or donating Centre, N1 City Mall and Vangate Mal, Lekker ponytails of hair. Winners and prize sponsors FM in Pretoria. Hot91.9 FM in Johannesburg are listed on www.shavathon.org.za did a live broadcast at Randridge Mall for the third consecutive year and raised just over R140 000. Thanks to radio personality and cancer survivor Mark Pilgrim for continued support for CANSA Shavathon. #CANSAShavathon CLUBS RAISING MORE THAN SANLAM CANCER R25 000 DURING CLUB COMPETITION CHALLENGE Ÿ Fancourt Golf Club - R110 435 In the 25th year of this prestigious Ÿ Mogol Golf Club - R62 481 tournament, together with CANSA, Sanlam Ÿ Douglas Golf Club - R61 300 hosted 476 club competitions and 15 men Ÿ Oudtshoorn Golf Club - R45 000 and women’ regional finals to raise Ÿ Heilbron Golf Club - R39 600 R4 051 070. Thank you to long-standing Ÿ Graceland Golf Club - R37 050 sponsors Taylormade, Sun International, Ÿ Burgersdorp Golf Club - R33 895 Tempest Car Hire, DSV and Ernie Els. The Ÿ Chrome Tubatse Golf Club - R33 372 winners from each region participated at the Ÿ Hans Merensky Golf Club - R32 040 finals hosted at the Gary Player and Lost City Ÿ Royal Johannesburg & Kensington - Golf courses 9 - 10 October 2017, facilitated R31 465 by SynerG Group. Once again the CANSA Ÿ Steenberg Golf Club - R30 970 Sustainability team were part of the Ÿ Koro Creek Country Club - R28 830 hospitality crew and also promoted Ÿ Stellenbosch Golf Club - R26 130 SunSmart awareness and provided free Ÿ Alexander Bay Colf Club - R25 100 sunscreen to all players and guests. Winners of are listed on www.shavathon.org.za SAGES A special anniversary R25 000 challenge was Sages Senior Golfers (members of golf clubs introduced as part of the 25th year who have reached the age of 50) have celebrations where clubs were encouraged supported CANSA by hosting annual CANSA to raise an additional R25 000. The golf days for the past 10 years. In 2017, a total Magersfontein Memorial Clubs raised the of R497 876 was raised. highest amount for the 2nd consecutive year, a record R418 830.

50 CUPPA FOR CANSA 2017 The Cuppa For CANSA season officially opened with launches taking place in June 2017 nationally supported by Shoprite Checkers who donated vouchers to the value of R18 500 to five CANSA Care Centres. Cuppa is an opportunity for friends, family and work colleagues to come together and share a beverage and help those affected by cancer. The focus was on Cuppa hosts and hostesses to offer ‘healthier options’ and promoting living a balanced lifestyle and making smart and healthy food choices. A valued partner in the fight against cancer, Shoprite Checkers sponsored campaign materials for the 15th year. It also hosted in- store Cuppa events countrywide that helped generate a total R1 352 352 towards our care and support programmes. Unilever’s Glen Rooibos tea came on board again and sponsored tea for Cuppa events and further towards CANSA Care Centres and Homes. The 25 Mrs South Africa 2017 finalists contributed to the campaign and hosted Cuppa For CANSA events in their communities and raised over R1million. That brings the total income to R3 857 433.

#CuppaForCANSA participate in various events and raise awareness specifically regarding CANSA ACTIVE funds in aid of CANSA’s screening testicular cancer for CANSA’s Men’s CANSA Active remains one the fastest programmes to enable cancer access for Health initiatives that focus on men’s growing national projects and raised women in poor resource communities. cancers. R2 541 193. It enhances our health theme, Ÿ ABSA Cape Epic – the challenging 15th Ÿ Summiting mountains - Avinash Naidoo SunSmart and promotes healthy active edition took place 18 to 25 March 2018 climbed the fourth highest summit in the lifestyles to lower the risk of cancer. CANSA with seven CANSA Active teams taking world, Kilimanjaro to raise funds in Active also gives sportspeople the part. They were Johann Klindt and September 2017 in memory of several opportunity to participate in their favourite Etienne van Rensburg (team one); Nicky family members who have fought cancer. sporting activity or race, while raising funds Webb and Cecil Munch (team two Claudia Wallin trekked to the Everest Base using an online platform, to support our care ILoveBoobies); Craig Kolesky and Ashley camp in October 2017 promoting breast and support to those affected by cancer. Haigh-Smith (team three); Johan van cancer awareness while Cecilia Hiemstra Rooyen and Adam Schoeman (team four); climbed Mt Blanc in September 2017. Many national partnerships provided Andre Lombard and Theo Lombard (team exciting line-up of events with participants five); Pieter Du Preez and Ian Conradie doing sport, raising awareness about being (team six) plus Ryan Lewis and Mike TEKKIE TAX active and also raising funds. We partnered O’Donovan (team seven). Special thanks This campaign encourages participants to with mainly Bestmed, ASG, Warrior Races, to Christo Bestbier, who unfortunately wear sneakers or tekkies with funky Impi and Sanlam Cape Town Marathon. The had to withdraw from the event, however shoelaces in support of the annual Tekkie Tax CANSA Active teams promote SunSmart still raised funds. Thanks to Stellenbosch Day on 26 May 2017. The campaign raised awareness by providing sunscreen and skin Toyota for their sponsorship of a support over R8 million for five sectors namely cancer examinations at most events and vehicle. Animals, Bring Hope, Children, Disability and sometimes host water points. Ÿ Runners Against Breast Cancer – Education. CANSA received R791 304 as part approximately 25 runners who are From climbing mountains, to open-water of the Education sector. affected by cancer and some breast swimming, running and cycling, CANSA cancer survivors took part in the Old A total of 264 non-profit organisations took Active supporters are visible at numerous Mutual Two Oceans marathon initiated by part and 621 workplaces that sold 407 000 other national regional and sporting events Jacques Slabber who also raised funds stickers and 102 000 pairs of Tekkie Tag nationally. Some of these include the ABSA online. shoelaces. Absa Capital sold the highest Cape Epic, Comrades Marathon, Telkom 94.7 Ÿ ‘Tour of Light’ – in March 2018, cyclists number of stickers and Bowler Plastics sold Cycle Challenge, Cape Town Cycle Tour, Old rode from Johannesburg to Cape Town for the highest number of tags while the CANSA Mutual Two Oceans Marathon. The the second year in support of CANSA. The Pretoria care Centre team sold the Cycle4CANSA at Sun City in August 2017 saw Tour was founded by cancer overcomers, second most tags (2 695). 4 600 mountain bike and road cyclists Cecilia Hiemstra and Ray Funnell. Visits to Optimum Financial Services Group donated hospitals and cancer treatment centres Many celebrities and R60 000. on route, included the CANSA Katleho influencers lent their support to the drive, In 2017, some CANSA Active champions went Care Home (Bloemfontein), Charlotte including Jack Parrow, the extra mile to raise funds and awareness: Maxeke and ended the Tour with a visit to Sorina Erasmus (The Ÿ ILoveBoobies - a non-profit company the children’s oncology ward at the Red Flooze), Snotkop, Lloyd founded by an avid sportswoman, Nicky Cross hospital in Cape Town. Cele, Jak de Priester, Annati, Webb, raises funds by selling distinctly Ÿ ‘Purple Orchid Project’ – a crew of 11 Anneli van Rooyen, John and recognisable socks and receiving friends that cycled from Johannesburg to Chantelle Owens. donations. IloveBoobies teams also Durban in October 2017 raising funds and

52 HUMAN RESOURCES DEVELOPING OUR PEOPLE In line with our strategic objective to attract, retain and develop human capital, the ACHIEVEMENT OF The current equity targets within CANSA are: following highlights were achieved: Ÿ 60% of workforce to be equity Ÿ We developed a CANSA six-month Home-Based Care and Support course that EMPLOYMENT EQUITY appointments Ÿ included geriatric care and is awaiting accreditation from the Health and Welfare RATIO TARGETS 40% of junior management to be equity appointments Sector Educational Training Authority which is expected in the second half of 2018. CANSA serves a diverse population in terms Ÿ 30% of management to be equity Ÿ of race, gender, age, religion and culture. We Refined and adjusted the buddy and mentor wellness programme for employees to appointments help with the induction process, staff burn-out, debriefing sessions, depression and therefore aware of the importance of any post traumatic incidents experienced internally or externally. diversity when employing new staff and CANSA struggles to maintain the set equity engaging volunteers. We always strive to Ÿ Development of a new employee engagement programme following an targets due to the high demand for ensure that the diverse needs of all professional skills within the private and international staff engagement survey conducted in July 2017. communities are met and aim to ensure that public sector offering more attractive salary our workforce reflects the natural packages, especially at junior management demographics of our workforce in the levels. In addition, less interest is shown in communities that we serve. fundraising positions by equity candidates. EMPLOYEE MANAGERIAL EXCO remains fully committed in the strict CANSA also not able to compete with the EQUITY STATUS EQUITY STATUS adherence of the policy to promote equity. salaries and benefits offered to middle AS AT 31 MARCH AS AT 31 MARCH The divisional co-ordinator positions focus on management with specific reference to 2017 VS 2018 2017 VS 2018 the development of EE Community divisional managers. Mobilisers with management potential. All external white appointments are authorised STAFF TURNOVER by the CEO on motivation by senior Our goal remains to decrease employee management. If a senior white person turnover, thereby decreasing costs related to reporting directly to the CEO is to be training, recruitment, loss of talent and appointed, motivation is to be submitted to organisational knowledge. It’s difficult for 2017 2018 2017 2018 the Remuneration Committee (REMCO) for CANSA to offer salaries similar even to that consideration. A report on the equity status is EE offered by government. With 76 exits, (18 submitted quarterly to REMCO as well as the less than the previous year) retention of staff Board. remains a challenge. White 52% 48% 54% 46% 27% 73.5% 25.6% 74.4%

54 The monthly turnover however, remained following the recommendations by the Plans were finalised regarding the training stable at an average of 1.9%. At the end of Remuneration Committee, approved project focusing on Home-Based Care and PENSION FUND March 2018, the annual turnover was 1.9% budgeted increases to the maximum of 5%, support with the help of HWSWTA, aimed at With the assistance of Alexander Forbes, we compared to that of 2.33% in 1 March 2017. based on performance evaluation. volunteers and members of the public. developed a presentation to communicate Internal training centres were accredited benefits applicable to employees and to The reasons for exits are mainly due to better understand the pension rules. COACH, GROW AND regionally, including developing training difficulties in adjusting to the non-profit work material and the final accreditation of the Training is provided to all employees environment, as well as resigning for better RETAIN TALENT course is expected in the second half of 2018. regarding the online pension information packages in the corporate sector. Employees We place emphasis on core competencies system to minimise manual statement leaving the organisation during the first six and development of staff through training, During the year, training was conducted documentation issued to employees. months are mostly performance related. Line coaching and guidance to promote developing employees and volunteers managers set probation goals and evaluate regarding health promotion, counselling, A survey was implemented by Alexander leadership and realisation of personal Forbes across all ‘umbrella’ pension funds these goals on a monthly basis before potential. With a limited training budget the community mobilisation, management and permanent employment is confirmed. administrative skills, fund raising, logistics and it was noted that 62% of employers have process of ‘train the trainer’ is mostly a normal retirement age of 65 years, opposed implemented after managers attend courses and supply chain management and social media. to the 17% at 60 and 14% at age 63. On HIGH PERFORMANCE by training providers. average the current members are projected CULTURE Looking ahead, development will focus on to retire with 27% of their final salary and if CANSA uses the Paterson Job Grading System INTERNSHIPS AND computer literacy (basic and intermediate), the retirement age is increased to 65 years, and sorts jobs into six broad bands that are DEVELOPMENT CANSAonline system, management and and a new member joining after the graded and grouped into three to five sub- leadership, advocacy, volunteer training, increased retirement age, the final salary CANSA promotes the development, training administrative skills, clinical training and will increase to 35%. This shows that saving grades. The six grades, also called ‘bands’ and practical experience of students of define salary scales with a minimum, median health promotion, on-going community for an additional five years, the average accredited institutions by facilitating mobilisation, fundraising, first aid, replacement ratio for a new member will and maximum scale within every band. We internships at Head Office and many other align the current salary scales annually, using interaction management and Industrial increase by 8%. departments nationally. Students are mainly Relations training. the Averile Ryder reward survey. These accommodated in the spheres of social A resolution was tabled from the findings are used as a guideline to determine development and health and research Remuneration Sub-Committee of the Board entry levels for salary scales and together departments. POLICIES AND WELLNESS to increase the current retirement age from with the bi-annual performance appraisal The Human Resource department reviewed 60 to 65 years which was approved. results, guide salary increases. A grading TRAINING AND some current policies and developed new committee was elected by EXCO in DEVELOPMENT policies as requested by EXCO. The Quality March 2017 and received training in Assurance Committee evaluates new policies July 2017 to review all current positions. HEALTH AND WELFARE before approval by EXCO. The policies are SECTOR EDUCATIONAL included in the electronic employee manual used during the induction process. REWARDING TRAINING AUTHORITY PERFORMANCE (HWSETA) A number of CANSA employees benefitted Performance appraisals are conducted bi- Training and developing staff towards a high from a new wellness programme with a focus annually and the results are used to performance culture is a priority for CANSA. regarding internal mentoring, counselling performance manage staff. Employees with a The CANSA Workplace Skills Plan and Annual and support as well as in some cases, intense score of less than 60% (with targets not met) Training Report for the period April 2017 to debriefing for serious matters. Line managers are performance managed through March 2018 was submitted to HWSETA by the identify ‘buddies’ as part of a buddy and additional in-service training followed by HR department and approved. mentoring process to assist with induction corrective actions. The Board of Directors, and word-related matters.

55 Ÿ A financial manager on probation was EMPLOYEE ENGAGEMENT ZERO TOLERANCE dismissed during the probation period for CELEBRATING SURVEY CULTURE not reaching the standard as required. PEFORMANCE CANSA’s Marketing & Communication and The internal audit process is on-going and The case was referred to the CCMA and We reward our staff annually for their Human Resources departments collaborated outcomes are addressed monthly at EXCO was settled between the parties. contributions towards improving CANSA in to conduct an Internal Communications and level to ensure that a zero tolerance culture Ÿ A divisional manager position was various fields. The following awards were Engagement Survey Audit during May 2017. regarding non-performance and misconduct restructured to that of a divisional co- made for outstanding performance and Conducted by an independent service is maintained. Industrial Relations training is ordinator and the manager did not accept achievements. provider, the aim was to evaluate given to all line managers regarding the alternative position. A case was communication preferences and depth of disciplinary procedures including referred to the CCMA and settled. LONG SERVICE AWARDS understanding around specific channels and performance management. Informal and Ÿ 20 years: Carien Hamman, Hannelie projects, to provide recommendations for formal disciplinary hearings are conducted MAINTAINING A SAFE Smyth and Joseph Semela future planning. within the scope of the Labour Relations Act. Ÿ 25 years: Lizzy Ramaebeebe A total of 18 staff were disciplined, including WORK ENVIRONMENT Overall, internal communication is six dismissals due to fraud and non- Occupational Health and Safety is of high GOLDEN AWARDS performing well, with scores above 60% performance. A total of 12 staff members importance to CANSA and so we ensure a safe Ÿ Service Delivery - Mandisa Mthembu satisfaction for most variables analysed, received final warnings for internet abuse physical environment for employees, while at Ÿ Support Services - Marlie Coetzee including the outcome that 77% of and non-adherence to policies and the same time complying with the Ÿ Advocacy - Lorraine Govender employees rated CANSA seven or higher out procedures as well as undermining of Occupational Health and Safety legislation. Ÿ Marketing - CANSA Durban Care Centre of 10 as a company they would recommend authority. Ÿ Sustainability - Laetitia Jordaan Makrosafe Holdings, our CSI partner, conduct to colleagues and friends. At a high level, Ÿ Team work - Service Delivery bi-annual assessments regarding compliance certain areas were highlighted that required Ÿ Best Performing Division - Marketing and FAIR LABOUR PRACTICES to the Health and Safety Act (No 85 of 1993) improvement. Communication at all CANSA premises. The compliance with We recognise the importance of employee Ÿ Most improved Division - Western Cape Following the survey and recommendations, the basic requirements has stabilised on 99% entitlement to fair labour practice, including Ÿ Employee of the year - Andries Van der during the current financial year, CANSA during the end of the financial year. the right to dignity and privacy to promote a Merwe implemented several changes and updated safe emotional environment within the training programmes including a spotlight on workplace. ‘Values’ and also established road shows LEADERSHIP AWARDS A total of three employees' made submission Ÿ Middle Management - Anita Snyders to the Commission for Conciliation, Ÿ Senior Management - Maria Scholtz Mediation and Arbitration (CCMA): Ÿ One unfair dismissal case regarding poor performance where an arbitration award was made against the organisation and after evaluation by the CANSA legal team was submitted for review to the Labour Court who ruled that the dismissal was procedurally and substantively fair and overruled the CCMA award of R96 000. The money was paid back to CANSA.

56 VOLUNTEERS VOLUNTEER DEVELOPMENT AND POSITIVE MANAGEMENT FEEDBACK Our volunteers are the cornerstone of all CANSA projects implemented in communities CANSA volunteers are active on so many My husband and I visit cancer and workplaces. Just over 7 000 trained volunteers are our foot soldiers in the fight fronts and often specialise in a particular patients together. We offer against cancer and they carry out invaluable work. Without our volunteers, CANSA field: practical support as well as Ÿ would not be able to provide holistic care and support to those affected by cancer. Youth are getting more involved offering spiritual support. I cannot services and projects mainly among their stress enough how much the Each year, CANSA celebrates International Volunteers Day on 5 December to thank our peers. CANSA training means to us. Ÿ ‘Feel Good Volunteers’ are mainly volunteers and raise awareness about their significant contribution to society. Special We are very proud CANSA functions were held country-wide by CANSA Care Centres to acknowledge and thank volunteers in a corporate and business setting who participate only on special volunteers and are thankful for volunteers. days e.g. International Nelson Mandela all the support from the CANSA Day or Giving Tuesday. personnel. Ÿ Virtual volunteers assist with online Mechiel & Maggie Lucas, POSITIVE fundraising, editing manuals or virtual West Coast marketing campaigns. FEEDBACK Ÿ Advocacy volunteers are the ‘voices’ for As a cancer survivor it is a the community and assist with access to privilege to be a CANSA treatment issues and also navigating the Ÿ volunteer. My own experience of health system for the patient. Patient care volunteers are trained to Ÿ Professional volunteers guide and assist offer practical, emotional and spiritual denial and later acceptance lay volunteers and some may be trained care to patients and their families. makes it possible to understand spokespersons on specific topics while Ÿ Health promotion volunteers get involved other survivors. To be a CANSA others contribute by offering pro bono with our health awareness campaigns and volunteer broadened my skills such as legal advice, training or some give health talks. outlook on life. Marie Boers, coaching. Ÿ Touch living with cancer (TLC) volunteers Ÿ Villiersdorp Phakamisa volunteers steer breast cancer are trained to interact and support survivors through the health care system children and families affected by cancer which leads to quicker diagnoses and while they receive their treatment at treatment. paediatric oncology wards. Ÿ Fundraising volunteers help raise funds and implement national, provincial and regional projects.

58 VOLUNTEER SNAPSHOT End March 2018 MARIETTE LOOTS BECOME A • 3 Business Unit Councils AWARDS 2017 VOLUNTEER • 32 Regional Management committees The annual national Mariette Loots Cancer Perhaps you would be interested to join • 219 Functional Liaison committees Trust Awards exemplify the commitment of our team as a volunteer? The role can be • 70 Committees in the development volunteers to cancer survivors. CANSA challenging, stimulating and extremely phase (becoming fully functional regional nominations are forwarded to the rewarding. Contact us on Mariette Loots Trust’s selection committee [email protected] or call toll-free 0800 Liaison committees) who select the Merit and two main award • 1 960 Members in volunteer leadership winners based on a stringent grading system. 22 66 22 or visit the nearest CANSA Care Centres – see www.cansa.org.za committees, 59% black & 41% white • 6 624 Contracted volunteers (leader MARIETTE LOOTS CANCER TRUST AWARD WINNER volunteers included) Corrie Botes, a cancer survivor • 128 Clustered orientation courses received the award for POSITIVE conducted (3-5 towns/communities dedicating her life to clustered together to ensure cost supporting cancer patients in FEEDBACK the Boland and Overberg effective volunteer training) I am a breast cancer survivor communities. for almost three years. CANSA • 1 000 in-service training workshops Mariette Loots Friends for Life trained me to be a volunteer offered to volunteer groups achievement award: and to do presentations. I now Wenda Bennet, a dedicated do awareness campaigns in my A volunteer complaint policy is managed by volunteer from Springbok in home community of Lesotho. the Service Delivery team to address any the Northern Cape provides support to survivors in the CANSA’s personnel assisted me volunteer concerns. In the reporting period, to recruit more volunteers. They only one complaint was received and Namaqua region. successfully resolved. also gave me CD’s to play at the Mariette Loots Cancer Trust merit award clinics and hospitals as well as winners: Ÿ Trudie van der Westhuizen written material to give to the POSITIVE (Boland/Overberg) community to learn about Ÿ Maureen Auret (West Coast) cancer. We now also offer FEEDBACK Ÿ Judy du Plessis (Kimberley/Karoo) counselling to Basotho patients. It is an honour and a joy to be Ÿ Amanda van Zyl (Kimberley/Karoo) I am very thankful. Mamahlako Ÿ part of the CANSA Relay For Marianna Nel (Bloemfontein) Lekhatla, Lesotho Life Committee. I meet so many interesting people and learn so much. To see the gratitude in the eyes of the survivors is an inspiration. Neville Wentzel, Worcester CENTRAL BUSINESS UNIT MERGER OF FREE STATE, KWAZULU-NATAL AND MPUMALANGA PROVINCES KEY HIGHLIGHTS

Ÿ The team at CANSA Bloemfontein Care AWARENESS Centre collaborated with the Free State Ÿ On World Cancer Day, 4 February 2018, Arts Festival to raise awareness and funds the CANSA Durban Care Centre hosted and encouraged active lifestyles. ‘Gijima for CANSA’ supported by 500 Ÿ ‘Pink Trees for Pauline’ was rolled out in people who covered the 5km to raise the Free State helping to raise R42 000 awareness of leading active lifestyles. and wrapping trees in pink during Ÿ The CANSA Durban Care Centre September and October 2017, income is continued their partnership with ‘Knitted used specifically for patient care. Knockers’ producing knitted breast Ÿ During December 2017, CANSA prostheses to donate to breast cancer Bethlehem Care Centre partnered with survivors. Arrive Alive in Reitz, Frankfort and Ÿ In November 2017, CANSA raised Heilbron and in association with the SunSmart awareness and provided free Kwikspar (Bethlehem) they provide sunscreen to 800 spectators and sunscreen for volunteers, motorists and participants at the Midlands Triathlon in local traffic and police departments. Howick. Ÿ More SunSmart awareness was promoted at the Ehlanzeni Triathlon Longmeer Dam, HEALTH AND AWARENESS Whiteriver in January 2018 with free sunscreen on offer by the CANSA Lowveld BY NUMBERS Care Centre team. • 3 30 433 attendees at 795 cancer awareness talks Ÿ CANSA Lowveld Care Centre partnered • 2 099 079 took part in 572 cancer awareness with ‘Right to Care’ and hosted a cancer awareness walk in Kanyamazane in exhibitions, health days and health camps October 2017 and provided 38 clinical • 3 924 heard 1 456 talks on screening and breast examinations and Pap smears. early detection Ÿ The Free State Toyota Cheetahs rugby • 4 2 888 visited 429 screening and early detection team established a partnership with the CANSA Bloemfontein Care Centre as the exhibitions charity of choice. • 2 2 547 youth were reached at 69 schools and educational facilities • 1 7 795 cancer awareness leaflets were distributed Ÿ As part of World Cancer Day (4 February EARLY DETECTION AND CARE AND SUPPORT 2018), 16 children and families affected JOINING THE FIGHT Ÿ SCREENING The CANSA Mkhuhla Care Home in by cancer were sponsored a visit to TOGETHER Ÿ In October 2017, a wellness day was held Durban was upgraded and renovated due Sakkies Farm Yard in Lowveld, that was In August 2017, the Free State Non- at the Anglo American Kriel Colliery where to the generosity of SPAR, Mount arranged by the local CANSA TLC Communicable Diseases Alliance (FSNCD 318 Prostate Specific Antigen (PSA) tests, Edgecombe Country Club and Decorland. volunteers. Alliance) was established between several Ÿ 83 Pap smears, 110 clinical breast CANSA Richards Bay Care Centre Ÿ ‘Giving Tuesday’ is highlighted each year non-profit organisations and government examinations and 403 FotoFinder supported the public-private partnership in November encouraging partners and departments. Initiated by CANSA, the aim is examinations were conducted resulting in between Dr Abrahams Oncology and donors to join the fight against cancer. to lead provincial civil society advocacy to 40 referrals. Ngwelezane, formed in response to the The CANSA Olea Care Home in Free State assist in fulfilling legislative commitments Ÿ A partnership was established between oncology crisis in KwaZulu-Natal public received non-perishable goods for cancer regarding NCD prevention and control. The Samancor mine and the CANSA Witbank hospitals, through weekly counselling and patients from CityMed in Bloemfontein. Alliance has led to the establishment of a Care Centre to raise awareness and offer information sessions with diagnosed Ÿ The CANSA Bloemfontein Care Centre childhood cancer work group to assist and cancer screening to employees. patients. provides training to the nurses from the support patients as a collective. Ÿ Ÿ In December 2017, a new partnership was International Volunteers Day was National Oncology Unit and cancer formed between CANSA and TLC Hospice celebrated throughout the Unit with education that benefits cancer patients A FS NCD Alliance Seminar was also hosted on to expand our services in via regular joint many Care Centres hosting events and and survivors. 7 March 2018 addressing international cancer screening events in that celebrations to thank volunteers for their trends to combat NCDs and to strengthen our community. service and dedication. voice on behalf of patients. Ÿ Ÿ Avon Justine donated funds for CANSA’s The CANSA Lowveld Care SUPPORT BY NUMBERS mobile health clinics that led to 1 476 Centre bid a fond farewell to screenings of 448 women throughout Sister Rona Labuschagne who • 28 123 cancer survivors and their loved ones KwaZulu-Natal between October and retired after 33 years of received patient care service to the community. December 2017. • 8 547 survivors received home-based care VOLUNTEER • 642 patients were accommodated at the three SNAPSHOT CANSA Care Homes, totalling 8 461 bed days SCREENING BY NUMBERS • 92 Liaison Committees • 44 support groups were established and We conducted screenings at CANSA Care Centres, • 284 Health Programme maintained, attended by 1 233 survivors as well as in remote areas which we accessed with Volunteers • 103 people were given access to medical mobile health clinics. • 554 Care and Support equipment and other assistive devices • 2 253 Pap smears for cervical cancer and 239 with the Volunteers • 5 155 patients were supported at oncology Department of Health. • 23 Administration clinics while receiving cancer treatment • 3 252 clinical breast examinations to detect breast Volunteers • 633 beneficiaries received care and support lumps plus 112 with the Department of Health. • 293 Fund Development as part of the CANSA Tough Living with • 1 914 Prostate Specific Antigen (PSA) tests to detect Volunteers Cancer (TLC) programme prostate abnormalities. • 62 Phakamisa navigators • 164 skin examinations. to assist with support and • 4 451 people were assessed to determine their healthy care of breast cancer lifestyle risk. patients • 453 blood glucose tests for diabetes. On average, 9% abnormalities were detected 62

Honourable Mention) for CANSA Relay Ÿ The CANSA Bloemfontein Care Centre FUND DEVELOPMENT For Life, Middlburg, Witbank and hosted a breast cancer walk with 580 Ÿ A Cuppa For CANSA launch took place on Bronkhorstspruit. participants in October 2017 at the 14 June 2017 in Bloemfontein sponsored Ÿ The team at the CANSA Durban Care Achilles Marathon Club that was by Shoprite Checkers who donated Centre, assisted by 60 volunteers, packed sponsored by OFM and generated an R18 500 towards the CANSA over 20 000 goody bags for runners income of R131 000. Bloemfontein Care Centre. participating in the 2017 Spar Ladies’ Ÿ The Bothaville community held a breast Ÿ Various Cuppa For CANSA events were Race and raised R70 000 towards CANSA cancer walk and Shavathon event in hosted during the year including St. as the official charity beneficiary. February 2018 in aid of CANSA that raised Mary’s DSG Kloof that raised R23 165 00, Ÿ Renika Rampersad, a cancer survivor R14 200 and saw 150 children taking part. ‘Hope to Live’ Northdale Support Group in Ladysmith hosted a volleyball raised R50 000, the Ansie Van Marle event tournament in 2017 that raised R10 000 raised just over R20 000 while Berea for CANSA. FUND DEVELOPMENT Placement in Bloemfontein raised Ÿ In October 2017, free sunscreen and skin R14 476 770 R13 500. examinations were provided (using the Ÿ The following main events were successfully The 147 Sanlam Cancer Challenge club FotoFinder device) at the CANSA Active and regional competitions were held Run event at Bronkhorstspruit Dam. championed with the help of our dedicated during the year and raised R909 229. Ÿ The ‘CANSA Socialite’ finals event took volunteers: Ÿ In February and March 2018, R955 755 place in Casterbridge in October 2017 • CANSA Relay For Life - R1 916 530 was raised by 79 shopping centres and with representatives from Boss Model, • CANSA Shavathon - R955 755 105 workplaces Shavathon-related Top Model, SATCH and Wilhelmina New events. York that generated R34 000. • Sanlam Cancer Challenge - R909 229 Ÿ The following Relay For Life communities Ÿ Galitos in Mpumalanga hosted a golf day • Cuppa For CANSA - R1 583 371 raised R1 916 530: - Mpumalanga: for the CANSA Lowveld Care Centre at the • CANSA Active - R302 985 Nelspruit, Secunda, Ermelo, White River Golf Estate that helped to Bronkhorstspruit, Witbank, Middelburg, raise R50 000. • Teledonations - R733 418 Onderberg, Lydenburg KZN: Ladysmith, Ÿ In October 2017, Kruinpark Primary • Toktokkie (Tap-Tap) - R38 258 Pietermaritzburg, Durban, Athol Heights, School hosted a project in association • Breast Health Walks - R129 183 Estcourt, Newcastle, Port Shepstone, with ATKV to raise funds for CANSA, • Jail n Bail - R115 222 Eshowe, Reservoir Hills. Free State: Toktokkie (Tap-Tap) made a visit to Bloemfontein, Welkom, Bethlehem, promote cancer awareness and • Special regional events - R1 265 032 Reitz, Ficksburg, Senekal and Qwa Qwa. education. • Other - R6 527 787 Ÿ The Global Relay For Life Heroes of Hope Ÿ The Nelspruit Care Centre held its very (grants, donations, trusts and bequests) survivorship initiative involves the first ‘Car Sit-In’ in 2017 at the Riverside selection of 'Heroes of Hope' from the Mall with sponsorship from Mercedes global Relay participating countries. and entertainment by the local CrossFit Cancer survivor Jorina Strydom (Welkom) team. was awarded this great honour in 2018. Ÿ Almost R68 000 was raised at the annual Gregory Naidoo from Durban was Rooi Rose tea hosted in Bloemfontein on appointed as the first Global Hero of Hope 9 September 2017 with Global Hero Of Caregiver. Hope, Jana Du Plessis as guest speaker Ÿ A Global Spirit Of Relay awards, presented making her last public appearance as she by the American Cancer Society was given sadly passed away later that year. to Andries Du Preez (Staff Award:

64 NORTHERN BUSINESS UNIT MERGER OF GAUTENG, NORTH WEST AND LIMPOPO PROVINCES KEY

HIGHLIGHTS HEALTH AND AWARENESS BY NUMBERS • 2 59 995 people were reached through 862 talks Centre hosted an exhibition and reached on cancer awareness AWARENESS 340 people. • 315 024 took part in 602 cancer awareness Ÿ Ÿ In April 2017, wellness days were hosted at The Ranch Trial Run took place in exhibitions, health days and health camps Polokwane in November 2017 in aid of five Tsogo Sun International Hotels in • 9 714 heard 85 talks on screening and early Gauteng, assessing 400 employees with CANSA with 560 participants. healthy lifestyle risk assessments. Ÿ In May 2017, Toktokkie (Tap-Tap) visited detection Ÿ CANSA Rustenburg Care Centre educated Stokmannetjies Pre-Primary School in • A total of 76 626 leaners were educated at 157 Lephalale educating 60 children on the leaners about dangers of tobacco at schools and education facilities Freedom Park Primary School reaching importance of exercise to lower the cancer 2 560 learners in May 2017. risk. • 40 524 cancer awareness leaflets and posters Ÿ In June 2017, a cancer awareness Ÿ A CANSA Relay Recess event was held in were distributed campaign was implemented at the NG April 2017 at the Sonskyn Nursery School in Protea Park in Rustenburg and also Vereeniging where 57 children were taught promoted services offered at the CANSA how to be cancer smart while Toktokkie Rustenburg Care Centre. (Rap-Tap) visited Sonstraaltjie Kleuterskool Ÿ Approximately 250 people visited the in Vanderbijlpark in June 2017 also CANSA stand at the Steve Biko Academic promoting cancer awareness. Hospital in August 2017 as part of Ÿ Tekkie Tax was held on 26 May 2018 childhood cancer awareness campaign. focusing on educating the community Ÿ In October 2017, a Breast Health Walk was regarding cancer at Hero Kids, Sonskyn organised in rural Seraleng and Tlokweng Kleuterskool, Smurfland and Mooivaal villages raising awareness and educating Media by the CANSA Vaal Care Centre. 540 women regarding breast self- Ÿ In July 2017, cancer survivor, Jacques examinations. Bekker was raised 4m above the ground on Ÿ A Jubilee fun walk took place at Jubilee a 2x2m platform which he called home for Christiaan High School in May 2017 in the 75 days with the aim of raising awareness West Rand where 26 clinical breast about coping with cancer. examinations and four healthy lifestyle risk Ÿ The annual East Rand Women's Health assessments were done. Walk / Run took place in October 2017 in Ÿ At a Bankmed wellness day held in June association with Hyperlife, Decathlon and 2017, the CANSA Western Gauteng Care Rietvlei Zoo Farm with 1 600 participants.

66 Ÿ CANSA partnered with the South African EARLY DETECTION National Blood Service as part of International Nelson Mandela Day in AND SCREENINGD Melrose at Stanlib and provided healthy Ÿ The team from CANSA West Rand Care lifestyle risk assessments as well as 15 Centre presented a health talk to 27 Prostate Specific Antigen (PSA) tests. women in Hillbrow in August 2017 Ÿ A Men's Health awareness talk was demonstrating breast self-examinations. delivered at the Vaal University of Ÿ In June 2017, CANSA Rustenburg Care Technology (VUT) to 186 students focusing Centre provided 39 FotoFinder mole on testicular cancer awareness in March examinations in in the communities of 2018. Mooinooi and Brits. Ÿ During July 2017, a health awareness event Ÿ Women's Day celebrations took place at took place in Refenkhotso (Deneysville) Mogwase, Mafikeng and Freedom Park in that included health talks and 46 Pap Rustenburg, reaching 1 560 people. smears and 56 clinical breast examinations Sponsored by ABSA, 300 tests were were done. conducted including Pap smears, clinical Ÿ A Wellness event was held in September breast examinations, Prostate Specific 2017 at Envestpro in Midrand where 13 Antigen (PSA) and blood pressure. clinical breast examinations; 15 Prostate Ÿ Wellness days were in huge demand with Specific Antigen (PSA) tests and 16 98 companies and 153 employee wellness FotoFinder mole examinations were events taken place in Johannesburg, performed. Pretoria and Rustenburg regions. Ÿ A total of 60 wellness days for the Sibanye Gold Mining company were provided in SCREENING BY NUMBERS September and October screening 480 women with clincial breast examinations We conducted screenings at CANSA Care Centres, and 401 Pap smears resulting in 240 overall as well as in remote areas which we accessed with abnormalities detected. mobile health clinics. Ÿ Screening took place at the Correctional Services where 201 Pap smears, 150 • 2 260 Pap smears for cervical cancer clinical breast examinations and 134 • 2 947 clinical breast examinations done and 13 Prostate Specific Antigen (PSA) tests were SureTouch examinations performed. A national partnership with the • 1 343 Prostate Specific Antigen (PSA) tests were done to Correctional Services was also established for wellness days. detect abnormalities Ÿ In January 2018, the CANSA Northern • 113 skin examinations and 578 FotoFinder examinations Gauteng Care Centre team provided 32 • 1 459 people assessed for their healthy lifestyle risk Prostate Specific Antigen (PSA) tests at the • 142 blood glucose test for diabetes SAGES golf day and offered individual counselling sessions. • 570 cholesterol testing Ÿ An anti-tobacco awareness drive was held at the Sol Plaatje Secondary School in Abnormalities detected averaged at 3.1% of Rustenburg in May 2017. the screenings conducted

67 Ÿ CANSA staff and volunteers promoted CARE AND SunSmart awareness and provided free sunscreen to cyclists taking part in a SUPPORT mountain bike event held in July 2017 at Ÿ International Cancer Survivors' Day was the Mabalingwe Nature Reserve in Bela celebrated at the CANSA Rustenburg Care Bela. Centre in June with 58 survivors in Brits and Ÿ A family sport day was arranged by Thorny Rustenburg. Bush in September 2017 where Ÿ A further celebration was held in honour of participants had moles and spots 24 survivors at the Dr Verbeek's Oncology examined with the FotoFinder device and centre in Krugersdorp. funds raised amounted to R52 769. Ÿ In October 2017, the patients at the CANSA Ÿ In January 2018, CANSA attended a Tipuana Care Home in Kensington wellness event hosted by Coca-Cola in (Gauteng) were treated to a laughter Polokwane where health talks were done therapy session at their weekly support and 100 people screened. group meeting held every Thursday. A special lunch was also served as part of Valentine's Day to the patients at the home in February 2018. SUPPORT BY NUMBERS Ÿ A new stoma support group and open clinic was started every Thursday in the CANSA • 33 360 cancer survivors and loved ones received Pretoria Care Centre – approximately 565 patient care patients make use of CANSA's stoma • 13 192 survivors received home-based care services. VOLUNTEER SNAPSHOT Ÿ In February 2018, the CANSA Mokopane • 1 067 patients were accommodated at the Tipuana, Care Centre established its first cancer Keurboom, James Kingston, Theunis Fichardt, • 66 Liaison Committees support group with 10 patients and is Polokwane CANSA Care Homes and Paediatric • 316 Health Programme volunteers growing substantially. oncology Ward (totalling 7 554 bed-days) • 63 Care and Support volunteers Ÿ The team at the CANSA Pretoria Care Centre focused on SunSmart awareness at • 36 support groups established and maintained and • 7 Administration Volunteers their support group meeting held in attended by 4 987 survivors • 264 Fund Development volunteers January 2017 that was also attended by • 1 465 people were provided access to medical • 11 Phakamisa Navigators two 4th year medical students from Tshwane University. equipment and other assistive devices Ÿ In October 2017, Liquid Capital, Regent & • 1 886 patients were supported at oncology clinic Motor Happy in East Rand hosted 'Shades while receiving treatment of Pink' walks raising women's health • 359 beneficiaries received care and support as awareness and R19 370. part of the CANSA Tough Living with Cancer (TLC) programme

68 Pretoria Polokwane, Randfontein, Gauteng Care team provided free FUND Roodepoort, Rustenburg , Saamspan and sunscreen to participants and spectators at Vaal Triangle. In October 2017, the CANSA the annual Warrior Race at Tierpoort DEVELOPMENT Relay For Life, East Rand team hosted a Adventure Farm and raised R7 000. Ÿ The annual Rooi Rose Tea was held on 'Bedazzle Your Bra' gala dinner that raised Ÿ The Miss and Mr CANSA West Rand took 18 October 2017 in Pretoria, attended by R58 200. place in August 2017 and generated 1 600 guests and raised R422 000. Ÿ The Global Relay For Life Heroes of Hope R38 763 supported by Oxygen Models in Ÿ Cuppa For CANSA launches took place in survivorship initiative involves the Krugersdorp and Vogue from Pretoria. June 2017 at CANSA's Head Office and also selection of 'Heroes of Hope' from the Ÿ In November 2017, the Pink Makietie event in Pretoria sponsored by Shoprite global Relay participating countries. was held in Pretoria that Checkers. The launch was in the format of Cancer survivors Elaine Bronkhorst raised R40 000 for the FUND DEVELOPMENT cooking class promoting healthy meals and (Vereeniging) and Jana Grobler (Pretoria) CANSA Northern Gauteng R17 795 386 recipes. were awarded this great honour in 2018. Care Centre. Ÿ Tekkie Tax was held on 26 May nationally Sadly Jana passed away in July 2018, her The following main events were successfully with RE Rite models in Polokwane that sold legacy will live on through her family, championed with the help of our dedicated 220 laces and stickers. friends, Relay committee and CANSA staff. volunteers: Ÿ Ÿ A Global Spirit Of Relay awards, presented A total of 99 Sanlam Cancer Challenge club • CANSA Relay For Life - R2 355 575 and regional competitions were held by the American Cancer Society was given during the year and raised R1 071 232. to Student Event Award – Honourable • CANSA Shavathon - R2 740 438 Ÿ Golf days were arranged in support of Mention to CANSA Relay For Life, CAPA. • Sanlam Cancer Challenge - R1 071 232 Ÿ CANSA: Sages in Potchefstroom raised The Cycle4CANSA at Sun City in August • Cuppa For CANSA - R1 296 295 R20 000 at its event in July 2017, Optimum 2017 saw 4 600 mountain bike and road hosted a day in September 2017 while the cyclists riding in support of CANSA North • CANSA Active - R489 391 Wingate Park Country club raised R103 000 West Care Centre and Optimum Financial • Teledonations - R4 663 989 for the CANSA Pretoria Care Centre. Services Group donated R60 000. • Toktokkie (Tap-Tap) - R94 966 Ÿ Ÿ In October 2017, the CANSA Northern The annual CANSA Breast Walk took place • Breast Health Walks - R241 347 in Heidelberg in October 2017 attended by 300 people and raised more than R25 000. • Jail n Bail - R268 046 Ÿ The following Relay For Life communities • Special regional events - R1 074 682 raised more than R2 355 575; East Rand, • Other - R3 499 425 Brits, Klerksdorp, Lephalale, Mokopane, (grants, donations, trusts and bequests)

69 WINNER: Most Improved Division Western Cape (April 2016 to end March 2017)

SOUTHERN BUSINESS UNIT MERGER OF EASTERN, NORTHERN AND WESTERN CAPE PROVINCES KEY HIGHLIGHTS

CANSA Kimberley Care Centre held AWARENESS an exhibition on dangers of tobacco Ÿ In April 2017, a youth awareness drive at the Diamond Pavilion Mall and was launched in Postmasburg that interacted with 120 visitors. recruited children as health Ÿ The CANSA George Care Centre team awareness volunteers. promoted info regarding prostate, Ÿ The first Youth committee meeting testicular and lung cancer at San for Namaqua was in Komaggas in Parks in Wildernis in June 2017. May 2017 with dedicated youth Ÿ During June 2017 in Ceres and committing to this programme. Wolseley, anti-tobacco awareness Ÿ Heartbeat FM radio station in George was a focus at the Wolseley feature a monthly slot regarding Secondary School, WF Loots Primary cancer awareness and education. School and Bella Vista Primary Ÿ During the annual Wildeklaver Sport School, educating 900 students by event from 28 April to 1 May 2017, CANSA volunteers. school holidays, educating on leading Department of Education in August CANSA did SunSmart awareness Ÿ The CANSA George Care Centre healthy balanced lifestyles. 2017 where 350 learners from the reaching 300 people. hosted wellness programmes for Ÿ In August 2017, the CANSA Cape School of Skills received information Ÿ The annual CANSA Run for Bikers, employees of various Government Metro Care Centre hosted a on breast and testicular cancer. organised by the Christian departments in June encouraging symposium highlighting patient, Ÿ In August 2017, the staff from CANSA Motorcyclists Association of men to have Prostate Specific Antigen public and private partnerships Beaufort West and Oudtshoorn Kimberley, took place in May 2017 (PSA) tests. addressing the burden of cancer. presented on childhood cancer at the raising awareness around being Ÿ Awareness was raised about breast Ÿ During visits to colleges in Mossel Bay Place of Safety and Foster Care SunSmart. and cervical cancer to learners at and Oudtshoorn in August 2017, the parents. Ÿ Leader Volunteer, Lebogang Bezela, Hillcrest High School in Mossel Bay in CANSA George Care Centre team Ÿ The CANSA Port Elizabeth Care joined CANSA's weekly slot at the RTS July 2017. provided clinical breast examinations Centre welcomed third-year year FM radio station in Kimberley during Ÿ CANSA partnered with the University and breast health talks. students from the Nelson Mandela May sharing info on anti-tobacco. of Fort Hare and hosted a youth Ÿ CANSA Oudtshoorn Care Centre took Metropolitan University Department Ÿ On World No Tobacco Day (31 May) workshop in Tarkastad during the July part in an Expo organised by the of Nursing Science.

71 Ÿ During September 2017, international Ÿ Transnet in East London invited the attended the Tobacco-Free Ÿ Middledrift Correctional Services volunteers from Canada and Kenya CANSA Care Centre to attend their Generation training at the Sports invited the CANSA East London Care visited the CANSA Cape Metro Care workplace awareness event during Science Institute of South Africa that Centre to demonstrate how to Centre as part of an education November 2017. included a presentation by lung perform self-breast examinations to learning experience. Ÿ In November 2017 the CANSA Port surgeon, Dr Koong from Singapore. 250 members in March 2018. Ÿ Radio Riverside radio station Elizabeth Care Centre joined hands Ÿ During March 2018, SunSmart Ÿ During September 2017, CANSA partnered with CANSA Upington Care with Nanaga Farm in Alexandria awareness campaigns were done in visited the Anhalt farming Centre to discuss symptoms and hosting a Wellness Day for their East London at Clarendon and community in Uniondale raising signs of childhood cancer in workers. Selbourne Primary and High Schools' breast, prostate and testicular cancer September 2017. Ÿ In February 2018, the CANSA Cape joint entrepreneurs day with awareness reaching 60 farm workers. Ÿ The Lotus River Community Health Metro Care Centre and UCT co- approximately 3000 scholars, staff Ÿ During December 2017 the CANSA Clinic held their annual Community hosted a Cancer Research and parents, grandparents and East London Care Centre raised Wellness Day in September 2017 with Symposium focusing on medical visitors attending. SunSmart and skin cancer awareness CANSA showcasing local services. treatment research, types of field Ÿ The CANSA Cape Metro Care Centre for people living with albinism in the Ÿ During September 2017 the CANSA research, global statistics and had an exhibition at the University of Buffalo City Metro. East London Care Centre hosted a palliative care. the Western Cape 2018 Wellness Day symposium in partnership with the Ÿ CANSA attends the weekly meeting of focusing on anti-tobacco and the Frere Hospital Oncology Unit in the palliative care team at Groote eKick Butt programme in March 2018. Queenstown attended by medical Schuur Hospital. professionals, caregivers, support Ÿ Staff and volunteers from CANSA groups and faith based Cape Metro Care Centre attended a organisations. HPV campaign event in Khayelitsha in HEALTH AND AWARENESS Ÿ CANSA did road shows in March 2018 sharing information on BY NUMBERS Queenstown, Cradock, Hofmeyr, cancer treatment. • 101 394 attendees at 1 514 cancer awareness talks Middelburg in the Chris Hani District Ÿ During March 2018, CANSA East • 38 843 took part in 349 cancer awareness during October 2017 reaching 500 London Care Centre held a SunSmart exhibitions, health days and health camps people regarding Women's Health. awareness campaign at Lilyfontein • 10 112 heard 114 talks on screening and early Ÿ In October and November 2017, Preparatory, Primary and High CANSA raised awareness at the Office Schools at their annual sports day detection of the Premier and at the Department with 840 children and adults. • 1 665 visited 17 screening and early detection of Home Affairs in King Williams Town Ÿ The staff from CANSA Port Elizabeth exhibitions reaching approximately 500 people. Care Centre attended a Wellness Day • 35 409 youth were reached at 132 schools and Ÿ The Department of Sport and Culture at Khanyisa School for the Blind in educational facilities in Peddie invited the CANSA East March 2018 informing learners about • 1 114 cancer awareness leaflets were distributed London Care Centre to present at cancer. their Men's Health Forum in October Ÿ In staff March 2018, the team at 2017. CANSA Cape Metro Care Centre

72 Smokerlyzer tests for farm workers. Ÿ A cancer awareness outreach was Ÿ CANSA was a service provider at the EARLY DETECTION Ÿ A wellness day was held at the done during August 2017 in annual West Coast Education District AND SCREENING Kraaifontein Super Spar in July 2017 Witzenberg and Ceres providing 94 Employee Health and Wellness Day in utilising the CANSA Mobile Health screenings by the team from CANSA August 2017 in Paarl. Ÿ In June 2017, the CANSA Paarl Care Clinic from CANSA Cape Metro Care Paarl Care Centre. Ÿ CANSA established a partnership Centre service team screened 47 Centre, conducting 46 clinical breast Ÿ As part of Women's Day in August with the South African Police Service women at Boschendal Estate, examinations and 47 healthy lifestyle 2017, CANSA Cape Metro Care Centre in August 2017 in Stellenbosch including a test using the risk assessments. in partnership with FROGG Centre promoting awareness about breast Smokerlyzer, an awareness tool used Ÿ CANSA partnered with the Chatty (Mitchell's Plain), educated and and prostate cancer at a wellness day. to detect carbon monoxide in lungs. Clinic of Department of Health in Port screened 150 women at the Artscape Ÿ Upington Toyota hosted a Wellness Ÿ CANSA in association with Elizabeth in August 2017 to host a Women's Humanity Arts Festival - the Day in September 2017 with CANSA 'IloveBoobies' outreach programme screening day for cervical and breast referral rate was 22%, indicating the offering screenings and healthy provided 16 Pap smears and 17 cancer. need for more information and lifestyle risk assessments. clinical breast examinations at the Ÿ In partnership with Campus Health education programmes to reduce the Ÿ The team from CANSA Springbok Fairview Wine and Cheese Farm in from Stellenbosch University, cancer risk. Care Centre did health talks at the June 2017. Screening was also done students received information on Ÿ During an Open Day in August 2017 at Ubunta Women's Health Day in at the Meerendal Estate in August women's health and 99 clinical breast Matjieskloof, hosted by CANSA Steinkopf in September 2017. 2017 with clinical breast examinations were performed as Springbok Care Centre, more than examinations, Prostate Specific part of an annual Women's Day 100 screenings were done. Antigen (PSA) blood tests, healthy celebration. lifestyle risk assessments, and Ÿ During October 2017 the CANSA Ÿ OPTIKA Vredendal donated R50 for Mobile Health Clinic visited five every eye test completed during community clinics in Port Elizabeth November 2017 towards screenings area to assist with screenings at the CANSA Vredendal Care Centre (Motherwell, Laetitia Bam, Chatty, sponsoring five SureTouch breast Walmer and Masakhane). examinations, 15 Prostate Specific Ÿ A total of 28 Pap smears and 42 Antigen (PSA) blood tests and a clinical breast examinations were clinical breast examination. done at Mossel Bay and Hartenbos Ÿ Badger Holdings invited CANSA Clinics in October 2017 with three George Care Centre to attend a referrals. Wellness Day during November 2017 Ÿ The CANSA Mobile Health Clinic where 18 clinical breast examinations visited Ashton, Worcester, Annie and 15 Pap smears were performed Brown Clinic and Montana Clinics (ten of those women had a Pap smear during October 2017 to do clinical for the first time). breast examinations. Ÿ A cervical cancer campaign was Ÿ Pioneer Food in Worcester and Paarl implemented in March 2018 in invited CANSA provide clinical breast Gugulethu and Mitchell's Plain by the examinations. Department of Health and CANSA.

SCREENING BY NUMBERS We conducted screenings at CANSA Care Centres, as well as in remote areas which we accessed with mobile health clinics. • 1 996 Pap smears for cervical cancer and 1 385 with the Department of Health. • 4 857 clinical breast examinations; 37 SureTouch examinations and 815 with Department of Health • 1 676 Prostate Specific Antigen (PSA) tests to detect prostate abnormalities • 91 skin examinations and 287 FotoFinder examinations • 807 people(Unaudited assessed figures at the time for of print)their healthy lifestyle risk • 773 blood glucose tests for diabetes Abnormalities detected averaged at 5% of the screenings conducted

74 Ÿ A CANSA support group was founded Ÿ Staff and volunteers visited the Ÿ Volunteer training was hosted by the CARE AND in the Sederkem Clinic in Clanwilliam casualty ward of Oudtshoorn CANSA George Care Centre during SUPPORT in June 2017 that meet every six Provincial Hospital and distributed 67 August 2017 to offer emotional weeks while the CANSA Support food parcels and warm caps to support to cancer patients and their Ÿ The staff of CANSA Eikehof and Group for cancer survivors and patients as part of Nelson Mandela loved families while CANSA TLC Tygerberg Care Homes were trained caregivers from Ceres meets every International Day. training was offered in July 2017 for regarding emotional assistance and Tuesday of the month. Ÿ The City of Cape Town: Library new volunteers at CANSA Cape Metro understanding of a cancer patient. Ÿ On Nelson Mandela International Services staff refurbished bedrooms, Care Centre. Ÿ International Cancer Survivors' Day Day, a new CANSA TLC support group Omron Electronics provided 30 Ÿ Phakamisa and non-clinical training was celebrated at the Oncology was started in Vredendal that will toiletry packs for cancer survivors was hosted in Oudtshoorn to Department of George, by the CANSA meet every second month while the and also refurbished a bedroom volunteers and staff from Beaufort Sunflower Cancer Support Group first breast cancer support group while the Legacy Hotels and Resorts West, George, Oudtshoorn and sponsoring knitted blankets and gifts meeting in Dana Bay happened in painted a bedroom and donated 67 Mossel Bay in September 2017. while volunteers from Stilbaai also October 2017. gowns, care packages and linen at the Ÿ Further patient volunteer training handed out blankets and gifs to Ÿ The CANSA East London Care Centre CANSA Eikehof Care Home. Team was arranged in Springbok and cancer survivors. (This group pledged their 67 minutes for Nelson Project Smile also handed out treats Komaggas in March and August 2017 comprises 80 volunteers who offer Mandela International Day, by and toiletry packs to residents. to assist with care and support to their time to serve patients). teaching patients in ward J2 at Frere Ÿ During July 2017 Tiger Brands Paarl cancer patients and families. Ÿ Oncology children and their mothers Hospital beadwork, in partnership branch hosted a gathering for Ÿ Staff and volunteers attended a at G3 Paediatric Oncology Ward at with Women In Action from the childhood cancer survivors and Palliative Care workshop at the Tygerberg Hospital were part of a Universal Church. parents. Tygerberg Medical Campus in March craft morning in June 2017. 2018.

75 Ÿ Prokids Campus and 'Team Family Ÿ CANSA TLC children took part in the Matters' from CANSA Relay For Life, 'Last Team Standing Fives Football Mitchell's Plain visited Ward G3 at Tournament' in September 2017 Tygerberg Hospital to hand out winning all games and receiving a blankets to Paediatric Oncology R7 000 donation. SUPPORT BY NUMBERS Ÿ children and parents. A women's health awareness day was • 20 565 cancer survivors and their loved ones Ÿ During August 2017, staff from held at Hillside Community Clinic in Melomed Tokai and Gatesville Beaufort West during October 2017. received patient care Hospitals visited the CANSA Eikehof Ÿ A CANSA TLC end-of-year party for 38 • 79 survivors received home-based care Care Home to treat patients with children was held in November 2017 • 988 patients were accommodated at the four makeovers, gifts and created a new in Langebaan arranged by volunteers CANSA Care Homes, totalling 12 006 bed-days herb garden (two CANSA support from Malmesbury and Langebaan. • 87 support groups established and maintained, Ÿ groups are also established at the During December 2017, staff and attended by 4 419 survivors hospitals). volunteers from CANSA Port • 219 were provided access to medical equipment Ÿ A new Palliative In-Patient Care Unit Elizabeth Care Centre visited the Port (PIPU) was opened at Huis Elizabeth Provincial Hospital to hand and other assistive devices Namakwaland in Springbok in August out food parcels to childhood cancer • 4 114 patients were supported at oncology clinics 2017. patients. while receiving cancer treatment Ÿ In September 2017 'Mamas Pay It Ÿ CANSA East London Care Centre staff • 361 beneficiaries received care and support as Forward' together with Table in partnership with the Anglican part of the CANSA Tough Living With Cancer (TLC) Mountain National Park sponsored Church and Nahoon Methodist programme 20 kids and 15 volunteers a trip to Church visited patients at Frere Table Mountain. Hospital's J2 Oncology Step Down Ÿ The staff from CANSA Upington Care facility providing toiletries at an end- Centre together with St John's of-year gathering in December 2017. Methodist Church supported Ÿ CANSA Cape Metro Care Centre VOLUNTEER SNAPSHOT children in Dr Harry Surtie Hospital raised R30 000 for patient • 85 Active Liaison Committees and 37 in development with food parcels, gifts and consumables such as nappies and • 306 Health Programme volunteers motivational letters to children with food supplements for cancer • 792 Care and support volunteers cancer. patients. Ÿ Thank you to the management and • 4 Administration volunteers staff at Pinewood Technologies SA for • 259 Fund Development volunteers a R72 000 donation towards the • 44 Phakamisa navigators to assist with support and CANSA Eikehof Care Home. care to breast cancer patients Ÿ The CANSA Cape Metro and West Coast Care Centres raised R145 000 as part of the 'Pink Trees for Pauline' that is used for care and support programmes.

76 Ÿ Melomed Private Hospitals in Cape spectators at the annual Warrior Race Ÿ The CANSA George Care Centre FUND Town hosted a Cuppa For CANSA on at Meerendal Wine Estate. partnered with Bestmed in DEVELOPMENT 14 October 2017, raising R16 000, Ÿ October 2017 saw the annual December 2017 in Oudthoorn, with Jo Da Silva (Gita from 7de Laan), Matrieknooi (Matric Girl) event in George and Hartenbos doing Ÿ Tekkie Tax was held on 26 May as guest speaker and cancer survivor. Kimberley with 800 guests and raised SunSmart beach activations and nationally with the CANSA West Coast Ÿ In August 2017, CANSA partnered a record R258 129. promoting leading balanced Care Centre selling 1 122 Tekkie Tags with Bestmed at the Choka Trial Run Ÿ A total of seven towns in the Northern lifestyles. and 2 880 stickers. in Cape St Francis Bay providing Cape and eight in the Southern Cape Ÿ CANSA Kimberley Care Centre raised Ÿ Richard Geyer honoured his sunscreen and raising SunSmart hosted 'Shades of Pink' breast health R103 521 with its annual Jail n Bail grandfather Bob who passed away of awareness as well as at the Makro walks in October and November 2017 event in November 2017. bladder cancer by raising R107 000 Cycle and MTB Tour in Port Elizabeth raising awareness and funds. Ÿ Toktokkie volunteers in West Coast, for CANSA. He ran 1000 km's from in September 2017. Ÿ Glacier hosted their annual corporate Boland/Overberg, Southern Port Elizabeth to Durban from 26 May Ÿ A total of R120 00 was raised at the golf day at Erinvale Golf Club in C a p e / K l e i n K a r o o a n d to 4 June 2017, completing the annual Rooi Rose tea hosted in November 2017 and raised R20 000. Kimberley/Karoo regions raised Comrades Marathon. Stellenbosch on 16 September 2017. Ÿ The annual Algoa FM Big Walk for almost R500 000. Ÿ A total of five Mrs SA finalists raised Ÿ The CANSA Cape Metro Care Centre Cancer took place in Port Elizabeth on Ÿ CANSA East London Care Centre funds for CANSA by hosting events in staff and volunteers manned a water 4 November with CANSA receiving provided sunscreen to participants Cape Town, including a cancer station and provided free sunscreen R100 000 towards care and support and spectators at the 'Anything that awareness Seminar in May 2017. to runners and spectators at the programmes. Floats' event in December 2017 and Ÿ A Cuppa For CANSA launch took place Sanlam Cape Town Marathon that Ÿ December 2017 saw the annual received a R3 500 donation. on 14 June 2017 in Cape Town took place in September 2017. South African National Defence Force sponsored by Shoprite Checkers who Ÿ In October 2017, the CANSA Cape coin laying in Kimberley where donated R18 500 towards the CANSA Metro Care team provided free R20 751 was raised. Cape Metro Care Centre. sunscreen to participants and

77 Ÿ On World Cancer Day (4 February), the global Relay participating CANSA took part in the 'Lace Up for countries. Cancer survivors Anthea Cancer' event hosted by the Hospice Bingle (Cape Town) and Sadiyah Palliative Care Association and Moerat (Mossel Bay) were awarded Cancer Alliance. this great honour in 2018. Ÿ In February and March 2018, Ÿ The following received a CANSA Spirit R920 224 was raised by 59 shopping Of Relay award presented by the centres and 126 workplaces American Cancer Society: Team Shavathon-related events. Award – Honourable Mention to FUND DEVELOPMENT Ÿ A total of 14 riders cycled from Marais Cancer Support Team (CANSA R11 436 672 Johannesburg to Cape Town as part Relay For Life, Malmesbury); Event The following main events were successfully of the 'Tour of Light' and raised Award – Honourable Mention to R65 000 for the CANSA Cape Metro CANSA Relay For Life, George and championed with the help of our dedicated Care Centre. Volunteer Award Winner to Merle volunteers: Ÿ The Griqua Rugby team 'sold' their Singh, CANSA Relay For Life, Garden • CANSA Relay For Life - R5 167 154 socks after their game against Route. • CANSA Shavathon - R920 224 Western Province in Upington on Ÿ The 167 Sanlam Cancer Challenge • Sanlam Cancer Challenge - R1 706 049 17 March 2018 to raise funds for club and regional competitions • Cuppa For CANSA - R968 537 CANSA Upington Care Centre. were held during the year and • CANSA Active - R77 375 Ÿ The following CANSA Relay For Life raised R1 706 049 and again the communities raised more than Magersfontein Memorial Golf Club • Teledonations - R218 403 R5 167 154 – Athlone, Helderberg, raised the most funds nationally • Toktokkie (Tap-Tap) - R506 846 Mamré/Atlantis/Pella, Mitchell's (R418 830). • Breast Health Walks - R296 716 Plain, Cape Town Northern Suburbs, Ÿ The Western Province SAGES held • Jail n Bail - R150 731 SA Navy, Clanwilliam, Malmesbury, two golf days, raising R16 000, SAGES • Special regional events - R1 424 637 Porterville, Vredenburg, Vredendal, Boland and Overberg raised R17 425, • Other - R7 595 549 Aggeneys, Springbok, Keimoes, SAGES Outeniqua raised R26 190 and (grants, donations, trusts and bequests) Kuruman, Upington, Kimberley, SAGES South Cape raised R5 170. Caledon, Cape Agulhas (Bredasdorp), Further SAGES Golf Days were also Langeberg (Robertson), Overstrand hosted by Border, Kouga, Eastern (Hermanus), Paarl, Stellenbosch, Province and Langeberg. Witzenberg (Ceres), Worcester, Beaufort West, Garden Route (Mossel Bay), George, Hessequa (Riversdal), Mossel Bay, Oudtshoorn, Jeffreys Bay, Port Elizabeth and East London. Ÿ The Global Relay For Life Heroes of Hope survivorship initiative involves the selection of 'Heroes of Hope' from

78 FINANCIAL STATEMENTS CONTENTS

Summarised Statement of Financial Position - Page 81 Summarised Statement of Comprehensive Income - Page 82 Summarised Statement of Changes in Accumulated Funds - Page 83 Summarised Statement of Cash Flows - Page 84 Notes to the Summarised Financial Statements - Page 87

THE CANCER ASSOCIATION OF SOUTH AFRICA (Incorporated not for profit) (Registration number 1932/003720/08) Audited Summarised Financial Statements For the year ended 31 March 2018 Prepared by R. van Jaarsveld (CFO)

80 SUMMARISED STATEMENT OF FINANCIAL POSITION AS AT 31 MARCH 2018

2018 2017 2016 '000 R'000 R'000 ASSETS

Non-current assets 92,630 104,215 85,400 Property and equipment 12,385 13,038 14,167 Other financial assets 80,245 91,177 71,233

Current assets 24,071 21,967 24,473 Inventories 4,522 5,273 4,900 Receivables 14,260 12,048 13,268 Cash and bank balances 5,289 4,646 6,305 Total assets 116,701 126,182 109,873

ACCUMULATED FUNDS AND LIABILITIES

Accumulated funds and reserves 88,335 95,502 90,291 Operational funds and reserves (11,747) (11,862) (23,048) Research funds and reserves 100,082 107,364 113,339 Other funds 14,319 14,461 10,630 National Lotteries Distribution Trust Fund 3,429 3,429 - Earmarked funds 10,890 11,032 10,630 Current liabilities 14,047 16,219 8,952 Trade and other payables 14,044 16,219 8,952 Bank overdraft 3 - - Total accumulated funds and liabilities 116,701 126,182 109,873

81

SUMMARISED STATEMENT OF COMPREHENSIVE INCOME AS AT 31 MARCH 2018

2017 2016 R'000 R'000 Income from fund development 21,475 19,521 Income from national and provincial projects 33,095 33,692 Income from donations and general income 27,211 25,914 Income from bequests 21,534 40,427 Investment revenue 3,349 3,559 Cost of Sales (8,781) (11,235) Other gains 2,858 3,651 Administration and service delivery expenses (103,271) (104,247) Expenditure relating to research grants received (4,636) (4,524) Expenditure relating to utilisation of National Lotteries - (1,545) Distribution Trust Fund Finance costs (1) (2) Total comprehensive surplus/(deficit) for the year (7,167) 5,211 Segmental Results: Operational surplus for the year 115 11,186 Research (deficit)/surplus for the year (7,282) (5,975) Total comprehensive (deficit)/surplus for the year (7,167) 5,211

82 SUMMARISED STATEMENT OF CHANGES IN ACCUMULATED FUNDS AS AT 31 MARCH 2018

Total Accumulated Accumulated Accumulated Operational Funds Reserve Research Funds Funds and and Reserves Growth and Reserves Reserves R'000 R'000 '000 R'000 Balance as at 31 March 2016 (23,048) - 113,339 90,291 Retained Earnings: Growth Fund (5,000) 5,000 - - Total comprehensive surplus/(deficit) for the year 11,186 - (5,975) 5,211 Previously stated 12,130 - (5,975) 6,155 Adjustment (Refer Note 27) (944) - - (944) Restated Balance at 31 March 2017 (16,862) 5,000 107,364 95,502 Retained earnings: Growth fund (Utilisation) 2,500 (2,500) - - Total comprehensive surplus/(deficit) for the year 115 - (7,282) (7,167) Balance at 31 March 2018 (14,247) 2,500 100,082 88,335

Ÿ The Board approved and accepted the Strategic Growth Fund for CANSA. Ÿ The Strategic Growth Fund to the value of R5m will boost strategic growth income and expansion of services for CANSA to be ulised to grow CANSA in idenfied areas. Ÿ During the year an amount of R2, 5 million was spent on this Strategic Growth fund. This was split as follows: expenses R1,273 million and equipment R1,188 million. Ÿ The Research reserves are shown as equity within research, as it is not seen to be earmarked funds. Although it is seen as a separate reserve, the funds are part of the CANSA as a whole and can be used for operaons and business in totality.

83 SUMMARISED STATEMENT OF CASH FLOWS AS AT 31 MARCH 2018

Restated 2018 2017 R'000 R'000 CASH FLOWS GENERATED/(UTILISED) FROM OPERATING ACTIVITIES (14,971) 17,231 Cash receipts from operating activities 101,083 120,740 Cash paid in operating activities (116,053) (103,507) Cash generated/(utilised) in operations (14,970) 17,233 Finance cost paid (1) (2)

CASH FLOWS (UTILISED)/GENERATED FROM INVESTING ACTIVITIES 15,610 (18,890) Acquisition of property and equipment (1,938) (589) Proceeds on disposal of property and equipment 3,267 459 Net investment income 3,349 97 (Increase)/Decrease in other financial assets 10,932 (18,857)

CASH FLOWS UTILISED IN FINANCING ACTIVITIES Net increase/(decrease) in cash and cash equivalents 640 (1,659) Cash and cash equivalents at beginning of the year 4,646 6,305 Cash and cash equivalents at the end of the year 5,286 4,646

84 SUMMARISED STATEMENT OF CASH FLOWS AS AT 31 MARCH 2018

Below is a breakdown of comprehensive income for the year 31 March 2018 Income statement Operations Research Total Income from bequests received 21,534 - 21,534 Earmarked funds utilised - - - Income from fund development 21,475 - 21,475 Income from national and provincial projects 33,095 - 33,095 Income from donations and general 27,052 159 27,211 Investment revenue Dividends - 4 4 Interest received from bank deposits 48 3,297 3,345 Other gains and losses Net gain arising on financial assets as at FVTPL 1,542 1,316 2,858 Expenditure relating to research grants received - (4,636) (4,636) Staff costs - (5,078) (5,078) Consultants - (488) (488) Investment advisor's fees - (231) (231) Travel and accommodation - (164) (164) Other expenses - (1,461) (1,461) Finance cost (1) - (1) Administration service delivery expenses (95,849) - (95,849) Cost of sales (13,537) - (13,537) 115 (7,282) (7,167)

85 NOTES TO THE SUMMARISED FINANCIAL STATEMENTS AS AT 31 MARCH 2018

1. BASIS OF PREPARATION 3. AUDITED, ANNUAL The summarised financial results for the year FINANCIAL STATEMENTS 31 ended 31 March 2018 have been prepared in accordance with the framework concepts MARCH 2018 and the recognition and measurement The summarised financial results have been requirements of International Financial derived from the audited annual financial Reporting Standards (IFRS), the presentation statements of Cancer Association of South and disclosure requirements of International Africa for the year ended 31 March 2018, Accounting Standard 34 Interim Financial which are available at the company’s Reporting applied to year end reporting and registered office (Refer note 4) for review by the requirements of the South African members. Please contact Mr. R van Jaarsveld Companies Act, 2008. (Chief Financial Officer) at 012 329 3036 for the review of the hard copy of the signed 2. ACCOUNTING POLICIES annual financial statements. The accounting policies applied in the preparation of these summarised The summarised financial results appearing consolidated financial statements are in in this report are the responsibility of the terms of IFRS and are consistent with those Directors. The Directors take full applied in the annual financial statements for responsibility for the preparation of the the year ended 31 March 2018. summarised consolidated financial results and that the financial information has been correctly extracted from the underlying audited annual financial statements.

4. REGISTERED OFFICE 26 Concorde Road West, Bedfordview, 2008

86 Toll-free 0800 22 66 22

English www.cansa.org.za 072 197 9305 Afrikaans Xhosa, Zulu 071 867 3530 Sotho, Siswati