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Two Worlds Cancer Collaboration Foundation: INCTR – Canada INCTR: CANADA BRANCH Two Worlds Cancer Collaboration Foundation: INCTR – Canada Dr Simon B Sutcliffe, Director, INCTR Canada: Two Worlds Cancer Collaboration Foundation, Vancouver, Canada Mission and programme objectives of home and hospice care in the rural community. The Two Worlds Cancer Collaboration Foundation (Two Worlds programme is supported by MNJ and PRPCS. Cancer), also known as INCTR Canada, is a volunteer-based J A six-week training programme for health professionals, Canadian not-for-profit society and registered charitable comprising a core curriculum, conducted every two foundation with a mission to improve cancer control by building months. capacity for leadership, skills development, high-quality cancer J Development of fellowship programmes for future care, early detection and research in low- and middle-income specialists in palliative care. countries through provision of leadership and the necessary J Project ECHO Paediatric Palliative Care Course – an infrastructure for programme implementation in urban and online educational platform – Project ECHO provides an community settings. Two Worlds Cancer emphasizes long- interactive “distance” paediatric palliative care course term collaborations with medical institutions and qualified developed as a collaboration between Hyderabad and physicians and investigators in developing countries, including Dhaka, Bangladesh, provided to participants from India, the conduct of clinical trials and research associated with regions of South Asia and international locations. clinical service, training and mentorship. Two Worlds Cancer J LäraNära Programme – A “distance” online training also promotes alliances between cancer centres, hospitals and programme for residents in radiation oncology at MNJ. organizations, both within and between countries, to ensure J Collaboration and support for the community, home that available expertise to support resource-poor countries is palliative care programme in Visakhapatnam, Andhra maximized. Pradesh. J Establishment of a paediatric palliative care programme at Past and current initiatives the Niloufer State Children’s Hospital, Hyderabad. Two Worlds Cancer Collaborations’ current activities are focused J A preliminary pilot study in oral cavity cancer early on supporting palliative care development in South Asia: detection in a rural community in collaboration with Hyderabad-based, private and public dental institutions, India MNJ, PRPCS, and the British Columbia Oral Cancer Through collaboration with the MNJ Institute of Oncology Prevention Program. & Regional Cancer Centre (MNJ) and the Pain Relief & J Support for palliative care services with CHAI (Catholic Palliative Care Society (PRPCS – a Hyderabad-based NGO), Hospital Association of India) and St Mary’s Hospital, the programme focuses on the establishment of a strong core Bangalore. facility in Hyderabad, with the ability to create increased scope J Opening of the Hyderabad Centre for Palliative Care to and scale for palliative care locally, nationally and globally. The coordinate programmes and to be a centre for advocacy. elements are: J Urban Centre (Hyderabad): inpatient, outpatient and Nepal hospital-based support for adults, adolescents and children Through collaboration with NAPCare (Nepal Association for with cancer; 24/7 home care (Life at Your Doorstep): a 28- Palliative Care), Two Worlds Cancer Collaboration provides bed inpatient hospice. support for palliative care: J Rural & Community (Telangana): a 30-village network of J Establishment of the Nepal Strategy for Palliative supportive care, with, in addition, four small rural hospices, Care, approved by Government in April 2017, and now soon expanding to eight across Telangana, linked and undergoing implementation. supported by MNJ through mobile outreach and video J Infrastructure and administrative support for NAPCare. conferencing. A Government of Telangana Initiative has J Support for health professional training through the provided eight district-based palliative care centres in the Hyderabad Centre educational programmes and locally in state in the first phase to provide palliative care by means Nepal through Two Worlds Cancer team members and our 92 CANCER CONTROL 2019 INCTR: CANADA BRANCH local partners. care activities with Sri Lanka (training & education) and J Support for the establishment of a new Hospice Nepal. Bangladesh (paediatric palliative care/Project ECHO). J Ongoing collaboration and support with palliative care South Asian programmes are focused on palliative care programmes at a number of sites, including Bhaktapur (adult, adolescent and paediatric) with modest cancer control Cancer Hospital (Partners in Compassion), BPK Memorial activity through radiation residency distance-education and Cancer Hospital, Nepal Cancer Hospital and Research pilot studies in oral cavity early detection. Centre, Hospice Nepal, and Patan Medical School. Two Worlds Cancer Collaboration has previously been J Development of a rural palliative care programme, centred active in palliative care in Brazil and in Tanzania, and although around female health workers. it has no current initiatives or palliative care activity in these J Development of children’s palliative care programme. regions, there is the hope that previous efforts continue to benefit programmes and individuals locally. Sri Lanka Initial development of palliative care services in Northern Sri The institutions and agencies that have been Lanka, comprising: involved in our work J Advice to local public health officials. Two Worlds Cancer Collaboration is the Canadian branch of J Health professional education through the Hyderabad INCTR and is an active member of the network. Centre training course. In India, Two Worlds Cancer works closely with the J Conducting on-site training workshops. MNJ Institute and the Pain Relief & Palliative Care Society (Hyderabad). Bangladesh NAPCare (Nepal Assn. for Palliative Care) is a programme Through collaboration between Dr Megan Doherty (University partner in Nepal. A twinning project is in place between of Ottawa, World Child Cancer & Dhaka Children’s Hospital, Bharatpur Cancer Hospital and Partners in Compassion, Bangladesh), the Hyderabad Centre for Palliative Care and Nanaimo, BC. Formerly, BPK Memorial Hospital, Bhaktapur Two Worlds Cancer: Assisting in the development and delivery and the Victoria Hospice, BC, operated a twinning programme. of an online, paediatric palliative care course – Project ECHO Collaborations exist with the Northern Province, Sri Lanka, programme – No Pain Too Small – for participants from India, and Dhaka Children’s Hospital, Bangladesh. regions of South Asia and international locations. Online educational initiatives are part of the Project ECHO global education initiative, operated on the ZOOM video The Programme funders conference platform. Two Worlds Cancer Collaboration receives 100% of its revenue Research collaboration exists with the University of from philanthropy, comprising individual donors, foundations, Edinburgh, Scotland, and an active, funded programme has gala events and website donations. been initiated with the University of Virginia, the Fogarty Specifically, Two Worlds Cancer receives no direct funding Foundation and NAPCare in Nepal. from governments (national or provincial, Canadian or Indian/ South Asian), or from registered health charities (NGOs). How the programmes have been run Funding received from the private sector and industry is The Canadian component comprises 16 volunteers: health directly related to sponsorships and contributions in support professionals (12); fundraisers (1); communications/ of gala events. marketing/photojournalism (3) and three contracted staff – an Funding for the Two Worlds Cancer Collaboration Executive Director (0.5 p/t), an Admin/Operations Assistant programmes over the next five years approximates C$550,000 (0.2 FTE); and Accounting, Audit & Payroll (2 p/t FTE). per annum. Two Worlds Cancer Collaboration administrates and manages the operations as a virtual enterprise based in BC, The countries/regions where we have been involved Canada, engaging with the host partner by regular ZOOM video Two Worlds Cancer Collaboration is currently present and conferences, conducting monthly executive meetings of Two active in South Asia: in India (MNJ Institute and Pain Relief Worlds Cancer volunteers and staff by video conference, and & Palliative Care Society, Hyderabad), Nepal (NAPCare, being present onsite in South Asia for 2-4 weeks per year. Bharatpur Cancer Hospital and BPK Memorial Cancer In India, Two Worlds Cancer pays the compensation for the Hospital, Kathmandu), Sri Lanka and Bangladesh. Executive Director (1 FTE); Executive Assistant (p/t); Pediatric The activities are conducted through core “hubs” (India and Palliative Care Consultant (1 FTE), Palliative Care Medical Officer Nepal programmes), with alignment and linkage of palliative (p/t) and PRPCS for programme in regions in Telangana. CANCER CONTROL 2019 93 INCTR: CANADA BRANCH PROGRAMME OUTCOMES AND ACHIEVEMENTS: J Daily ambulation for bedridden patents. A BRIEF REPORT (INDIA) J Communication and education of patient/family by checking insight, setting up goals of care, eliciting Activity statistics for the Hyderabad Palliative Care expectations and clarifying concerns. Program include: J Physiotherapy: exercises, training of the family to maintain exercises at home and efforts at MNJIO (2017-18) rehabilitation. Adult Palliative Care J Multidisciplinary team activities,
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