assessment tool for cancer control program.

1. Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
September 17, 2020
DEPARTMENT MEMORANDUM
No. 2020 - 039
TO : ALL CENTER FOR HEALTH DEVELOPMENT REGIONAL
DIRECTORS
SUBJECT : Regional Rapid Assessment Tool Implementation Status of the
Cancer Control Program
The Disease Prevention and Control Bureau (DPCB) is currently in the process of
formulatingthe first Strategic Plan of the National Integrated Cancer Control Program for 2021 to
2025. Inherent in the plan developmentprocess is an assessment of the current implementation
status of the Cancer Control Program, and the inputs of the regional and local levels are highly
importantto guide the overall direction to be pursued in the next 5 years.
Considering the current situation brought about by the COVID 19 pandemic ofvery limited
mobility and discouraging face to face mass meetings, the Assessment Team cannot go downthe
field to collect and validate relevant information necessary in the assessment.
In this regard, we are sending you instead this attached Regional Rapid Assessment Tool
which we hope you can accomplish so that your inputs and perspectives relative to the
implementation status ofthe Cancer Control Program can be
incorporated in the assessment.
We appreciate receiving the accomplished Rapid Assessment Form notlater than the 30%
of September, 2020
Should you have any inquiries or clarifications, you may contact the National Integrated
Cancer Control Program through doh.cancerdivision@gmail.com or you may call at 8651-7800
loc. 1750-1751 or 09979150353.
Thank you.
By Authority of the Secretary of Health:
’@
A C. CABOTAJE, MD, MPH, CESO Il
Undersecretary ofHealt
Public Health Services Team
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: fiduque@doh.gov.ph

2. Regional Rapid Assessment Tool
Implementation Status of the Cancer Control Program
Region: Date Prepared:
Prepared by: Designation:
Guide. The DOH-DPCB
is at the stage of formulating the first ever Strategic Plan on the National
Integrated Cancer Control Program for 2021-2025 following the passage of the Law and
its IRR
in 2019.
Part of the strategic plan formulation process is a comprehensive assessment of the implementation
status of the Cancer Control Program over the past 10 years as part of the NCD Disease Prevention and
Control Program of the DPCB. In this regard, we would like to solicit your inputs relative to the
implementation status of the Program in your respective Region and LGUs which will be used to guide
the formulation of the Strategic Plan for 2021 to 2025.
This assessment is expected to be more qualitative in nature due to the absence ofa systematic recording
and reporting system. However, it is highly appreciated if there are some data
(if available) to support
your assessment. If none, try to be specific, descriptive and objective in your responses by citing
examples or anecdotes you are knowledgeable of or have collected/obtained from various sources.
1. In Column 1
are questions pertinent to the specific components of the Cancer Control Program.
2. If your answer to the Questionis positive or favorable, indicate in Column 2 any measure/action you
have undertaken or factors that contributed to the positive status/accomplishment.
3. If your answer to the Question is negative or unfavorable, specify in Column 3 any gap, challenges or
factors you encountered that limited the accomplishment.
4. In Column 4, please recommend measuresto enhance the implementation.
Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Challenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
A. On Service Delivery: Describe the availability, accessibility and quality of health care and services
for cancer control in your region. .
1. Are health facilities (community-
based group, BHS/clinics/RHUs
hospitals/medical centers in you
region that are capable (trained
on relevant CPGs) of providing
the following health care and
services for cancer control?
e risk assessment, primary
prevention
e , screening/ early detection,
diagnosis, referral
e treatment and surveillance
e rehabilitation, survivorship and
follow-up care
e palliative care and pain
management, and hospice
care or end-of-life care

3. Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Challenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
2.Are these heaith facilities
properly and adequately
equipped (available supplies,
equipment, technologies) to
carry out these services?
e risk assessment, primary
prevention
e , screening/ early detection,
diagnosis, referral
e treatment and surveillance
e rehabilitation, survivorship and
follow-up care
e palliative care and pain
management, and hospice
care or end-of-life care
3. Do the health facilities have
existing reliable supply of
cancer drugs/ medicines and
cancer control related vaccines
for patients?
e risk assessment, primary
prevention
e , screening/ early detection,
diagnosis, referral
e treatment and surveillance
e rehabilitation, survivorship and
follow-up care
e palliative care and pain
management, and hospice
care or end-of-life care
4. Are the health facilities guided
with clear sets of standards and
guidelines in providing patient
care, psychosocial support,
palliative care and pain
management, individualized or
personalized support throughout
the continuum of cancer care?
Specify standards/guidelines.
». Describe any community level of
care established for cancer
patients, persons living with
cancer and cancer survivors,
including cancer support groups.
6. Have your LGUs established
clearly-defined health care
provider network that integrated
service providers for cancer
control care/services? Describe.

4. Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Challenges (Column4)
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3)
7. Describe any referral guide in
place to help service providers
and clients avail continuum
care at various levels of health
care in your LGUs.
8. Describe the state of recording
and reporting system of
services provided to cancer
clients from primary care to
tertiary level of health care.
9. Describe any existing plan in
your Region to ensure
availability of oncology and
oncology-related professionals
especially in underserved areas
where there are no oncology-
related practitioners
10. Describe any existing plan in
your Region how to develop/
enhance oncology- related
competencies of health
providers at various levels of
health care.
B. On Awareness Raising and Increasing Demand. Describe efforts undertaken to improve
awarenessofthe general population on cancer control messages and measures
1. Describe how your Region
and LGUs celebrate the
National Cancer Awareness
Month (February) in terms of
theme/focus, coverage or
reach, partners involved and
results attained, if any.
2. Specify any special cancer
awareness campaigns
undertaken in your Region to
increase cancer literacy on any
of the following cancer sites
(e.g. liver, cervix, colorectal,
prostate, thyroid, breast, lung,
etc.) or specific groups (e.g.
cancer survivors, children, etc.).
3. Enumerate health education,
awareness-raising campaigns
and promotion undertaken by
schools/academic institutions
covering the well population,
and cancer patients, persons
living with cancer and cancer
Survivors.

5. Recommendations
Components of the Cancer Status of the Specify
Control Program Components in Gaps/Chailenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
4. Describe any partnership
established with DepEd/CHED
in promoting the integration of
appropriate cancer control
messages (e.g. cancer risk
factors, early warning signs/
symptoms,etc.) in their
curriculum.
5. Describe any promotion on the
adoption ofinitiatives to
minimize/eliminate stigma and
discrimination in schools,
colleges, and universities that
are experienced by cancer
patients, persons living with
cancer, cancer survivors and
their families.
6. What alternative education
modalities have been designed
for children, adolescents, young
adults with cancer who cannot
attend regular school, as well
as for those whose regular
schooling is disrupted due to
special circumstances related
to cancer in the family?
7. Describe any coordination
established with government
agencies/non-government
organizations to integrate
cancer awareness, prevention
and control services in their
own training, orientations,
seminars, other appropriate
learning programs.
8. Specify any partnership
established with any agency/
institution to promote cancer
prevention and control
measures in the workplace.
9. Whatinformation materials the
health facilities use to inform/
educate clients/community
members on appropriate cancer
prevention measures?
10. What community-based health
education and promotion
program established at the
community level (e.g. with
support groups, out-of-school
youth, patient-care org., etc.)?

6. Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Challenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
C. Financing. What resources are available in your Region to finance the delivery of prevention services,
management and treatment, follow up care, rehabilitation of cancer patients in your Region?
1. How much budget was
allocated by your Region for
the Cancer Control Program in
the past 3-5 years?
To what extent the existing
PhilHealth Benefit Packages
are availed of by cancer clients
in the Region (e.g. include
prevention, screening/early
detection, diagnosis, referral,
optimal treatment and care,
rehabilitation, supportive care,
treatment assistance, palliative
care, pain management, etc.)
2.1 PhilHealth-VIA Package
2.2 Consulta Package
2.3 Z-Benefit Packages
2.4 Others, specify:
3.Describe any established
Assistance Fund that support
medicine/treatment of cancer
patients in your Region.
4.Have you mobilized financial
assistance/donations from
development partnersorprivate
sector for Cancer Control
Program in past 5 years?
5.What other resource
mobilization strategies you
have undertaken to establish
additional funds for your
Cancer Control Program?
D. Regulations - Essential Medicines
1.Describe any coordination effort
you have undertaken with other
government agencies to
improve early access ofclients
to essential medicines,
innovative medicines and
health technologies, to ensure
highest possible chance of
survival among cancer patients.
2.Has your Region secured
sufficient supply of medicines
for palliative care and pain
management that are available
at affordable prices?

7. Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Challenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
3.Have you developed any
monitoring system to check that
pain and other regulated
medications are safe and
appropriately administered in
correct dosage according to the
patient’s age and current state
of health while ensuring that
health care providers have
adequate knowledge, attitude
and skills in the use of palliative
care, pain medications?
E. Governance
E.1 Supportive Environment for Cancer Patients, persons with cancer and cancer survivors
1. To what extent the following
laws/policies have been
observed or complied with in
your LGUs
to ensure supportive
environment for cancer
patients, persons living with
cancer and cancer survivors?
1.1RA No. 7277, as amended,
otherwise known
as the “Magna
Carta for Disabled Persons”
and with Republic Act No.
10754 or “An Act Expanding the
Benefits and Privileges of
Persons with Disability” in terms;
of issuing Disability Card to
cancer patients, survivors
1.2 RA No. 10932, “Anti-Hospital
Deposit Law,” and RA No.
9439, “An Act Prohibiting the
Detention of Patients in
Hospitals and Medical Clinics
on Grounds of Nonpayment of
Hospital Bills or Medical
Expenses”in terms of non-
refusal or denial of treatment
and/or detained in any health
facility, including issuance of
death certificate to surviving
relatives, due to non-payment
of hospital bills or medical
expenses subject to
E.2 Management, Coordination and Multi-Sectoral Collaboration for Cancer Control Program
1. Who takesthe lead in
managing and coordinating the
Cancer Control Program
1.1 in your Region
1.2 in the LGUs

8. Components of the Cancer
Control Program
(Column 1)
Status of the
Components in
your Region/LGUs
(Column 2)
Specify
Gaps/Challenges
Encountered
(Column 3)
Recommendations
(Column4)
2. Describe the adequacy of
designated coordinators/
managers in managing and
coordinating Cancer Control
Program activities
3. Describe any collaborative
network/ mechanism among
various groups of stakeholders
involved in cancer Control
Program in your Region and
LGUs. Specify members and
enumerate joint collaborative
work undertaken.
E.3 Plan for Cancer Control Program
1.Ils the Cancer Control Program
part of any strategic plan or
operational plan in your
Region? Specify activities
reflected in the plan.
2. Do the LGUs integrate Cancer
Control Program activities in
their local investment plans for
health (LIPH). Specify activities
reflected in the LIPH.
E.4 Human Resource and Capability Development
1. Do the health facilities have
adequate human resource to
deliver cancer control care
and services?
e BHS
e RHUs
e hospitals
® medical centers
2. Assess competencies of
cancer control service
providers at various level of
health care
e BHS
e RHUs
e hospitals
® medical centers
3. Are the available personnel
complementof the proper
multidisciplinary expertise?
F. Performance Accountability
1.Describe the status of
implementation of the Cancer
Registry and monitoring system
in place in your Region/LGUs
and health facilities.

9. Components of the Cancer Status of the Specify Recommendations
Control Program Components in Gaps/Chailenges
your Region/LGUs Encountered
(Column 1) (Column 2) (Column 3) (Column4)
2. Describe if hospitals in your
Region have established their
hospital-based Cancer Registry
and assesstheir functionality.
. Assess if your health facilities at
all levels are considering and
reporting adult and childhood
cancers as notifiable disease.
. How do you monitor the
implementation status of
Cancer Control Program in your
Region/LGUs?
. Specify and describe system/
mechanism in place in your
LGUs
to track coverage and
outcome of cancer control
services.
. Clarify and describe if your
Region and LGUs undertake
Program Implementation
Review on the Cancer Control
Program.
Other Comments/Recommendations to Enhance Implementation and Performance of Cancer Control
Program in your Region and LGUs.