Strengthening cancer control in the South Pacific through coalition-building: a co-design framework.

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dc.citation.volume33
dc.contributor.authorHyatt A
dc.contributor.authorChan B
dc.contributor.authorMoodie R
dc.contributor.authorVarlow M
dc.contributor.authorBates C
dc.contributor.authorFoliaki S
dc.contributor.authorPalafox N
dc.contributor.authorBurich S
dc.contributor.authorAranda S
dc.coverage.spatialEngland
dc.date.accessioned2024-07-14T22:31:35Z
dc.date.available2024-07-14T22:31:35Z
dc.date.issued2023-04-28
dc.description.abstractBackground Cancer is a significant problem for the South Pacific region due to a range of complex health challenges. Currently gaps in diagnosis, treatment and palliative care are significant, and while governmental commitment is strong, economic constrains limit health system strengthening. Alliances have been successful in strengthening non-communicable disease and cancer control policy and services in resource constrained settings. A regional coalition approach has therefore been recommended as an effective solution to addressing many of the challenges for cancer control in the South Pacific. However, evidence regarding the effective mechanisms for development of alliances or coalitions is scarce. This study aimed to 1) create a Coalition Development Framework; 2) assess the use of the Framework in practice to co-design a South Pacific Coalition. Methods Creation of the Coalition Development Framework commenced with a scoping review and content analysis of existing literature. Synthesis of key elements formed an evidence-informed step-by-step guide for coalition-building. Application of the Framework comprised consultation and iterative discussions with key South Pacific cancer control stakeholders in Fiji, New Caledonia, Papua New Guinea, Samoa and Tonga. Concurrent evaluation of the Framework utilising Theory of Change (ToC) and qualitative analysis of stakeholder consultations was undertaken. Findings The finalised Coalition Development Framework comprised four phases with associated actions and deliverables: engagement, discovery, unification, action and monitoring. Application of the Framework in the South Pacific identified overwhelming support for a Cancer Control Coalition through 35 stakeholder consultations. Framework phases enabled stakeholders to confirm coalition design and purpose, strategic imperatives, structure, local foundations, barriers and facilitators, and priorities for action. ToC and thematic consultation analysis confirmed the Framework to be an effective mechanism to drive engagement, unification and action in alliance-building. Interpretation A Coalition to drive cancer control has significant support among key Pacific stakeholders, and establishment can now be commenced. Importantly results confirm the effective application of the Coalition Development Framework in an applied setting. If momentum is continued, and a regional South Pacific Coalition established, the benefits in reducing the burden of cancer within the region will be substantial. Funding This work was completed for a Masters of Public Health project. Cancer Council Australia provided project funding.
dc.description.confidentialfalse
dc.edition.editionApril 2023
dc.format.pagination100681-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37181526
dc.identifier.citationHyatt A, Chan B, Moodie R, Varlow M, Bates C, Foliaki S, Palafox N, Burich S, Aranda S. (2023). Strengthening cancer control in the South Pacific through coalition-building: a co-design framework.. Lancet Reg Health West Pac. 33. (pp. 100681-).
dc.identifier.doi10.1016/j.lanwpc.2022.100681
dc.identifier.eissn2666-6065
dc.identifier.elements-typejournal-article
dc.identifier.issn2666-6065
dc.identifier.number100681
dc.identifier.piiS2666-6065(22)00296-6
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70172
dc.languageeng
dc.publisherElsevier B.V.
dc.publisher.urihttps://www.sciencedirect.com/science/article/pii/S2666606522002966
dc.relation.isPartOfLancet Reg Health West Pac
dc.rights(c) 2023 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCancer control
dc.subjectCoalition
dc.subjectFramework
dc.subjectPolicy
dc.subjectSmall island state
dc.subjectWestern Pacific
dc.titleStrengthening cancer control in the South Pacific through coalition-building: a co-design framework.
dc.typeJournal article
pubs.elements-id459547
pubs.organisational-groupCollege of Health
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