Project Title

Regional Workshop on Lung Cancer Prevention and Control 

Project Year

2018   

Project Number

HWG 06 2018A 

Project Session

Session 2   

Project Type

Standard 

Project Status

Project in Implementation   
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Project No.

HWG 06 2018A 

Project Title

Regional Workshop on Lung Cancer Prevention and Control 

Project Status

Project in Implementation 

Publication (if any)

 

Fund Account

APEC Support Fund 

Sub-fund

ASF: Innovative Development, Economic Reform and Growth (IERG) 

Project Year

2018 

Project Session

Session 2 

APEC Funding

150,000 

Co-funding Amount

10,000 

Total Project Value

160,000 

Sponsoring Forum

Health Working Group (HWG) 

Topics

Health 

Committee

SOM Steering Committee on Economic and Technical Cooperation (SCE) 

Other Fora Involved

 

Other Non-APEC Stakeholders Involved

 

Proposing Economy(ies)

China 

Co-Sponsoring Economies

Indonesia; Korea; Malaysia; Russia; Singapore; Thailand; United States 

Expected Start Date

01/01/2019 

Expected Completion Date

31/12/2019 

Project Proponent Name 1

Jie He 

Job Title 1

President 

Organization 1

National Cancer Center of China 

Postal Address 1

17 Panjiayuan Nanli, Chaoyang District, Beijing 100021, China 

Telephone 1

(86-10) 87787428 

Fax 1

Not Applicable 

Email 1

daimin2002@hotmail.com 

Project Proponent Name 2

Min Dai 

Job Title 2

Director, Departmentof International Communications 

Organization 2

National Cancer Center of China 

Postal Address 2

17 Panjiayuan Nanli, Chaoyang District, Beijing 100021, China 

Telephone 2

(86-10) 87787428 

Fax 2

Not Applicable 

Email 2

daimin2002@hotmail.com 

Declaration

Jie He and Min Dai 

Project Summary

Lung cancer is the leading cause of cancer death in China and in the Asia Pacific Region. In order to implement the “Healthy Asia-Pacific 2020” initiative, we propose to hold a workshop in China to build and strengthen capacity for lung cancer prevention and control, with the ultimate goal of reducing the economic burden of lung cancer on healthcare systems, economies, and families in the Asia Pacific region. Participants include public health officials, policy makers, and relevant partners, with an emphasis on developing economies. Activities include:

1) sharing guidelines and practice to prevent, screen, and treat lung cancer;

2) discussing innovative prevention and control measures in use and under investigation; and

3) identifying medical and public health interventions, innovations, public policies, and best practices for lung cancer prevention and control.

Relevance

Relevance – Region: Lung cancer is the leading cause of cancer death in many economies including China and other Asia Pacific economies. According to WHO health statistics and information systems, there are 785,000 lung cancer deaths in Western Pacific Region in 2015, which ranks 1st among all the cancer death causes and 4th among all the death causes1. Compare with other regions, Asia Pacific region has the most incident cases and death cases of cancer in the world. And Lung cancer has the most incident cases and death cases among Asia Pacific economies. A lung cancer diagnosis creates substantial harm to the health and happiness of many people and their families. It also produces a large economic burden due to the complicated diagnosis and treatment. The experience in the United States over the last few decades has shown that tobacco control and screening can markedly decrease the incidence and mortality of lung cancer. However, this experience has not been widely disseminated in China and other Asia Pacific economies, which are all facing the challenge of an increasing burden of lung cancer. Therefore, this project will benefit for each economy in Asia Pacific region to effectively implement the lung cancer prevention and control programs in their economy and reach the final goal of decreasing the incidence and mortality of lung cancer through several years’ efforts.

Ref:

1. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2018). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Available from: https://gco.iarc.fr/today, accessed [16-11-2018]. 

Relevance – Eligibility: This workshop will support the capacity building needs for lung cancer prevention and control, with the ultimate goal of reducing the economic burden of lung cancer on healthcare systems, economies, and families in the Asia Pacific region. This will fit the eligibility criteria for the APEC Sub Fund on Innovative Development, Economic Reform and Growth (IERG) by implementing the “Healthy Asia-Pacific 2020” initiative and APEC Non-Communicable Diseases(NCD) Action Plan, which required that APEC economies should continue to coordinate and work with partners in civil society, and international organizations to test and scale up innovative ways of delivering effective care for NCDs, especially through primary health care. 

Relevance – Capacity Building: Participants in the workshop include public health officials, policy makers, and relevant partners, with emphasis on developing economies. Activities will include:

1) sharing guidelines and practice to prevent, screen, and treat lung cancer;

2) discussing innovative prevention and control measures in use and under investigation; and

3) identifying medical and public health interventions, innovations, public policies, and best practices for lung cancer prevention and control. Participants will gain knowledge and experience from these activities which they will be able to transfer and adapt to their local agencies and institutions to guide lung cancer prevention, screening, and treatment. Moreover, the continued communications, exchanges and possible network building after the workshop will provide more opportunity for each economy to improve their capacity building in lung cancer prevention and control.

Objectives

1) To share the progress, experience and lessons in lung cancer prevention and control, with a focus on the application to healthcare systems in the Asia Pacific region;

2) To discuss the innovative prevention and control measures in use and under investigation for lung cancer prevention and control in Asian Pacific region;

3) To identify the medical and public health interventions, innovations, public policies, and best practices for lung cancer prevention and control; and 

4) To discuss the possibility of establishing a lung cancer prevention and control network within the Asia Pacific Region.

Alignment

Alignment - APEC:  This is a concrete project to address the APEC priorities, particularly related to non-communicable disease (NCD) prevention and control. Since 2011, APEC NCD Action Plan has been implemented. In 2016, NCD prevention and control was considered one of the key priorities in “the Healthy Asia Pacific 2020 Roadmap.” At the 6th and 7th APEC high level meeting on Health and Economy statement, it was emphasized that, “APEC economies should continue to coordinate and work with partners in civil society, and international organizations to test and scale up innovative ways of delivering effective care for NCDs, especially through primary health care.” This workshop will not only address NCD prevention and control, specifically for lung cancer, which is a key priority for APEC, but it will also facilitate new partnerships to learn, implement, and adapt prevention and control measures in the Asia Pacific region.

Alignment – Forum: This workshop will provide an opportunity for each economy to track their progress, measures, experience and lessons from lung cancer prevention and control in their own economy. During the workshop, each economy will share their best practices and learn the experience from other economies. After the workshop, it will also support the efforts of the APEC fora to reduce the economic impact of lung cancer in the region through implementing more effective measures of lung cancer prevention and control, and improving access to preventive care and essential medicines.

TILF/ASF Justification

Not Applicable.

Beneficiaries and Outputs

Outputs:

1)   Events: A Regional Workshop on Lung Cancer Prevention and Control will be held. It will be a mutual learning platform for stakeholders from all economies and other important international or regional organizations.

Target participants: All the economies in APEC will be invited. Some important international or regional organizations will be invited too, e.g. WHO Asian Pacific Office, International Agency for Research on Cancer (IARC) of WHO.

Target experts/speakers: Officials from Ministry of Health and senior experts from National Cancer Center in each economy will be invited. The speakers are mainly from the co-sponsoring economies. Experts from International Organizations who are specialized in cancer prevention and control will be invited as well.

Drafted agenda (including a list of possible topics):

Topics

Day1

Opening ceremony and Exchange of experience in Lung Cancer

Prevention and control in each economy

 (Policies and key programs on the national level, Presentations + Discussions)

Day 2

Exchange of more details in the Lung Cancer Prevention and Control

1) Tobacco Control
2) Lung Cancer Screening
3) Standardization of Lung cancer diagnosis and treatment
4) Networking
5) Potential collaborations

 (Presentations + Discussions)

Workshop venue: Beijing, China 

2)   Tools: A survey guideline/questionnaire will be developed and a pre-workshop survey will be conducted to know better about the current status of local, regional, and national lung cancer prevention and control initiatives and specific needs for the workshop. The following persons from co-sponsoring economies will be the target surveyees: 1) Officials from Ministry of Health and Local Department of Health. 2) Senior leaders and experts from National Cancer Center (NCC) and/or National Center for Disease Prevention and Control (CDC). 3) General workers in the local CDC and community health workers. Around 100 potential surveyees from 7 co-sponsoring economies will be surveyed. A questionnaire will be delivered to the potential surveyees and collected back for analysis and summarization.

Also, a protocol for the workshop will be developed to Identify the workshop faculty, participants, location, invited speakers, preliminary agenda, potential topics to be discussed during the workshop.

A public website for the workshop will be established so that all participants can access all the information on the workshop. The website will be built and maintained by PO (China National Cancer Center).  On the website, the information on the workshop, including the participants, agenda, main topics, presentations (after permission) will be publicly accessed. Ideally, this website will be initiated before the workshop and maintained for at least one year after the workshop.

3)  Survey Analysis Report: All the survey questionnaires from each APEC economy will return to PO. We will summarize and analyse the survey results and write the report for the reference to finalizing the agenda and program of the workshop. It will give the train of thought to the experts who take part in the workshop and discuss the potential co-operations on lung cancer prevention and control initiatives.

4)  Presentations and videos: Presentations and videos of the workshop from 7 co-sponsoring economies on their progress, challenges, and future actions of lung cancer prevention and control from the workshop will be shared by each economy. Improved abilities of the participants will be achieved through the discussions and mutual learning on the workshop. A more broad audience could access these knowledge through the summary report on the website.

5)  Summary Report: A summary report with about 3000 words including medical and public health interventions, innovations, public policies, best practices, policy briefing and suggestions for advancing lung cancer prevention and control in the region will be developed. It can be referred by each economy in Asian Pacific Region to develop their own strategy on lung cancer prevention and control in their economy. Meanwhile, the summary report will be submitted to the Secretariat when the project completes. Also, this report will be submitted and available for the Health Working Group audience.

Outcomes:

1) Participants will apply for the knowledge learned from the workshop to their daily jobs, including making related polices, conducting the public health programs, providing the consultations and conduct more scientific or technical researches when they are back.

2)  Participants may mobilize the regional technical resources and hold the similar workshops back in their home economies, to call on the political attention and address the key challenges in advancing the lung cancer prevention and control.

3)  A summary report with progress, lessons and experience, and policy recommendations on the medical and public health interventions, innovations, public policies will be served as the basis for policy makers and consultants to refine their domestic policies on lung cancer prevention and control, and also for the HWG to develop its annual plan and strategic plan to promote the progress in NCD prevention and control.

4)  A potential regional network for lung cancer prevention and control could be established and then long-term collaborations could be carried out among economies through the continued communications and cooperations within this network. Any economy who is willing to participate in this network will be welcome. Both officials of the government and experts from National Cancer Center and National Center for Diseases Prevention and Control will be the main participants in this network.

5) The measurable outcomes can be: short-term indicator can be the awareness of knowledge on lung cancer prevention and control will be increased, medium-term indicator can be the coverage and participation rates of lung cancer prevention and control programs will be increased, and the long-term indicator can be the mortality of lung cancer will be decreased.

Beneficiaries:

Policy makers (e.g. Officials from Ministry of Health), public health officials and experts (e.g. National Cancer Center or National CDC), senior researchers from national institutes in 21 APEC economies, will benefit from this project by sharing information and insights before and during the workshop. Long-term communication,exchange and collaboration in the local, regional, and national level after the workshop could be promoted by creating a lung cancer prevention and control network. Especially, this network can build a routine mechanism for the mutual communication and visits, meetings, exchange of the information via internet and other media. Based on the previous experience in establishing the Asian National Cancer Center Alliance which includes 14 countries’ National Cancer Centers, there is a very high possibility of establishing such a network on lung cancer prevention and control within APEC economies, especially due to the markedly increasing burden of lung cancer in Asian Pacific Region and lung cancer prevention and control is the priority of cancer prevention and control in most of the APEC economies.

Dissemination

1)  Hard copy of the summary report will be provided under the request of the economies or some stakeholders.

2)  Electronic version of the summary report and key recommendations will be shared with the participants and related stakeholders.

3)  Electronic presentations, videos and related workshop materials will be posted on APEC meeting documents database with permission from speakers.

4)  A public website will be built and maintained by PO (China National Cancer Center), even after the completion of the workshop. The information on the workshop and the later progress after the workshop will be published and accessed by each economy. The website will comply with the APEC Website Guidelines and APEC nomenclature and branding will be followed.

5)  If possible, summary report to the workshop will be published as an APEC publication. Of course, it will follow the APEC publication guidelines.

Gender

Gender equity and women’s benefit is critical to the achievement of lung cancer prevention and control as lung cancer is the first cancer death cause in Asian Pacific Region, with the death cases of 325,609 and the mortality rate of 11.3/100,000 in 2018. Although the smoking rate among females in many Asian Pacific economies are low, they are still sharing the similar risk factors for lung cancer as males such as passive smoking, cooking/heating smokes and environmental pollutions. This project will try its best to invite the female speakers and participants as many as possible, with the minimum goal of 30% of all the speakers and participants. To reach this goal, we will try the following solutions: 1) during the design of workshop framework, female health policy makers and researchers will be equitable key informants as men, and their advices will be seriously considered. 2) When identifying the workshop participants and allocating the project budget, women’s full participation will be secured. 

Benefits for women may include:

1) their knowledge and capacity on lung cancer prevention and control will be improved; and

2) Recommendations through exchanges of the workshop will facilitate the policy changes and refinement to reduce the gender inequalities in the future. Anyway, this project will promote women’s economic empowerment through skills, capacity building and health. 

PO is committed to collect sex disaggregated data for all speakers and participants (not only the APEC funded) at the project event. This data will be included when submitting a Completion Report to the Secretariat at the completion of the project about what was achieved as well as giving future POs guidance on their own gender parity targets.

Work Plan

Time

Activities

Deliverables

2019.01 - 2019.02

Contracting Process

Contracts

2019.03 - 2019.04

Develop and conduct the ex-ante survey of current status of local, regional, and national lung cancer prevention and control initiatives. Analyze and report the specific needs for the workshop.

Survey guidelines/questionnaires

Survey analysis report

2019.05 - 2019.06

Identify workshop faculty, participants, and location

Build the website of the workshop

Protocol for the workshop

website

2019.07 - 2019.08

Develop workshop materials, including the agenda

Workshop materials, including

the workshop agenda

2019.09 - 2019.10

Hold the lung cancer prevention and control workshop

Presentations, videos of the workshop, and other documents

2019.11 - 2019.12

Draft the summary report and circulate for comments, endorsement and submission to the HWG

Summary report

2020.01 - 2020.02

Draft the completion report and submit to the Secretariat

Completion report

2020.02 - 2020.10

Participation in the Long Term Evaluation of APEC Projects conducted by the Secretariat, as required by all APEC funded projects

Risks

1)  Participants are not very familiar with lung cancer prevention and control.

Lung cancer prevention and control is a very professional and fast-growing topic including the public health policies, experience and knowledge in risk factors and control, screening with low dose spiral CT and other new techniques, clinical diagnosis and treatment and so on. Therefore, some people may not have a lot of experience or knowledge in all the aspects of lung cancer prevention and control.

Possible risk management strategies: Inform each economy about the purpose of workshop and send the invitations to the experts on lung cancer prevention and control as early as possible, conduct the pre-workshop survey and consult with economies, related fora to collect the people’s need and interest for the workshop and the potential network, and develop the agenda and workshop materials. Circulating the preliminary agenda and workshop materials for more comments before the workshop if the time is enough.

2)  Difficulty in achieving policy change over the long-term. Possible risk management strategies: appropriate selection of participants; broad discussion on the long-term collaboration in policy change during the workshop; establishment of the network to support the future work in policy change in member economies through the continued communications, meetings or mutual visits.

3)  Delays. Possible risk management strategies: adequate visa application time; early stakeholders/contractors engagement, early adoption of agenda; strict deadlines for project internal management.

4)  Eligible participants may not reach the desired number although their travel costs are funded.

Possible risk management strategies: Except the invitation from APEC Secretariat to each economy, Chinese National Health Commission and China National Cancer Center will actively contact with the Ministry of Health and National Cancer Center in each economy as well because normally each economy has the close contact through Ministry of Health and National Cancer Center for many activities. Also, during the contact with economies, China can explain more details on the workshop which make the participants have more interest and pay attention to the participation.

5)  Low quality of key output

Possible risk management strategies: A professional team will be built, including the good writers for the summary report. They will join the whole process of the workshop, including the pre-workshop survey, development of the protocol, holding the workshop and participating in the discussions. They will also participate in the further communications with the economies for the comments on the summary report.

6)  A number of Non Member Participants (NMP) may be involved.

Possible risk management strategies: Only the participants from APEC member economies will be accepted. If there are some additional NMP would like to participate, they have to be approved through the NMP process before the event.

Monitoring and Evaluation

1)  An ex-ante survey of current status of local, regional, and national lung cancer prevention and control in each economy will be carried out before the workshop. The results of the survey will be analyzed and the survey analysis report will provide the specific needs for the workshop.

2)  Survey guidelines / questionnaires, survey analysis report, protocol of the workshop, workshop materials, workshop summary report, presentations, and other related documents will be provided according to the timeline of the workshop.

3)  A regional network for lung cancer prevention and control could be established and then long-term collaborations could be carried out among economies via frequent emails, phone call meetings or periodic face-to-face meetings and mutual visits.

4)  A public website for the workshop will be established so that all participants, including women, can access all the information on the workshop.

5)  Indicators of the Evaluation: number of participating economies (minimum is 8 economies including China, maximum is 21 economies); number of participants (minimum is 20 people, maximum is 50 people); Participation rate of female participants (>30%); number of policy briefing developed (>3).

Linkages

Cancer prevention and control is one of the key priorities of the health promotion and disease control for all the economies in the world, especially for Asia Pacific region. However, till now APEC only supported one project on cancer, which was the Regional Workshop on Cervical Cancer Prevention and Control in 2014 (self-funded, APEC database). Along with the rapid increasing trend of cancer burden, particularly lung cancer, a regional workshop on lung cancer prevention and control is largely needed for Asia Pacific economies. Lung cancer prevention and control is totally different from Cervical Cancer Prevention and Control in many aspects such as policy making, population awareness, techniques, capacity building and so on. Therefore, this project will be an very important supplementary to the APEC tasks. International Agency for Research on Cancer (WHO), which is affiliated to World Health Organization, is a professional agency carrying out the cancer prevention and control activities worldwide, including lung cancer prevention and control. The experts from IARC will be invited to participate in the workshop and provide their experience in the global lung cancer prevention and control.

Workshop materials will be submitted to APEC economies through the HWG; A workshop completion report and summary report will be shared with participants, key stakeholders, public health authorities in the region, and other health related APEC fora; Presentations and related documents will be posted on the APEC meeting documents database with permission from speakers; A regional network on lung cancer prevention and control could be established and longer-term collaborations could be built.

Sustainability

Continuous support: All the participants could build up links with each other through the workshop, so they could easily communicate in their future work where they feel the need for seeking advice from the member economies on how to improve their own policy making or implementation on lung cancer prevention and control. Most important, the possibility and interest in establishing a regional network on lung cancer prevention and control will be discussed on the workshop. If there is a huge interest and most economies could reach agreement, the network will be established, which will serve as a platform for information sharing and capacity building on lung cancer prevention and control. If possible, a tracking mechanism for participating economies to report on the outcome or changes in their home economies will be built to further measure the impact the workshop.

Possible next steps:

1)  Maintenance or dissemination of any outputs such as reports, protocols, databases or resources.

2)  Follow up workshops or symposiums.

3)  Transfer of knowledge from participants to other colleagues in their home economies.

4)  Creation of cooperative network.

5)  Adoption of best practices or recommendations. 

Possible tracking mechanism:

1)  Frequent emails

2)  Periodic Phone call meetings

3)  Mutual visits

4)  Collaborative meetings

5) Post-workshop surveys

Project Overseers

Jie He: Director, National Cancer Center (NCC) of China; President, Cancer Hospital, Chinese Academy of Medical Sciences (CHCAMS); Academician of Chinese Academy of Sciences. He received his M.D. Degree (Clinical Medicine) in 1984 from the Bethune Medical University in Changchun, China and his Ph.D Degree in Oncology (Thoracic Surgery) in 1993 at the Cancer Hospital of Chinese Academy of Medical Sciences (CHCAMS) in Beijing, China. Afterwards he did the postdoctoral fellow in the United States from 1995 to 1997. In 1997, he returned to the Department of Thoracic Surgery in CHCAMS and gradually became the Department Deputy Director, Department Director, Deputy Director of CIHCAMS and Director of CHCAMS in 2011. In 2013, He was appointed as Executive Director of China National Cancer Center (NCC) by China Ministry of Health. In 2014, he was elected as the Academician, Chinese Academy of Sciences. In 2015, he was formally appointed as President of China National Cancer Center. Meanwhile, he holds the Fellowship of the American College of Surgeons (FACS), the Prestigious Fellowship Ad Hominem of the Royal College of Surgeons of Edinburgh (RCSEd) and Honorary Fellowship of the College of Surgeons of Hong Kong (CSHK).

His responsibilities in this project are: project overall designing and quality supervision.

Min Dai is the Director,Department of International Communications in National Cancer Center of China. She is also the Professor in Cancer Epidemiology focusing on cancer screening and cancer prevention. She graduated from Tongji Medical University in 2001 and received the Ph.D Degree in Epidemiology and Biostatistics. Afterwards, she did the postdoctoral fellowship in International Agency for Research on Cancer (IARC) in 2002-2005 followed by a Staff Scientist position in IARC in 2005-2008. Since early 2008, she has started to work in CHCAMS. In the last 10 years, she had led several national programs on cancer screening and cancer prevention in China, especially lung cancer screening and prevention.

Cost Efficiency

Not Applicable.

Drawdown Timetable

Not Applicable.

Direct Labour

Short-term clerical fees: 5 clerical assistants and coordinators will be needed for holding the workshop. They will responsible for the pre-contact, preparatory and logistic works during the workshop. Their working time isestimated to be 1000 hours. The standard is $10 per hour.

Contractor fees: 5 experts from one university/institute are planned to be contracted as our project consultants when carrying out the pre-workshop survey and developing the workshop protocol and the summary report on lung cancer prevention and control in the region. A single contract will be signed with the university/institute only. We estimate the time to be 100 hours/person. The standard is $40 per hour.

Waivers

Not Applicable.

Are there any supporting document attached?

No 
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Project No.

Project Title

Project Status

Publication (if any)

Fund Account

Sub-fund

Project Year

Project Session

APEC Funding

Co-funding Amount

Total Project Value

Sponsoring Forum

Topics

Committee

Other Fora Involved

Other Non-APEC Stakeholders Involved

Proposing Economy(ies)

Co-Sponsoring Economies

Expected Start Date

Expected Completion Date

Project Proponent Name 1

Job Title 1

Organization 1

Postal Address 1

Telephone 1

Fax 1

Email 1

Project Proponent Name 2

Job Title 2

Organization 2

Postal Address 2

Telephone 2

Fax 2

Email 2

Declaration

Project Summary

Relevance

Objectives

Alignment

TILF/ASF Justification

Beneficiaries and Outputs

Dissemination

Gender

Work Plan

Risks

Monitoring and Evaluation

Linkages

Sustainability

Project Overseers

Cost Efficiency

Drawdown Timetable

Direct Labour

Waivers

Are there any supporting document attached?

hdFldAdmin

Project Number

Previous Fora

Secretariat Comments

Reprogramming Notes

Consolidated QAF

Endorsement By Fora

PD Sign Off

Batch

Forum Priority

Committee Ranking Category

Committee Priority

PDM Priority

Priority Within Funding Category

Monitoring Report Received

Completion Report Received

PMU Field 1

PMU Field 2

PMU Field 3

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