INCTR Canada 2016
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Branch: Two Worlds Cancer Collaboration
President: Simon Suttcliffe
Board Members:
Volunteers/Employees:
Collaborators:
Partners:
Address:
Country(s):
Year Established:
Annual Report: Mission

Working with health care professionals to reduce the burden of cancer through building capacity for care, skills development, education, research and linkage to enable self-sufficient, sustainable, quality health services.

India:
Program Elements Description Partners
MNJOI &RCC Pain
Relief & Palliative
Care Program
(Hyderabad: serving
Telangana & Andhra
Pradesh).
The program comprises
class room sessions,
bedside teaching,
hospital based, home
care, hospice and rural
outreach rotations,
assignments, topic
presentations, and
culminates in an
examination.
Certification is given by
MNJ Institute of
oncology and Two
Worlds Cancer
Collaboration. 1-2
external faculty join the
teaching staff as well as
visiting experts from
abroad as available.
Clinical Care :
Adults
Children
• In-patient care: 285 beds
• OPD clinics: 6 days/week; 60
patients /day
• Total cases: 12,300
(2015)
• Total new cases: 2,752
(2015)
• IP beds dedicated to PC: 10
• In patient care: 74 ped.onc.
beds
• Integrated ped.PC and
ped.onc
• Play room on ped.onc.ward
• Dedicated OPD space in
ped.onc.ward.
• Zero tolerance to pain policy
(standardized assessment
tools per bed).
• Dedicated pain assessment
by RN & SW daily.
• PC program for children
with non–malignant life-
MNJOI&RCC
PRPCS
Two Worlds
Cancer
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AYA
(adolescents & young adults)
Hospice
(Kumundini Devi Hospice)
Life @Your Doorstep
Rural (community outreach)
limiting disease at adjacent
Niloufer Children’s Hospital.
• Total cases: 3,550 (2015)
• Total new cases: 316 (2015)
• Dedicated home care team
• Expanded support at inpatient,
OPD, hospice &
rural outreach.
• Adult, pediatric & AYA: 24
beds
• Admissions: 712 (2015)
• Standardized medication &
communication protocols.
• Dedicated mobile home
care teams
• Functioning 24/7
• 3 vans staffed by MD, RN,
SW & CHW
• Home visits: 2,289 (2015)
• Staff training in: electronic
documentation; universal
precautions; medication
interventions; standardized
symptom-assessment &
documentation.
• Currently serving 30 remote
villages.
• RN & physic visits weekly
• Partnering with other
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Teaching
- skills development
- art therapy
- regional teaching & training:
CHAI:
In 2014, CHAI initiated a 1-month
certificate course similar to the
MNJIO course for health care
providers from their network of
hospitals in India. The training is
jointly done by CHAI in
collaboration with MNJIO and
PRPCS.
St Mary’s, Bangalore:
Infrastructure support.
hospitals & NGOs.
Annual Course:
Participants trained in 2015:
Doctors: 20
Nurses:15
Social workers: 8
Volunteers: 4
1-month residential course (6
days per week). Engages
participants in all PC care
settings. Evaluation through
internal assessment, final exam
and feed-back.
Course fee: INR 15,000 (travel
and accommodation not
included. Accommodation can
be booked on receipt of
payment.
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INCTR Canada, Two Worlds Cancer Collaboration Foundation July, 2016 5
Nepal; Bangladesh:
Delegate participation in MNJOI
courses.
Advocacy
Program Development
• Dedicated liaison with
MoH, politicians.
• Partnering with NGOs,
Society’s.
• District level PC units:
- established in Rangareddy
- training of MDs and RNs
- oral morphine inclusion in
essential medicines list.
Continuous expansion of rural
program.
• Pain-free ped.onc. ward.
• Ped PC training for Niloufer
Children’s Hospital.
• Networking with
international adult &
pediatric PC programs.
Dr G Palat &
program staff
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INCTR Canada, Two Worlds Cancer Collaboration Foundation July, 2016 6
Lara Nara
Program
An internet-based
distance learning
platform for radiation.
(Lund Univ. Sweden &
BC Cancer Agency, BC,
Canada)
Oral Cancer
Prevention &
Early Detection
Program
A population–based
screening & early
detection program for
oral cavity cancer.
Curriculum:
- dynamic
- interactive
- progressive
- feedback
- timely
Program based in:
- communities
- dental health
professionals
- oral examination
- UV oral examination
(Veloscope)
- pathology
- computer-assisted
quantitative morphology
- molecular analysis
• feasibility-testing in India
• mentoring through Sweden
& Canada
• contextual adaptation for
India
• platform expansion to other
topics
• real-time student
assessment, mentoring,
feedback & correction
• establishment of internetbased
communication &
project development
capability
• protocol development
• ethics approval
• technology acquisition
• selection of community
site(s)
Jan Degerfalt
Eva Brun
Maria Gebre-
Medhin
Francois
Bachand
Lund Univ.
BCCA
Two Worlds
Miriam Rosin
Denise Laronde
Shuba Hennige
Two Worlds
School of
Dentistry, MNJ
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National Institute
for Palliative Care
A dedicated entity to
develop, maintain &
sustain the service,
teaching, research &
advocacy for
population-based
palliative care locally,
nationally (India),
regionally (South-East
Asia) and internationally:
A Centre of Excellence
for Palliative Care.
- based in Hyderabad
- expansion of
scope(curriculum),scale
(geographic reach) and
health conditions e.g.
dementias
- extensively partnered at
national, regional & global
levels
- network linkage with
government, NGOs, and
global health orgns.
- research development:
Future Plans:
Publications:
Month:
Year:
Date of Last Report:
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