05/01/2020
Very excited to share our article on patient advocacy! We are grateful to all the WE CAN partners and advocates across 4 continents who contributed to this research over the past few years. Thank you for sharing your experiences and views on patient advocacy. I hope we did justice to your efforts and that this research can support your work going forward. We look forward to hearing your thoughts. The article is open access.
Background
Breast cancer advocacy movements, driven by advocate‐led civil society organizations (CSOs), have proven to be a powerful force for the advancement of cancer control in high‐income countries (HICs). However, although patient advocacy movements are growing in low‐income and middle‐income countries (LMICs) in response to an increasing cancer burden, the experiences and needs of advocate‐led breast cancer CSOs in LMICs is understudied.
Methods
The authors conducted a qualitative study using in‐depth interviews and focus group discussions with 98 participants representing 23 LMICs in Eastern Europe, Central Asia, East and Southern Africa, and Latin America.
Results
Despite geographic, cultural, and socioeconomic differences, the common themes that emerged from the data across the 3 regions are strikingly similar: trust, knowledge gaps, stigma, sharing experiences, and sustainability. The authors identified common facilitators (training/education, relationship building/networking, third‐party facilitators, and communication) and barriers (mistrust, stigma, organizational fragility, difficulty translating HIC strategies) to establishing trust, collaboration, and advancing cancer advocacy efforts. To the authors' knowledge, the current study is the first to describe the role that coalitions and regional networks play in advancing breast cancer advocacy in LMICs across multiple regions.
Conclusions
The findings of the current study corroborate the importance of investing in 3‐way partnerships between CSOs, political leaders, and health experts. When provided with information that is evidence‐based and resource appropriate, as well as opportunities to network, advocates are better equipped to achieve their goals. The authors propose that support for CSOs focuses on building trust through increasing opportunities for engagement, disseminating best practices and evidence‐based information, and fostering the creation of platforms for partnerships and networks.
Uwocaso (Uganda Women's Cancer Support Organisation Women4Cancer Breast Cancer Initiative East Africa (BCIEA) Pink Space • ვარდისფერი სივრცე Armenian American Wellness Center Հենարան Հիմնադրամ / Henaran Foundation Breast Health Foundation Kenyan Network of Cancer Organizations - KENCO
Susan G. Komen Global Focus On Cancer UICC - Union for International Cancer Control ABC Global Alliance City Cancer Challenge
Breast cancer patient advocates face similar challenges globally. Investing in 3‐way partnerships between civil society organizations, political leaders, and health professionals as well as fostering...