The Global Breast Cancer Initiative

The Global Breast Cancer Initiative

Empowering women, building capacity, providing care for all

WHO / B. Anderson
New global breast cancer initiative
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GBCI: operational approach based on 3 pillars of action for national cancer control programmes

The World Health Organization’s Global Breast Cancer Initiative (GBCI), established in 2021, brings together stakeholders from around the world and across sectors with the joint goal of reducing global breast cancer mortality. GBCI employs 3 key strategies:

  1. health promotion for early detection,
  2. timely breast diagnosis,  and
  3. comprehensive breast cancer management.
Global Breast Cancer Initiative

Pillar 1: Health promotion for early detection

Public health education to improve awareness of the signs and symptoms of breast cancer, risk reduction strategies (such as preventing and managing obesity, limiting alcohol intake and encouraging breastfeeding), and reducing any stigma associated with breast health.
Goal: >60% of invasive cancers are diagnosed at stage I or II
Global Breast Cancer Initiative

Pillar 2: Timely breast diagnosis

Public and health worker education on signs and symptoms of early breast cancer so women are referred to diagnostic services when appropriate. Timely breast cancer diagnosis should reduce delays between the time a patient first interacts with the health system and the initiation of breast cancer treatment. Although breast tumours do not change in days or weeks, cancer survival rates begin to erode when delays to initiate treatment are greater than 3 months. Current delays in some settings and among certain vulnerable populations can be more than a year. Basic diagnostic services are feasible in all settings, so long as they are well-organized and lead to timely referral for specialist care.
Goal: diagnostic evaluation, imaging, tissue sampling and pathology within 60 days
Global Breast Cancer Initiative

Pillar 3: Comprehensive breast cancer management

Because cancer management requires some level of specialized care, establishing centralized services, treatment for breast cancer can be optimized. Comprehensive treatment and care for breast cancer treatment should include access to surgery, chemotherapy and/or radiotherapy as well as rehabilitation support for women following treatment and palliative services to reduce pain and discomfort.
Goal: >80% undergo multimodality treatment without abandonment

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The Global Breast Cancer Initiative, established by WHO in 2021, will provide guidance to governments on health systems strengthening for breast cancer....