Pacific Cancer Programs

Kosrae Comprehensive Cancer Control Partnership

With such a small population on such a small and contained island it would be easy to believe that maintaining the healthcare needs of the population would be simple. Local foods are readily available, there are nearly enough qualified physicians to provide care, and the hospital is functional and of course well maintained. Yet there is still a major health crisis developing in this peaceful paradise. Infant mortality and tropical diseases are not what plagues Kosraeans; it is the New World illness that is rapidly lowering the life expectancy of the population. Like every nation in the Pacific Basin, diabetes and cancer are the leading non-communicable diseases afflicting the population. The high prevalence of these diseases is undoubtedly linked to changes in diet and lifestyle choices over the past fifty years in the Pacific. This information is neither new nor surprising, but the question to ask now is, what is to be done to stop this problem?

Kosraeans are hard workers and understand that the labor is worth the reward. Family members of cancer survivors in Kosrae have stated that if there was something they could specifically change about cancer care in the state it would be cancer education. There is a desire to know how to prevent losing more family members and how they can protect their children from a similar fate in the years to come. There is much potential for highly successful cancer education and prevention campaigns with community support through local churches and community groups. The main advantage that the state of Kosrae possesses is its small, but dense, population size which enables the DHS to more easily monitor and provide care to the community. Thus, in Kosrae the infrastructure is in place, the work ethic is there, the community support and buy-in is abundant. The components that hold this state back from becoming an outstanding example of successful heath care are access to sustainable resources and the proper guidance.

According to a 2003 cancer needs assessment conducted by the Department of Family Medicine and Community Health at the John Burns School of Medicine, University of Hawaii, cancer was the eighth-leading cause of death in Kosrae. There is no cancer registry in Kosrae or in the FSM. This lack of a formal cancer data collection system might account for the misleadingly low number of cancer cases. Additionally, the lack of diagnostic capabilities on island might contribute to missing cancer diagnoses.

Deaths from cancer comprised approximately five percent of all deaths in Kosrae from 1998 through 2002. Of the 11 cancer deaths on record for 1998 through 2002, six cases occurred in women and five in men. The types of cancers included prostate, ovarian, thyroid, colon, sinus breast, parotid, lung, renal, and squamous cell carcinoma of the hand. No single cancer type dominated.

Comprehensive Cancer Control Plan (CCC) Plan

The Kosrae Comprehensive Cancer Control Partnership held seven large coalition meetings since its establishment to develop the Kosrae Comprehensive Cancer Control Plan. There were also countless phone calls, emails, faxes and meetings of smaller workgroups as well as one on one meetings between members and the coordinator in between meetings for plan development.

The first phase in the development process for the plan focused on increasing partner’s awareness and understanding of the CDC’s comprehensive approach to cancer control, the basics of cancer and the burden of cancer in Kosrae. Phase two of plan development was the strategic planning component. The Partnership agreed on the vision and mission statements and the organizing framework for cancer control through group activities utilizing multi-voting, brainstorming and other tools from the CDC Comprehensive Cancer Control Guidebook. The third phase involved the drafting of goals, objectives and strategies across the whole continuum of cancer care. Extensive discussions, revisions and changes were made to the proposed short-term and long-term goals, measurable objectives and strategies to arrive at the current version. Finally, partners identified and committed support to implementation of specific strategies in the Kosrae Comprehensive Cancer Control Plan.

The Kosrae Comprehensive Cancer Control Partnership adopted by-laws and articles of incorporation that sets out all procedures and processes for membership, leadership selection and replacement, voting, prioritization, etc. The by-laws established an Executive Committee comprising of presiding officers of the partnership and appropriate representatives from the Health Department to conduct business on behalf of the organization when needed. It is the Executive Committee that will oversee and continually review and evaluate the plan for needed revision or changes.

Vision

Cancer Free Kosrae

Mission

To bring the community together, coordinate and enhance cancer prevention, early detection, treatment, support and research efforts to improve the quality of life for the people in Kosrae.

Goals

  1. Reduce the cancer burden through promotion of healthier lifestyle choices.
  2. Detect cancer in the earliest stages.
  3. Provide effective and culturally appropriate cancer treatment.
  4. Promote the highest quality of life for cancer patients and their families.
  5. Improve the cancer data collection system.

Comprehensive Cancer Control (CCC) Plan Download

Cancer Council of the Pacific Islands (CCPI) Members

Dr. Livingston A. Taulung

Dr. Livingston A. Taulung

  • Title: Director of Kosrae State Department of Health, Kosrae CCPI Director
  • Address:
    Kosrae State Department of Health
    P.O. BOX 1276
    Lelu, Kosrae, FM 96944
Nena Tolenoa

Nena Tolenoa

  • Title: Kosrae CCPI Director
  • Email: kosraecompcancer@mail.fm
  • Tel: (691) 370-3006
  • Address:
    Kosrae State Department of Health
    P.O. BOX 1276
    Lelu, Kosrae, FM 96944

Contact Information

Nena Tolenoa

Cecilia Sigrah

  • Title: Kosrae CCC Program Coordinator
  • Email: csigrah@fsmhealth.fm
  • Tel: (691) 370-3006
  • Address:
    Kosrae State Department of Health
    P.O. BOX 1276
    Lelu, Kosrae, FM 96944
Robina Waguk

Robina Waguk

  • Title: Kosrae Cancer Registrar
  • Email: robina.waguk@gmail.com
  • Address:
    Kosrae State Department of Health
    P.O. Box 127
    Lelu, Kosrae, FM 96944

Funding for this website was made possible by a cooperative agreement from the Centers for Disease Control and Prevention, through the following:
Pacific CEED, award #: 5U58DP000976,USAPI Community Health Interventions Project (CHIP), award #: 1U58DP005810,
Pacific Regional Central Cancer Registry, award #: 5U58DP003906; Regional Comprehensive Cancer Control Program, award #: U55/CCU923887.
The views expressed on this site do not necessarily reflect the official policies of the Department of Health and Human Services;
nor does mention of trade names, commercial practices, or organizations imply endorsement by them or the U.S. Government.
Funding Sources: PRCCR: #: 5U58DP003906  | Pacific REACH: #: 1U58DP005810 | RCCC: #: U55/CCU923887 

Copyright © 2015 | Pacific Cancer Programs | All Rights Reserved