{"title":"Beyond symbolism: embassies, equity, and the cancer equation","authors":"Paul Adepoju","doi":"10.1016/s1470-2045(25)00224-4","DOIUrl":null,"url":null,"abstract":"<h2>Section snippets</h2><section><section><h2>From symbolism to systemic change</h2>In Tanzania, a groundbreaking project is taking shape under the watchful eye of the US Embassy. The <span><span>Kilimanjaro Christian Medical Centre</span><svg aria-label=\"Opens in new window\" focusable=\"false\" height=\"20\" viewbox=\"0 0 8 8\"><path d=\"M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z\"></path></svg></span>, at the base of Africa's highest peak, is the site of a new cancer radiotherapy centre. It's a striking contrast: patients receiving cancer treatment in the shadow of the majestic Mount Kilimanjaro. This centre, built with funding from USAID, is a much-needed addition to a country where only two cancer centres serve over 62 million people. It promises not just</section></section><section><section><h2>Advocating for comprehensive health financing</h2>One of the greatest challenges facing cancer care in Africa is the scarcity of funding. National health budgets in many countries prioritise infectious diseases, leaving non-communicable diseases such as cancer grossly underfunded. This situation is one in which embassies could wield their influence. By lobbying for increased allocations to health budgets, embassies can help ensure cancer care receives the attention it deserves.Imagine a Nigerian patient with cancer who travels hours from her</section></section><section><section><h2>Integrating cancer care into universal health coverage</h2>Universal health coverage (UHC) has become a rallying cry for equitable health care, a vision of every individual being able to access the services they need without financial hardship. However, in many African countries, the concept of UHC often excludes comprehensive cancer care, leaving millions to face the devastating costs of treatment on their own. This exclusion creates a silent crisis: patients with cancer unable to afford care are often diagnosed late, succumb to preventable</section></section><section><section><h2>Promoting data, research, and regional collaboration</h2>Cancer registries are often the unsung heroes of effective health systems. They provide crucial data to track incidence rates, evaluate treatment outcomes, and guide policy decisions. Yet many African countries do not have comprehensive registries, leaving a gap in their cancer response.Embassies could support the creation of these registries by funding training programmes for health-care workers and ensuring that registry systems are integrated into national health strategies. The absence of</section></section><section><section><h2>A new diplomacy for global health</h2>The role of embassies in cancer care must evolve. Although Rotary runs, radiotherapy centres, and awareness campaigns are valuable, they remain insufficient. By leveraging their diplomatic power, embassies can push for the systemic reforms needed to transform cancer care from a privilege to a right.Embassies, with their unique ability to navigate the intersections of policy, health, and diplomacy, are poised to lead. The question is whether they will accept the challenge—not just as symbolic</section></section>","PeriodicalId":22865,"journal":{"name":"The Lancet Oncology","volume":"74 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Lancet Oncology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/s1470-2045(25)00224-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Section snippets
From symbolism to systemic change
In Tanzania, a groundbreaking project is taking shape under the watchful eye of the US Embassy. The Kilimanjaro Christian Medical Centre, at the base of Africa's highest peak, is the site of a new cancer radiotherapy centre. It's a striking contrast: patients receiving cancer treatment in the shadow of the majestic Mount Kilimanjaro. This centre, built with funding from USAID, is a much-needed addition to a country where only two cancer centres serve over 62 million people. It promises not just
Advocating for comprehensive health financing
One of the greatest challenges facing cancer care in Africa is the scarcity of funding. National health budgets in many countries prioritise infectious diseases, leaving non-communicable diseases such as cancer grossly underfunded. This situation is one in which embassies could wield their influence. By lobbying for increased allocations to health budgets, embassies can help ensure cancer care receives the attention it deserves.Imagine a Nigerian patient with cancer who travels hours from her
Integrating cancer care into universal health coverage
Universal health coverage (UHC) has become a rallying cry for equitable health care, a vision of every individual being able to access the services they need without financial hardship. However, in many African countries, the concept of UHC often excludes comprehensive cancer care, leaving millions to face the devastating costs of treatment on their own. This exclusion creates a silent crisis: patients with cancer unable to afford care are often diagnosed late, succumb to preventable
Promoting data, research, and regional collaboration
Cancer registries are often the unsung heroes of effective health systems. They provide crucial data to track incidence rates, evaluate treatment outcomes, and guide policy decisions. Yet many African countries do not have comprehensive registries, leaving a gap in their cancer response.Embassies could support the creation of these registries by funding training programmes for health-care workers and ensuring that registry systems are integrated into national health strategies. The absence of
A new diplomacy for global health
The role of embassies in cancer care must evolve. Although Rotary runs, radiotherapy centres, and awareness campaigns are valuable, they remain insufficient. By leveraging their diplomatic power, embassies can push for the systemic reforms needed to transform cancer care from a privilege to a right.Embassies, with their unique ability to navigate the intersections of policy, health, and diplomacy, are poised to lead. The question is whether they will accept the challenge—not just as symbolic