Coverage is 5% up to 10% Population1/1000, new case/1000/year.Jakarta = 10.000 new cases/year

Coverage is 5% up to 10% Population1/1000, new case/1000/year.Jakarta = 10.000 new cases/year

Coverage 5%-10% population24.990.459 person. 10 Area.2.499.046 new cases/year

Result

RESULT AND PROBLEMS

Cancer Trend in Jakarta 2005-2007

3800

2955

5317

0

1000

2000

3000

4000

5000

6000

2005 2006 2007

year

No of

Cas

es

Hospital Contribution in Hospital-based Cancer Registry in Jakarta

40 40 4030

36 33

01020304050

2005 2006 2007

year

No

of H

ospi

tal

Total Active

Cancer Cases Distribution in Jakarta Hospital-based Cancer Registry 2005-2007

59.3%19.7%

10.2%

10.1% 0.8%West Jakarta

Central Jakarta

South Jakarta

East Jakarta

North Jakarta

Problems in Implementation of Cancer Registry (Pilot Project)

0

5

10

15

20

25

30

35

40

45

Cntrl Jkt West Jkt East Jkt South Jkt Nort h Jkt TotalHospt

Area

Num

ber

Hospital

Cancer Team Work

Brainware

Hardware

Softw are

Room/off ice

Management support in Hospital based cancer registry activities in 40 Hospitals in Jakarta

Implementation of Hospital Based Cancer Registry

in Dharmais Cancer Hospital

Capital city of Indonesia : Jakarta

“Dharmais” National Cancer CenterIndonesia

From International Soekarno-Hatta Airport

Site and fascilities

The 10 Commonest Malignancy in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

101

80

150

236

214

315

52

0

8

0

43

30

74

86

181

88

136

99

725

668

male female

Cervix

Breast

Bronchus and Lung

Lymphoma

Leukemia

Liver

Rectum

Colon

Ovary

Nasopharynx

Age Distribution in Cancer Patients, 2004 - 2006 in Dharmais Cancer Center Hospital

0

50

100

150

200

250

300

350

400

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 >70

Age

Num

ber

Female 2004 Female 2005 Female 2006

The 10 Commonest Malignancy in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

2.22%

3.06%

3.60%

4.23%

5.52%

7.57%

8.18%

9.68%

15.80%

16.95%

0.00% 5.00% 10.00% 15.00% 20.00%

Rectum

Hepar

Colon

Ovarium

Leukemia

Nasopharynx

Lymphoma

Bronchus and Lung

Breast

Cervix

T o

p o

g r a

p h

y

Percent

The 10 Commonest Malignancy in Male in 1994-1998in Dharmais Cancer Centre Jakarta, In donesia

2.70%

2.53%

3.35%

3.06%

4.70%

5.93%

8.81%

12.57%

13.87%

18.51%

0.00% 5.00% 10.00% 15.00% 20.00%

Soft Tissue

Bone

Skin

Rectum

Colon

Hepar

Leukemia

Lymphoma

Nasopharynx

Bronchus and Lung

Topogr

aphy

Percent

The 10 Commonest Malignancy in Female in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

1.67%

1.86%

2.87%

3.34%

3.42%

3.84%

5.28%

7.03%

25.93%

28.14%

0.00% 5.00% 10.00%

15.00%

20.00%

25.00%

30.00%

Rectum

Thyroid

Colon

Leukemia

Nasopharynx

Bronchus and Lung

Lymphoma

Ovarium

Breast

Cervix

Topogr

aphy

Percent

Hospital based cancer registry

Mortality Rate of The 10 Commonest Malignancy in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

2.21%

5.26%

5.60%

6.11%

8.49%

8.91%

9.76%

13.50%

19.95%

20.20%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00%

Rectum

Ovarium

Hepar

Colon

Nasopharynx

Lymphoma

Leukemia

Cervix

Bronchus and Lung

Breast

Topogra

phy

Percent

Mortality Rate of The 10 Commonest Malignancy in Male in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

1.15%

1.53%

1.91%

3.05%

7.44%

9.73%

12.21%

14.12%

14.50%

34.35%

0.00% 5.00% 10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

Skin

Bone

Soft Tissue

Rectum

Colon

Hepar

Lymphoma

Nasopharynx

Leukemia

Bronchus and Lung

Topogr

aphy

Percent

Mortality Rate of The 10 Commonest Malignancy in Female in 1994-1998in Dharmais Cancer Centre Jakarta, Indonesia

1.49%

1.49%

3.89%

4.93%

5.83%

6.13%

8.22%

9.27%

23.77%

34.98%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%

Rectum

Thyroid

Nasopharynx

Colon

Leukemia

Lymphoma

Bronchus and Lung

Ovarium

Cervix

Breast

Topogra

phy

Percent

Hospital based cancer registry

Mortality Rate of The 10 Commonest Malignancyin 1994-1998 in Dharmais Cancer Centre

Jakarta, Indonesia

0.00% 20.00% 40.00% 60.00% 80.00% 100.00%

Bronchus and Lung

Hepar

Leukemia

Colon

Breast

Ovarium

Nasopharynx

Lymphoma

Rectum

Cervix

Topo

grap

hy

Percent

% Dead

% Alive

Overall Cancer Survival in Dharmais National Cancer Center 1994-1998

Five Years Survival of Cervical Cancer 1994-1998

100806040200

time_months

1.0

0.8

0.6

0.4

0.2

0.0

Cum

Sur

viva

l

4-censored3-censored2-censored1-censored4321

stage_new

Survival Functions

Five Years Survival of Breast Cancer 1994-1998

140120100806040200

time_months

1.0

0.8

0.6

0.4

0.2

0.0

Cum

Sur

viva

l

4-censored3-censored2-censored432

stage_new

Survival Functions

National Cancer Control Programmes

MORBIDITY MORTALITY

Ca Patients

Environment

Diet & food

Hormonal

Physical Activity

Behavior

Conductor Cancer

Program

Policy of NCCPs

Impact :Risk Factor

Occupation

Genetic/Screening

Tobacco Control

Colaborate with• Professional Organization• Indonesia Cancer Foundation• Board committee of NCCPs• University Society network • Others Foundation

Vaccination

Establishment of Networking

•Polices,•Guidelines,•Modules

• Advocacy• Socialization• Mass campaign

Epidemiological Surveillance & Information Technology

Logistics

Developing Program

Human Investment

Monitoring &Technical assistance

Budget development

The Planning of NCCPs of Indonesia

2006

NCD

CD

Under DevelopedDeveloping

Intervention

2009 2010 2015 2019

Fundamental development Strengthening

Sustainability

1. Legal aspect2. Socialization and advocatie3. Programme development4. Humant invesment5. Networking6. Surveillance7. Logistic8. Monitoring and evaluation9. Budget development

2014

Terima KasihTerima KasihThank YouThank You