Why is this campaign needed?

the initiative against cancer "together we will fight" is necessary because, after the
analysis of the social problems of our country, it was concluded that due to the intense
political and economic reality that our country is going through this last year many
vulnerable sectors of society have been neglected. But the disease does not wait and this
is the case of our children victims of cancer in Ecuador. Why the world statistic of
children survive is higher than that in Ecuador?

The fight against childhood cancer is one of the biggest commitments of the international
community and governments. Joint work and cooperation to develop effective therapies
for the fight and prevention of this disease and thus, improve the standard of life of
children suffering from cancer, both during the disease and in the follow-up after
recovery. According to a study carried out, in the last year, 3 out of every 4 children
around the world managed to survive this terrible disease and recover. (FUNDACION
CORAAZONES VALIENTES, s.f.) that statistic reflects the positive response of the
children to the treatment and the timely diagnosis of the disease.
However, the factors that influence this index go beyond the unquestionable strength of
fighting children, but it carries with it a long chain of social and political economic effort
that has an impact on the percentage of survival. Factors such as investment in health,
technology, the creation of public policies that benefit families, the constant and insistent
training of doctors and psychologists and the struggle of pro-life societies and
organizations. The correct synchronization of these factors in a society is reflected in their
statistics against cancer. resulting in averages of 80% of cases of children recovering
successfully from the disease. (FUNDACION CORAAZONES VALIENTES, s.f.)

however, these data reflect a completely different reality than that of developing countries
like Ecuador, in which the health and social assistance system against cancer fight hard
to maintain acceptable standards for their children and save as many as possible with the
resources which they have access. resulting in approximately less than 60% survival in
the country.

This campaign is important because in Ecuador, there are about 270 cases of cancer in
children under 19 years of age each year. (DIARIO, 2017)
And 3 of 10 of these children do not survive cancer. According to the latest statistical
reports on the situation of pediatric cancer in the country, it was known that leukemia,
with 45% of cases, is the highest incidence among child populations. Second, it is
occupied by system tumors. nervous (9%); third, lymphomas (8.5%); and fourth,
retinoblastomas (6%). And of this group, the most vulnerable, with 32% of all cases, are
children between zero and four years of age, said Dr. Luis Espin Custodio, chief of
Pediatrics at the hospital in Solca. (SOLCA, 2015)
The alarming reality of childhood cancer in Ecuador is that at least 10% of children in
treatment against cancer die due to the abandonment of their therapies. The statistics
indicate that at least 27% of children drop out of treatment due to factors such as financial
shortages, lack of government support and psychological breakdown in the family due to
inadequate support for them. while 32% of these children die due to a late diagnosis or
the inability to access appropriate treatments on time (SOLCA, 2015).
It is considered that these negative statistics reflect a deeper problem derived from the
disorganization of the health system and its inefficiency to respond in a timely manner to
this silent emergency. The political-administrative instabilities experienced by the
country in that period prevented the realization of concrete and sustained implementation
plans, due to the predominance of conjunctural and contradictory policies of each new
government, the resistance of progressive social organizations and the lack of consensus
among the actors involved. (OPS, 2008)

The problem lies in the ECUATORIAN health system which is divided and its individual
efforts to improve the reality of childhood cancer become insufficient.
“The system for the provision of health services is characterized by fragmentation
and segmentation, since there is no coordination between actors or separation of
functions between subsystems, and each of them has an assigned or beneficiary
population with access to differentiated services. Each institution of the health
sector maintains a scheme of organization, management and birth itself.” (OPS,
2008).

Because there are several institutions that work individually with limited resources and
with different administrations, this situation fosters inequality and opens the gap between
those who may or may not afford treatment and where they can do so. in Ecuador The
Society for the Fight against Cancer, a private non-profit organization covers a large part
of the national demand for cancer diagnosis and treatment, offers services in regional
institutions with administrative and financial autonomy (Ruth Lucio, Nilhda Villacrés, &
Rodrigo Henríquez, 2011) but it is still deficient and rewards inequality. In conclusion,
theoretically the Ecuadorian state through its constitution guarantees the effectiveness
and universality control of health for all its inhabitants. However, in the statistics the
reality is different as well as the quality of these services.

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England currently has one of the most sophisticated and inclusive health systems.
According to the Commonwealth in a study conducted in 2014, which compared 10
countries (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway,
Sweden, Switzerland and the US) the national health system of England “the NHS was
the most impressive overall. The NHS was rated as the best system in terms of efficiency,
effective care, safe care, coordinated care, patient-centred care and cost-related problems.
It was also ranked second for equity” (NHS, 2016)

Ecuador precarious and poor health system

The system for the provision of health services is characterized by fragmentation and
segmentation, since there is no coordination between actors or separation of functions
between subsystems, and each of them has an assigned or beneficiary population with
access to differentiated services. Each institution of the health sector maintains a scheme
of organization, management and birth itself. The public subsector is made up of the
services of the MSP, the IESS-SSC, ISSFA and ISSPOL and the health services of some
municipalities. The Welfare Board of Guayaquil (JBG), the Society for the Protection of
Children in Guayaquil, the Society for the Fight against Cancer (SOLCA) and the
Ecuadorian Red Cross are private entities that act within the public sector (OPS, 2008)

Cancer England has specialized centers within its nhs

The NHS covers everything and keeps records and monitors progress. Absolute control.

Ecuador supports itself in centers like Solca, but does not provide full support
Who puts order in the health sector and how is attention regulated?

The Constitution strongly emphasizes the need to recover the regulation for the
Ecuadorian State and points out that the MSP corresponds to the exercise of stewardship
in health, as well as the responsibility for the application, control and monitoring of
compliance with the LOSNS and the regulations issued for its implementation. validity.

Who evaluates?

There is no body in charge of carrying out a coordinated evaluation of the health system
of Ecuador. These functions are fulfilled independently by several institutions related to
health that have been added to this function from changes in the laws or the creation of
new organizations oriented by the attempts of reforms (Ruth Lucio, Nilhda Villacrés, &
Rodrigo Henríquez, 2011)

England united the public and private sectors and turned it into a strong machine that
works for the benefit of patients and is financed by taxes. (NHS, 2016)

Ecuador does not join efforts.

FUENTE: (Ruth Lucio, Nilhda Villacrés, & Rodrigo Henríquez, 2011)

According to this study, the equator has an organization, but it is still deficient and
rewards inequality.

It is believed that it is possible to increase the rates through a program like this

This campaign aims to unify the dispersed efforts of different pro-life NGOs, cancer
foundations and public health
This campaign focuses on uniting all the institutions that provide care and support to
children with cancer and their families and channeling all initiatives through the state-

Bilateral agreement for the fight against childhood cancer in Ecuador - Ecuador / England

The state through the creation of public policies will take care of

1 increase investment in public health and thus subsidize a considerable percentage of the
treatments and medicine of children with cancer

2 will create forums to guide Ecuador in the economic policies to follow to increase the
money to be allocated to the cause.

England quality health auditing entity will provide advice and guidance. Control
objectives of this campaign

England, thanks to the donation from England, will guarantee accessible medicines and
state-of-the-art equipment to the centers that join this campaign.

Ecuador creates the initiative and invites the various interested institutions to enroll in the
program. They need to meet the requirements detailed on the campaign page as
infrastructure and number of trained employees.

England signs a 20-year payment agreement for the equipment and donates the medicines
for a period of 5 years. In which guide the authorities with medical advice to make good
use of them

Advisors and representatives of the NHS program of England collaborating with the
Ecuadorian authorities

These medicines after the agreed period will be purchased in England with a preferential
price and without tariffs.

The Ecuador with the institutions and centers of oncology that already exist plus the
different foundations unify efforts to guarantee

1 universal and accessible care for all children with cancer

2 state-of-the-art vanguard equipment and treatments

3 free medications

4 free psychological assistance and support 24/7

goals

Avoid that money and efforts are dispersed generating inequality

Prevent children from finishing their treatments x lack of money for medicines or
treatments

Increase the survival rate of children with cancer in the equator

http://www.ncpes.co.uk/about-this-survey
Referencias
DIARIO, E. (02 de julio de 2017). EL DARIO. Obtenido de 50 casos de cancer intantil cada año:
http://www.eldiario.ec/noticias-manabi-ecuador/435055-50-casos-de-cancer-infantil-
cada-ano/

FUNDACION CORAAZONES VALIENTES. (s.f.). Obtenido de

http://www.fundacioncorazonesvalientes.org.ec/index.php/sobre-el-cancer/datos-
importantes.html

NHS, N. E. (13 de 04 de 2016). HNS CHOICES. Obtenido de

https://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx

OPS, O. P. (2008). “Perfil de Sistema de Salud: Ecuador, monitoreo y análisis de los procesos de
cambio y reforma”. Obtenido de
https://www.paho.org/ecu/index.php?option=com_docman&view=download&alias=7
4-perfil-de-los-sistemas-de-salud-ecuador-monitoreo-y-analisis-de-los-procesos-de-
cambio-y-reforma&category_slug=publications&Itemid=599

Ruth Lucio, E. M., Nilhda Villacrés, M. M., & Rodrigo Henríquez, M. (ENERO de 2011). The
health system of Ecuador. Obtenido de SALUD PUBLICA DE MEXICO:
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-
36342011000800013

SOLCA, Q. (FEBRERO de 2015). SOLCA ECUADOR, NUCLEO DE QUITO . Obtenido de ANCER

INFANTIL: http://www.solcaquito.org.ec/index.php/publicaciones/suplementos-
medicos/cancer-infantil