Cancer Council of the Pacific Islands (CCPI)
The Cancer Council of the Pacific Islands provides the overall direction for regional CCC efforts and the CCPI members from each jurisdiction are part of their jurisdiction CCC coalitions and steering committees. The Pacific Islands Health Officers Association (PIHOA) serves as overall advisory to the CCC process since the PIHOA Board and Associate Members are the Ministers/Secretaries/Directors of Health for their jurisdiction.
Role of CCPI in the Pacific Region
The main role of the Cancer Council of the Pacific Islands is to improve the health and welfare of the people of the Pacific Islands through the development of programs and best practices activities and education, cancer program planning and outreach purposes.
The role of the CCPI Board of Directors is to attend both Annual Meetings and Regular Meetings. The annual meeting of the Board of Directors of the CCPI shall be held each year at such time and place as may be determined by the Board of Directors, for the purpose of electing officers and transacting such other business as may be brought before the meeting. Regular meetings of the Board of Directors shall be held, at least twice per year, at such times and at such places as the Board of Directors may provide by proper notice. Special Meetings may also be called in accordance with the CCPI bylaws.
The number of directors of the CCPI shall consist of three (3) or more individuals, with the number fixed by the Board of Directors in accordance with these bylaws. The number of directors may be increased or decreased from time to time, provided that the number of directors shall not be less than three.
There shall be two (2) voting members appointed by the Secretary or Director of the Department of Health or the Ministry of Health for each jurisdiction or area:
- American Samoa
- Commonwealth of the Northern Mariana Islands (CNMI)
- State of Chuuk (Truk), Federated States of Micronesia (FSM)
- State of Kosrae (Kosaie), FSM
- State of Pohnpei (Ponape), FSM
- State of Yap, FSM
- Guam (Guahan)
- Republic of Palau (Beluu er a Belau)
- Republic of the Marshall Islands (RMI)
For each jurisdiction or area, one (1) CCPI Director shall be from the clinical sector and the other one (1) shall be from Public Health working in the cancer field. In the case of American Samoa, the Director of Public Health will designate the Public Health CCPI Director; the Chief Executive Officer of American Samoa will designate the Clinical CCPI Director.
Additionally, One (1) non-voting observer representing FSM National government, selected by the FSM Secretary of Health and Social Affairs, will be allowed to fully participate in CCPI meetings.
Pacific Cancer Coalition Steering Committee
The Steering Committee for the Pacific Cancer Coalition is comprised of the CCPI Executive Committee (President, Vice-President, Secretary-Treasurer) and the Regional CCC Project Staff. Because the CCPI does not presently have its own infrastructure to manage the Pacific CCC plan, they have designated the University of Hawaii Department of Family Medicine and Community Health (UH DFMCH) to serve as the Secretariat for the CCPI, to continue in its present capacity of supporting and advising the CCC process in each jurisdiction and the region, to continue to develop the Regional Cancer Registry in close coordination with jurisdiction efforts and to continue assisting with advocacy for cancer-related issues at the U.S. National, Hawaii, Regional and international levels. A long-term goal is that the CCPI will be able to be an autonomous organization. However at this early stage of development, continuing partnerships to facilitate development of the CCPI and the Regional Cancer Coalition are critical.
Because several of each jurisdiction’s objectives and strategies will be implemented in close conjunction with regional strategies, there is a need for a full-time Regional CCC Coordinator. Each jurisdiction’s implementation grant application contains a portion of the regional CCC subcontract, which will fund the Secretariat, Regional CCC Coordination, development of a web-based clearinghouse of information related to cancer control and policy issues affecting the region and a part-time epidemiologist to assist each jurisdiction with developing appropriate baseline surveys and/or designing evaluation strategies that are meaningful and appropriate to the resources of the jurisdiction.
Role in Technical Assistance
Technical assistance provided by Hawaii-based partners will be coordinated through the Regional CCC Program office. Additional technical assistance specifically regarding the development of the Pacific Regional Central Cancer Registry will be provided by the Hawaii Tumor Registry / Cancer Research Center of Hawaii in close collaboration with the UH Department of Family Medicine. Pacific Islands Primary Care Association members are updated regularly on cancer control efforts and most of the (Executive Directors of the Community Health Centers) are already partners with their local CCC coalitions.
Communication and coordination among the different coalitions, including the FSM State coalitions is through the CCC Coordinators. There will be one week-long Regional meeting per year, with one of the two semi-annual CCPI meetings happening one day prior to the Regional CCC meeting. The Regional CCC office will also coordinate monthly calls with cancer coordinators and CCPI members to discuss progress, scheduling of trainings, successes and challenges with implementation, distribute relevant materials and to improve coordination in general. The CCC Coordinators will disseminate information back to their respective coalitions. Additionally, the Regional CCC staff is always available by email or cell-phone. Creating a central resource portal for cancer control related information will greatly help to expedite some implementation activities. Because of telecommunication challenges, however, a list-serv will be developed and important information also sent to the jurisdictions by fax.
Communication with external partners will be accomplished by distributing the Regional and jurisdiction CCC plans to the partners listed in the previous section and participating in various meetings. A newsletter is planned for semi-annual distribution to the different potential partners. Additionally, a more succinct monograph highlighting the uniqueness of each jurisdiction and the region and a summary of the CCC plans will be developed and distributed by the Regional CCC program office. As the regional CCC website is developed, coordinators will contribute information regarding events, opportunities and policies and external partners will also be invited to contribute information to the website.
Updates and Prioritization
Prioritization of the Regional CCC plan will be time-based and resource-based and focused on addressing core foundational issues so that long-term sustainability can be achieved. The plan is likely to adapt based on new information, policies that affect the region, other opportunities and new partnerships. The Steering committee will review, evaluate and update the plan at least twice yearly; the entire CCPI will also discuss implementation of the Regional and jurisdiction CCC efforts semi-annually and the full Pacific Cancer Coalition will review and renew the Regional CCC plan at each annual meeting. If the Steering Committee proposes major revisions to the plan, those will be distributed at least 30 days in advance of the Regional meeting so that the jurisdiction CCC coalitions can have opportunity to reflect on the proposed changes. Decision-making will be by simple majority. Because of the health workforce shortages, it is sometimes not possible for both CCPI members to attend, so the Pacific Cancer Coalition has decided to allow for voting by proxy and/or for call-in (conference call) voting if needed.