Political

 Integration with national healthcare systems (institutionalization)

 Integration with other steakholders

 Technical

How to build Cancer Registries in LAC

Use of technology for cancer registries

The research component as part of the cancer registry activities

Methodologies to evaluate cancer registries

Improve the country-level estimates to match IARC

Country-level organization with responsibility for quality control, resource centre etc.

 Educational/Training

Centers of Excellence for training (subregional)  

Documenting basic competencies for building cancer-registries

When training – to consider all required competencies (e.g. collecting, coding)  

Consider external links for registrar accreditation.  

Distance-learning as a particular paradigm  

In particular, use of university teaching resources and experience as an accreditation source

 Communication

Three main languages: Translation of all main publications/information

Strengthen communications regarding cancer information at country level 

Dissemination of cancer registry information (within country and internationally) 

Peer-reviewed information – consider funded journal edition with invited articles (e.g. Pan Am J Public Health); review current LAC journals for possible journal to use; open-access articles

The use of health economics as a vehicle for talking to public-health policymakers

 Annual meeting

 Journal as a vehicle for cancer information in LAC