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Cancers
1 in 4 Malaysians are affected by cancer — we aim to reduce that percentage.
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Breast Cancer
Patient Navigation
Malaysia has one of the worst survival of breast cancer in the Asia Pacific, where only two in three patients survive up to 5 years after diagnosis (as compared to 80% in Singapore and 92% in Korea). A major reason for this is late presentation and poor adherence to evidence-based treatment.
Studies in psychosocial factors show that fear, poor health education, and lack of empowerment among Malaysians are major reasons why they delay or default treatment. In order to address these challenges, CRMY developed the Malaysian patient navigation programme as a potential community-based solution to improve the survivorship of breast cancer.
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Patient navigation was founded at the New York’s Harlem Hospital Center by Dr. Harold Freeman to improve cancer mortality rates among the poor and underserved in New York. Patient navigators work one-on-one with patients to develop solutions to overcome financial, logistical, cultural, or social barriers throughout their cancer journey.
In our patient navigation programme, we ensure treatment continuity and improvement in survivorship by removing barriers to access and care. By systematically removing the barriers to timely healthcare access and ensuring that patients are supported throughout the care continuum, the proportion of patients who received timely diagnosis and timely treatment went up from 70% to more than 90%, and the patients who defaulted treatment went down from 15% to less than 2%. Our navigators are now working in one stop centres called Pink Ribbon Centres in 4 state hospitals (Klang, Seremban, Kuching and Kota Kinabalu).
We are working with the Malaysian Ministry of Health in expanding the programme to other centres, and we are also working on finding new ways of improving early detection of breast cancer for low-income women, in order to improve the Malaysian survivorship of breast cancer. The Navigation Programme was established through funds raised through the Sime Darby Ladies Professional Golf Association (LPGA) tournaments and are now supported by Yayasan PETRONAS and other donors.
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