North-South twinning in paediatric haemato-oncology: the La Mascota programme, Nicaragua

被引:86
作者
Masera, G [1 ]
Baez, F
Biondi, A
Cavalli, F
Conter, V
Flores, A
Fontana, G
Bellani, FF
Lanfranco, P
Malta, A
Mendez, G
Ocampo, E
Pacheco, C
Riva, L
Sala, A
Silva, F
Sessa, C
Tognoni, G
机构
[1] Univ Milan, S Gerardo Hosp, Pediat Clin, I-20052 Monza, Italy
[2] Manuel Jesus Rivera La Mascota Hosp, Paediat Hematooncol Dept, Managua, Nicaragua
[3] S Giovanni Hosp, Dept Oncol, Bellinzona, Switzerland
[4] Ist Nazl Tumori, Dept Paediat Oncol, I-20133 Milan, Italy
[5] Ist Ric Farmacol Mario Negri, Milan, Italy
关键词
D O I
10.1016/S0140-6736(98)07077-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe the La Mascota twinning programme between La Mascota paediatric hospital in Managua, Nicaragua, and hospitals in Monza and Milan, Italy, and Bellinzona, Switzerland, The programme was based on the belief that an attempt to reduce the gap in mortality from cancer in childhood between developed and less developed countries should become an integral part of the care and research activity of a haemato-oncological department of a developed country and not simply an exercise in solidarity. This programme for acute lymphoblastic leukaemia shows that intellectual, organisational, and financial resources can be generated by a twinning programme, What is vital for such programmes is a long-term commitment to a comprehensive and holistic strategy that incorporates supply of drugs, training and supervision of health professionals, and the care of the children and of their parents.
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页码:1923 / 1926
页数:4
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