The 3E Framework Analysis of Indonesia’s Cancer Control Strategy

Objective: This paper is a 3E framework analysis of Indonesia’s cancer control strategy, focusing on four indicators identified as needing attention in the World Cancer Preparedness Index, to determine whether implementation efforts are efficient, effective, and equitable. Methods: Examining each of the four selected indicators, we will analyze the cancer control strategy using a variety of primary sources, peer-reviewed articles, media sources, and in-country content. We will assess whether implementation efforts will be efficient, effective, and equitable with the help of a Likert scale scoring model and a resource-constrained weighted-average SWOT analysis. Result: In terms of policy suggestions, four goals suggested to help improve Indonesians’ lives are the following: 1) Early Detection - Continuous improvement built into the implementation of the cancer control strategy regarding early detection, including a broad strategy for cancers not currently prioritized that is responsive to the various regions and ethnic groups. 2) Healthcare Workforce - A comprehensive review of workforce management is needed, including how to task shift and increase the use of lower levels of healthcare professionals to help reduce the routine healthcare needs away from doctors. 3) Health Infrastructure - An enhanced interministerial governance body would be necessary to help strengthen anti-corruption efforts and infrastructure in health care management and ensure appropriate evaluation, audit and quality control mechanisms are in place as healthcare facilities and workforces expand.  4) Tobacco Control - Prioritize advocacy and awareness of cancer health issues to help increase knowledge sharing and fundraising efforts, especially tobacco control. Conclusion: Implementation can only be as efficient, effective, and equitable as the resources available and leadership buy-in at the national and regional levels. Particularly with support from countries with expertise in the cancer community, in knowledge sharing, research, and advocacy.