Coverage is 5% up to 10% Population

1/1000, new case/1000/year.

Jakarta = 10.000 new cases/year
Coverage is 5% up to 10% Population
1/1000, new case/1000/year.
Jakarta = 10.000 new cases/year
Coverage 5%-10% population
24.990.459 person. 10 Area.
2.499.046 new cases/year
Result
 Cancer Cases Distribution in Jakarta Hospital-
RESULT AND based Cancer Registry 2005-2007

PROBLEMS 0.8%
West Jakarta
10.1% Central Jakarta
South Jakarta
10.2%
East Jakarta
North Jakarta

59.3%
19.7%

Cancer Trend in Jakarta 2005-2007

6000 Hospital Contribution in Hospital-based

5317
Cancer Registry in Jakarta
5000
3800
4000
2955 50 40 40 40
No of Cases

No of Hospital
3000 36 33
40 30
2000 30
20
1000
10
0 0
2005 2006 2007 2005 2006 2007
year
Total Active year
Problems in Implementation of
Cancer Registry (Pilot Project)
 Management support in Hospital based cancer
registry activities in 40 Hospitals in Jakarta
45

40

35

30 Hospital
Cancer Team Work
25
Number

Brainw are

20 Hardw are
Softw are
15
Room/office

10

0
Cntrl Jkt West Jkt East Jkt Sout h Jkt Nort h Jkt Tot al
Hospt

Area
 Implementation of
Hospital Based Cancer Registry
in Dharmais Cancer Hospital
Capital city of Indonesia : Jakarta

“Dharmais” National Cancer Center

Indonesia
Site and fascilities

From
International Soekarno-Hatta Airport
 The 10 Commonest Malignancy in 1994-1998
in Dharmais Cancer Centre Jakarta, Indonesia

Cervix 725 0

Breast 668 8

Bronchus and Lung 99 315

Lymphoma 136 214

Nasopharynx 88 236

Leukemia 86 150

Ovary 181 0

Colon 74 80

Liver 30 101

Rectum 43 52

male female
 Age Distribution in Cancer Patients,
2004 - 2006 in Dharmais Cancer Center Hospital
400

350

300

250
Number

200

150

100

50

0
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 >70

Age

Female 2004 Female 2005 Female 2006

 The 10 Commonest Malignancy in 1994-1998
in Dharmais Cancer Centre Jakarta, Indonesia Hospital based cancer registry

Cervix 16.95%

Breast 15.80%

9.68%
The 10 Commonest Malignancy in Male in 1994-1998
Bronchus and Lung
in Dharmais Cancer Centre Jakarta, Indonesia
Lymphoma 8.18%
Topography

Nasopharynx 7.57% Bronchus and Lung 18.51%

Leukemia 5.52% Nasopharynx 13.87%

Ovarium 4.23% Lymphoma 12.57%

Colon 3.60% Leukemia 8.81%

The 10 Commonest Malignancy in Female in 1994-1998
Hepar 3.06% Hepar 5.93%
in Dharmais Cancer Centre Jakarta, Indonesia

Topography
2.22%
Colon 4.70%
Rectum
Rectum 3.06% Cervix 28.14%
0.00% 5.00% 10.00% 15.00% 20.00% Skin 3.35% Breast 25.93%

Percent Ovarium 7.03%

Bone 2.53%
Lymphoma 5.28%
Soft Tissue 2.70%
Bronchus and Lung 3.84%

Topography
0.00% 5.00% 10.00% 15.00% 20.00% Nasopharynx 3.42%
Percent Leukemia 3.34%
Colon 2.87%
Thyroid 1.86%
Rectum 1.67%

0.00% 5.00% 10.00 15.00 20.00 25.00 30.00

% Percent
% % % %
 Mortality Rate of The 10 Commonest Malignancy in 1994-1998
in Dharmais Cancer Centre Jakarta, Indonesia Hospital based cancer registry

Breast 20.20%
Mortality Rate of The 10 Commonest Malignancy in Male in 1994-1998
Bronchus and Lung 19.95%
in Dharmais Cancer Centre Jakarta, Indonesia
Cervix 13.50%
Bronchus and Lung 34.35%
Leukemia 9.76%
Leukemia 14.50%
Lymphoma 8.91% Mortality Rate of The 10 Commonest Malignancy in Female in 1994-1998
Nasopharynx 14.12% in Dharmais Cancer Centre Jakarta, Indonesia
Nasopharynx 8.49%
Topography

Lymphoma 12.21%
Colon 6.11% 9.73% Breast 34.98%
Hepar
Hepar 5.60% 7.44% Cervix 23.77%
Topography Colon
Ovarium 9.27%
Ovarium 5.26% Rectum 3.05%

Soft Tissue 1.91% Bronchus and Lung 8.22%

Rectum 2.21%
Lymphoma 6.13%
Bone 1.53%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Leukemia 5.83%

Topography
Skin 1.15%
Colon 4.93%
Percent 0.00% 5.00% 10.00 15.00 20.00 25.00 30.00 35.00 40.00
% % % % % % % Nasopharynx 3.89%
Percent
Thyroid 1.49%

Rectum 1.49%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%

Percent
 Mortality Rate of The 10 Comm onest Malignancy
in 1994-1998 in Dharm ais Cancer Centre
Jakarta, Indonesia

Cervix

Rectum

Lymphoma

Nasopharynx
Topography

Ovarium % Dead
Breast % Alive

Colon

Leukemia

Hepar

Bronchus and Lung

0.00% 20.00% 40.00% 60.00% 80.00% 100.00%

Percent
Overall Cancer Survival in Dharmais National Cancer Center 1994-1998
Five Years Survival of Cervical Cancer 1994-1998

Survival Functions

1.0 stage_new
1
2
3
0.8 4
1-censored
2-censored
3-censored
Cum Survival

0.6 4-censored

0.4

0.2

0.0

0 20 40 60 80 100

time_months
Five Years Survival of Breast Cancer 1994-1998

Survival Functions

1.0 stage_new
2
3
4
0.8 2-censored
3-censored
4-censored
Cum Survival

0.6

0.4

0.2

0.0

0 20 40 60 80 100 120 140

time_months
 National Cancer Control Programmes

Environment
Conductor Impact :
Diet & Cancer
Program
Risk Factor
food

Hormonal
Colaborate with
Physical Activity • Professional Organization
• Indonesia Cancer Foundation
Behavior
• Board committee of NCCPs
Occupation • University Society network
Genetic/Screening • Others Foundation
MORBIDITY
Tobacco Control MORTALITY
Policy of NCCPs
Ca Patients
Vaccination
 •Polices, Establishment of
•Guidelines, Networking
•Modules

Developing Program
• Advocacy
• Socialization
• Mass campaign

Budget
development
Monitoring
&Technical
assistance

Logistics
Epidemiological
Human Investment Surveillance &
Information
Technology
 The Planning of NCCPs of Indonesia
1. Legal aspect
CD 2. Socialization and advocatie
3. Programme development
4. Humant invesment
Intervention 5. Networking
6. Surveillance
7. Logistic
8. Monitoring and evaluation
NCD
9. Budget development

Under Developing Developed

2006 2009 2010 2014 2015 2019

Fundamental Sustainability
development Strengthening
Terima Kasih
Thank You