Quality cancer management

• Cancer treatment in Georgia is fragmented, with inconsistent coordination across services and facilities. 
• Non-standardised treatment approaches and early discontinuation of therapy reduce survival and increase the risk of recurrence. 
• Unevenly coordinated Multi-disciplinary treatment (MDT) models leading to, limited guideline-based care, treatment completion, and integration of supportive services. 
• Gaps in workforce training and treatment safety, particularly in chemotherapy preparation and administration, undermine quality of care. 
• Lack of ongoing support for systems that monitor adherence to treatment guidelines, outcomes, and value for money of medicines. 
• Gender-related barriers in cancer care delivery and workforce participation persists, as identified in the Tbilisi City Gender Consultation as part of the as part of C/Can’s Cities Taking Action for Gender Equity in Cancer Care (2024-2030) initiative.

To improve the quality of cancer care by: 

• Strengthening the healthcare workforce 
• Implementing standardised, multidisciplinary treatment approaches 
• Optimising resource allocation and cost-effectiveness in the use of anti-cancer therapies 

• Alignment with pillar III of the World Health Organization Global Breast Cancer Initiative, aiming to provide at least 80% of patients with multimodal therapy, which includes surgery and/or radiotherapy, and systemic therapy when indicated.
• Standardising oncology education and training to strengthen workforce capacity 
• Embedding multidisciplinary (MDT) models to improve coordination, quality, and patient-centred care. 
• Strengthening the quality and safety of systemic and radiation therapies through standardised protocols and targeted training
• Improving monitoring of treatment quality, outcomes and cost-effectiveness. 
• Applying a gender-responsive approach across workforce development, MDT care, and supportive services.