City project

Multidisciplinary approach and standardisation of care for breast and cervical cancers

Standardising and improving the quality of cancer care in Cali
Completion as of Mar 31, 2023
Project lead
Juan David Ortíz, Ángela Regina Zambrano Harvey

The challenge

The harsh reality facing people in LMICs who are diagnosed with breast and cervical cancer is that they will have to navigate a fragmented healthcare system. This is particularly true in Colombia, where a high percentage of the administrative burden is transferred to patients, there is little coordination between the different specialists they will be required to see, and there is a lack of standardisation without any integrated patient management system. As a result, decisions about treatment are not always made by a multidisciplinary team (MDT).

The goal

To improve quality and standardisation of cancer care in Cali


The best way to guarantee quality care, and improve outcomes for patients with breast and cervical cancer, is by setting up multidisciplinary work groups focused on delivering integrated care by implementing standardised management guidelines and treatment protocols. To this end, City Cancer Challenge (C/Can) and its partners are promoting standardised guidelines and protocols for patients in a range of cancer groups, and creating specific guidelines for breast and cervical cancers.


There is now city-wide agreement on the implementation of specific guidelines for the management of patients with invasive breast and cervical cancers. Additional guidelines for breast, cervical and several other cancer groups have already been endorsed by the C/Can City Executive Committee.; Cali’s health department continues to raise awareness among health professionals in both public and private sectors of these new guidelines, and is monitoring implementation using patient tracing.


  • Guidelines for management of breast cancer drafted
  • Guidelines for management of cervical cancer drafted


Project Lead breast cancer
Juan David Ortíz
Project Lead cervical cancer
Ángela Regina Zambrano Harvey
Project coordinator
Dr Francisco Escobar
Project team
Luz Fernanda Sua Villegas
Flor Marina Medina Chamorro
Carolina Álvarez Tapias
Guillermo Potdevin Stein
Maria Ximena Varela
Luz Mery Bonilla Ariza
Julián Alberto Agudelo Jimenez
María Isabel Cadena
Carolina López
Óscar Ramírez
Sergio Cafiero
Juan Carlos Rojas
María Claudia Moreno Zúñiga
Elsa Cuervo Madrid
Euler Javier Burbano Luna
María Mercedes Fajardo
José Tobías Ernesto Fuentes Díaz
Liliana Yépez
Yaira Gil
Dra Carolina Wiesner

A patient with a chronic illness, particularly cancer, goes through different services, different specialties, different processes over a long period of time and if the actors are not coordinated, if there is no dialogue, if there are no consultation processes, it is very difficult for the patient to achieve the objectives of diagnosis and treatment. So, institutions must talk to each other, they must be organised, we must all agree on how to do things. This is the observatory that City Cancer Challenge wants to achieve so that we can improve health outcomes in cancer.

Dra Carolina Wiesner
Director at Instituto Nacional de Cancerología

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