, Volume 34, Issue 11, pp 2784-2785
Date: 14 Sep 2010

Must Breast Care Delivery Models from Resource Rich Environments Be Applied to Resource Limited Environment: Reply

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In response to our invited editorial “Balancing resource constraints against quality of care” [1], Drs. Mouton, Apffelstaedt, and Baatjes ask whether breast care delivery models from resource-rich environments should necessarily be applied to resource-limited environments. We fully agree with our South African colleagues that health care delivery strategies must be adapted to existing resources within a given environment. Our multinational coalition, the Breast Health Global Initiative (BHGI), has published evidence-based, economically feasible, and culturally appropriate guidelines for breast care in low- and middle-income countries (LMCs), the purpose of which is to provide guidance to in-country health care leadership for strategic programmatic development [2]. A core principle developed through the collaborative efforts of breast cancer experts from more than 40 countries convened in four BHGI Global Summits between 2002 and 2010 is that novel breast care delivery models must be de...