The National Health Council approved the Breast Cancer Control Policy in 2017 and it was launched by Minister of Health Dr Aaron Motsoaledi on Friday 25 August 2017.

The full policy (57 pages) may be downloaded here, or from the National Department of Health website here.

Breast Cancer Control Policy - June 2017
Click to download the full document

Summary of contents

FOREWORD
ACKNOWLEDGEMENTS
ABBREVIATIONS AND ACRONYMS

SECTION A: BACKGROUND AND THE SOUTH AFRICAN CONTEXT
CHAPTER 1: INTRODUCTION AND BACKGROUND
CHAPTER 2: THE SOUTH AFRICAN CONTEXT
2.1 EPIDEMIOLOGY

SECTION B: POLICY FRAMEWORK
CHAPTER 3: GENERAL POLICY DIRECTION
CHAPTER 4: POLICY GUIDING PRINCIPLES AND FRAMEWORK FOR CANCER PREVENTION AND CONTROL

SECTION C: STANDARDS OF CARE

Key Area 1: Prevention and early detection, screening and genetic assessment
Objective 1: Screening and early diagnosis
Objective 2: Risk assessment
Objective 3: Genetic services
Objective 4: Management of women known or suspected to have a breast cancer susceptibility gene mutation

Key area 2: Timely access to care
Objective 5: Specialist breast units for the diagnosis and management of breast disease
Objective 6: Clear referral pathways and access points to breast diagnosis
Objective 7: Clear referral pathways and access points in breast cancer care

Key Area 3: Assessment, diagnosis and staging
Objective 8: Triple assessment
Objective 9: Staging
Objective 10: Supportive care (including psychology)
Objective 11: Patient navigation

Key Area 4: Treatment of breast cancer
Objective 12: Surgery (early and advanced breast cancer)
Objective 13: Breast reconstruction (immediate versus delayed)
Objective 14: Systemic therapy in early stage breast cancer
Objective 15: Systemic therapy in locally- advanced stage breast cancer
Objective 16: Systemic and local therapy in metastatic breast cancer
Objective 17: Radiotherapy in breast cancer

Key Area 5: Palliative care in breast cancer
Objective 18: Palliative care management for patients

Key Area 6: Follow-up and surveillance in breast cancer
Objective 19: Appropriate cost-effective strategy for follow-up
Objective 20: Lymphedema care

Key Area 7: Data, monitoring and research
Objective 21: Monitoring and research

Key Area 8: Community outreach and engagement
Objective 22: Community engagement and CSOs

REFERENCES

APPENDICES
Appendix A: What is a breast unit?
Appendix B: International Breast Cancer Staging
Appendix C: Breast Cancer Patient Protocol
Appendix D: Breast Proforma