Moreover, trastuzumab should be integrated into curative treatment trials for patients with gastric cancer, such as perioperative or postoperative therapy.
Integrating the curative function of the CHWs with frequent household visits promoted by the PSGs increased the visibility of CHW services, built the trust of the community, and may have led more mothers to recognize CHWs as an important source of care.
The visionary principles laid down at the time were that healthcare access should be universal and free from financial and other barriers, that all New Zealanders should have equal access to the same standard of treatment, and that the health system should be integrated and preventive rather than curative in focus.
The NHSSP II defines the vision of the Kenyan health care system as "Achievement of an efficient and high quality health care system that is accessible, equitable and affordable for every Kenyan household" and the mission as "To promote and participate in the provision of integrated and high quality promotive, preventive, curative and rehabilitative health care services to all Kenyans".
Extensive surgery has a place in locoregional and limited metastatic breast cancer recurrences but this option must absolutely be integrated in the multidisciplinary strategy of therapeutic options and needs to be planned with a curative intent.
While enzalutamide [ 12], abiratirone [ 10], and cabazitazel [ 8] have been shown to be efficacious in the postdocetaxel setting by prolonging survival, they are not curative; hence, novel therapies need to be integrated into treatment regimes to further improve patient outcome.
The CHW PSG appears to have been an effective model for CHW peer support and motivation that enabled intensive population coverage of all households in the 6 districts while also providing a mechanism to integrate CHWs' preventive and curative functions and increased opportunities for supervision and reporting.
By integrating palliative care into curative care practices or combining palliative care with disease-oriented management earlier in the disease trajectory, chronically ill patients nearing the end of life reported improved satisfaction with care and demonstrated less acute interventions and were more likely to die at home [ 18, 19].
Funding and health services delivery are integrated at the health facility level making it extremely difficult for providers to disaggregate expenditures by source, function (curative, rehabilitative, ancillary services etc).
With regard to the curative roles of CHWs, more work must be done to support the role of CHWs in quality integrated CCM by ensuring their access to diagnostics and newer products, such as zinc.
