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Health Systems

Other Transversal Programs:

A health systems approach is necessary to sustain the development and implementation of pediatric hematology and oncology programs across all St. Jude Global regions.

 

The Global Health Systems Unit aims to support integrating childhood cancer care into national, regional and global priorities to improve health outcomes for children with cancer.

 

Efforts to strengthen health systems must expand beyond improvements in clinical services to address needs at the policy and system levels. This expansion means not only working with clinicians but also building a diverse stakeholder base with policymakers, government leaders, civil society and global health leaders and researchers.

 

Program Initiatives

The Health Systems team works to integrate childhood cancer care into national, regional and global priorities through activities that:

  • Support strengthening of health systems across national and regional cancer programs. The Health Systems Unit and global collaborators apply health systems science to effectively develop, implement and evaluate cancer control initiatives on a national and multinational level. Successful initiatives have been launched in Myanmar and the Philippines, with emerging regional collaborations in the Euro and Central and South America regions. 
 
  • Systematically collate, analyze and strengthen national policies pertinent to childhood cancer. The Health Systems Unit has established the Policy Monitor, a comprehensive core bank of more than 1,000 national policies and strategic documents regarding cancer control, noncommunicable diseases and health. Collated policies span every region of the world and all country-income levels. An extended core bank features monitoring and evaluation reports and related documents highlighting implementation plans and outcomes. There have been in-depth comparisons of more than 250 national policies in more than seven languages, providing a platform for global, regional and national analyses to inform action. In addition to analyses of inclusion in national policies and implementation plans, analytic frameworks have been applied to address key global priorities beyond childhood cancer, such as equity and palliative care integration.
 
  • Develop and implement tools to assess and strengthen health systems and comprehensive childhood cancer control. The Health Systems Unit is developing assessment and opportunity-mapping tools that foster collaboration across institutions, sectors, national programs and regions to drive evidence-based decision-making. Initial tools designed by the unit facilitate stakeholder mapping and national strategic planning, highlighting opportunities to integrate the needs of children with cancer into health systems while achieving sustainable health-system-wide improvements.
 
  • Liaise and collaborate with global and regional stakeholders to embed childhood cancer in global and regional agendas. With stakeholders worldwide, the Health Systems Unit is applying health system science and research to integrate childhood cancer needs, advances and evidence into decision-making platforms. This process includes working with national governments, civil society partners and global bodies such as the World Health Organization (WHO). In March 2018, St. Jude was officially designated the first and only WHO Collaborating Centre for Childhood Cancer. In September 2018, WHO formally announced the Global Initiative for Childhood Cancer. The Health Systems Unit and St. Jude Global provide coordination and technical support for collaborative efforts with WHO at its headquarters, regional and country offices.

 

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    Catherine G. Lam, MD, MPH

    Associate Member, St. Jude Faculty

    Director, Asia Pacific Region, St. Jude Global

    Director, Health Systems Unit

    Director, WHO Collaborating Centre for Childhood Cancer

    Catherine G. Lam, MD, MPH

    Associate Member, St. Jude Faculty

    Director, Asia Pacific Region, St. Jude Global

    Director, Health Systems Unit

    Director, WHO Collaborating Centre for Childhood Cancer

    Research Interests

    • Pediatric hematology-oncology in resource-limited settings: evaluating outcomes, applying quality improvement efforts and implementing best practices
    • Improving patient outcomes by addressing timely diagnosis, treatment abandonment and palliative care needs
    • Advancing outcomes in rare solid tumors, including adrenocortical tumors and nasopharyngeal carcinoma
    • Health disparities research; health literacy and patient education
    • Optimizing treatment and research for children, adolescents and young adults with solid tumors

    Contact Information

    Catherine G. Lam, MD, MPH

    Oncology

    MS 721, Room S2014B

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

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    Desireé Becerra, MSc, MPP

    Program Coordinator – Health Systems

    Desireé Becerra, MSc, MPP

    Program Coordinator – Health Systems

    Short Biography

    Desireé is an international development professional with over six years of experience in project management, monitoring and evaluation, and data analysis, specializing in initiatives that promote diversity and inclusion. She has worked across non-profits, government agencies, and multilateral institutions to strengthen data-driven decision-making and enhance program effectiveness.

    Before joining St. Jude, Desireé was an Impact Associate at Slingshot Memphis, where she supported over 12 non-profits in evaluating their effectiveness through research and benefit-cost analysis. Previously, she was a researcher at the Inter-American Development Bank, focusing on integrating gender perspectives into transportation policies across Latin America. She also contributed to project monitoring and implementation efforts across more than 20 countries at CAF – Development Bank of Latin America.

    Her expertise includes data analysis, program evaluation, and spatial econometrics, which she has applied to assessing and improving social programs. Desireé holds a Master’s in Public Policy from the University of Chicago, a Master’s in Local Economic Development from the London School of Economics, and a Master’s in Public Management from the Instituto de Estudios Superiores en Administración (IESA) in Venezuela.

    Contact Information

    Desireé Becerra, MSc, MPP

    Global Pediatric Medicine

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

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    Minh Doan, MPH

    Associate Epidemiologic Research Analyst – Health Systems

    Minh Doan, MPH

    Associate Epidemiologic Research Analyst – Health Systems

    Short Biography

    Minh Doan is a dedicated professional with an extensive background in public health and epidemiology. She has a passion for health and data analytics and believes in the power of data to inform and drive meaningful change. Prior to joining St. Jude Children's Research Hospital, Minh worked as a Program Specialist in cancer registry and as an Epidemiologist in infectious disease.

    Drawn by the mission and values of St. Jude, Minh is excited to contribute to the fight against life-threatening diseases affecting children. As a mother to a young child, she deeply empathizes with the hardships that families with sick children face. Minh is eager to bring her knowledge and expertise to the department and looks forward to making impactful contributions.

    Contact Information

    Minh Doan, MPH

    Global Pediatric Medicine

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

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    Heather Fosburgh, MPH, MS

    Program Manager – Health Systems

    Heather Fosburgh, MPH, MS

    Program Manager – Health Systems

    Short Biography

    Heather Fosburgh has over 20 years of experience working in international development and global health. Her primary focus is strengthening health systems in countries throughout the world. 

    Heather has provided technical experience and support in human resources for health; leadership, management and governance; infection prevention and control; global health security; financial management; monitoring and evaluation; and advocacy and policy development, among other areas, for both infectious and chronic diseases. She has also led capstone projects, advised, and taught health care professionals and master's students about financial management, qualitative research methods, and strategic problem solving.  

    Heather received her MPH in Health Policy and Global Health from the Yale School of Public Health and her MS in Applied Community and Economic Development from Illinois State University. She has worked in applied research and project management for non-profit and academic institutions, including Rotary International, the Yale Global Health Leadership Institute, and ICAP at Columbia University, Mailman School of Public Health. Heather is excited to join the Department of Global Pediatric Medicine and the Health Systems Unit.

    Heather is excited to join the Department of Global Pediatric Medicine and the Health Systems Unit and begin to learn more about the different projects and initiatives. Heather was looking for a position that involved strengthening health systems outside of an academic setting. 

    While Heather enjoys living in New York City, she was looking for a change. She feels fortunate that this position strongly aligned with her interests, the outdoor activities and climate are more plentiful in Memphis and most importantly, she was very impressed with everyone and the work.

    Contact Information

    Heather Fosburgh, MPH, MS

    Global Pediatric Medicine

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

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    Melissa Santiago, MPH, MPA

    Program Manager – Health Systems

    Melissa Santiago, MPH, MPA

    Program Manager – Health Systems

    Short Biography

    Melissa is a dedicated public health advocate with over nine years of program and project management experience, who has specialized in oncology, epidemiology, behavioral science and public policy. 

    Effective at leveraging strategic partnerships, using quality improvement methodologies and harnessing data to create impactful solutions, Melissa has most recently served as the American Cancer Society’s Program Manager on the Interventions and Implementation team and as the Cancer Control Strategic Partnerships Manager. She has managed a portfolio of 80 grant-funded projects while engaging with collaborators including CDC, alongside ministries, non-governmental organizations, industry partners, state coalitions, health systems, and payors.

    Melissa has also served as a Cancer Control Committee Member in the Health Council of South Florida, contributing strategic input to the Governor of Florida and to legislation on cancer control, research, and health equity.

    In her new role, Melissa will help strengthen interventions and partnerships, such as the Nexus of Policies and Systems (NexPoS) global network, including activities in essential diagnostics and medicines, national cancer control planning, referral systems, and ongoing work as the WHO Collaborating Centre for Childhood Cancer and harnessing data to create impactful solutions.

    Melissa holds dual Masters in Public Administration and Public Health from the University of Miami and is deeply committed to advancing health equity and improving health outcomes.

    Currently living in Atlanta, Georgia, Melissa enjoys an active lifestyle. In her free time, she can often be found playing tennis, exploring new destinations and hiking new trails.

    Contact Information

    Melissa Santiago, MPH, MPA

    Global Pediatric Medicine

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

Contact 

 

To learn more about the Health Systems Program, email healthsystems@stjude.org.