Foreword by H.E. Toyin Saraki 

As we mark Breast Cancer Awareness Month under the World Health Organization’s theme Every Story is Unique, Every Journey Matters, I am honoured to spotlight the newly released Devex feature, “New Index Aims to Help Countries Close Breast Cancer Care Gaps,” following my conversation with Senior Editor Rumbi Chakamba during the 80th United Nations General Assembly High-Level Week.

The feature introduces the Breast Cancer Care Quality Index, a data-driven framework that enables governments to turn commitment into measurable reform. Convened by AstraZeneca with clinicians, policymakers, and advocates, the Index provides a unified set of indicators spanning early detection, timely diagnosis, comprehensive management, and resilient system performance. It offers a shared language for accountability, aligning policy, financing, and delivery to expose inequities and guide investment.

True equity in women’s cancer care requires coherence between evidence, leadership, and implementation. The BCCQI represents that alignment, where political will meets operational capacity, and progress is demonstrated through measurable standards of care.

Through the Wellbeing Foundation Africa, we are advancing this approach in Nigeria by embedding breast health education, patient navigation, and system strengthening into maternal and community health programmes, aligned with the WHO Global Breast Cancer Initiative and the Breast Cancer Care Quality Index. Our mission remains clear, that every woman’s journey leads to timely care, effective treatment, and survival.
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At UNGA, global health leaders unveiled the Breast Cancer Care Quality Index or BCCQI — a new data-driven framework to help governments translate global goals into national action.

By Rumbi Chakamba // 07 October 2025 // Originally published on Devex.com

A new tool may give governments a practical way to move from lofty global targets to on-the-ground action in the fight against breast cancer.

Breast cancer has become the most common cancer worldwide, with around 2.3 million new cases and more than 666,000 deaths recorded in 2022, yet only a few countries are on track to meet the World Health Organization’s Global Breast Cancer Initiative goal of reducing mortality by 2.5% annually.

“Across every region, women face systemic inequities that delay their diagnosis, limit their access to innovation, and compromise the quality of our care. These disparities are not incidental. They’re structural, and they reverberate through our families, our communities, and our economies,” Toyin Saraki, founder and president of The Wellbeing Foundation Africa, said at the Concordia summit held on the sidelines of the 80th United Nations General Assembly.

In response to these inequities, a new initiative — The Breast Cancer Care Quality Index or BCCQI — aims to help countries translate global goals into national action plans. The tool allows governments to assess their policies, pinpoint weak spots, and map out tailored road maps for improvement. It is designed to support efforts to meet WHO’s mortality-reduction targets.

A radiographer prepares a patient to undergo a mammogram to look for early signs of breast cancer at a hospital in Nairobi, Kenya. Photo by: Njeri Mwangi / Reuters

“When you have something that’s the biggest killer, you have to use that to bring not just awareness, [but] action and investment to the problem,” Saraki told Devex.

Developed by an international team of clinicians, policymakers, and advocates, with AstraZeneca serving as a convener, the BCCQI draws on evidence reviews and extensive expert consultations to define four key dimensions — early detection, timely diagnosis, comprehensive management, and resilient health systems. These are further broken down into 10 targets and 23 measurable indicators.

Saraki — who is also a member of the AstraZeneca Breast Cancer Care Council — said she was drawn to the index because it provides an opportunity to turn expert data into practical information that governments, policymakers, health practitioners, and even women themselves can easily understand and use. The goal is to help medical professionals and clinics establish clear patient-navigation pathways, ensure access to the latest treatments, and measure progress along the way.

Saraki hopes early adopters will use the index to benchmark national data, identify gaps such as late-stage diagnoses or weak referral systems, and develop plans to strengthen cancer programs. The index developers are also working toward a multilateral U.N. resolution that will bring visibility to the index.

But challenges remain. Many low- and middle-income countries still lack robust cancer registries and trained staff to collect and analyze data — critical prerequisites for using the index effectively. Sustained political will and dedicated funding will also be essential to translate the framework into improved survival rates

“When you have the political will, everything else will work. You will have the resources in place, you will have the commitment in the different levels of the bureaucracy and the different programs, but political will is key,” said former Costa Rican President Laura Chinchilla at the Concordia event.

“Without leadership and sustained commitment, even the best of frameworks cannot deliver the change that women deserve,” Saraki added.

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About the author

Rumbi Chakamba is a Senior Editor at Devex based in Botswana, who has worked with regional and international publications including News Deeply, The Zambezian, Outriders Network, and Global Sisters Report. She holds a bachelor’s degree in international relations from the University of South Africa.

Each year, Pan-African Women’s Day (PAWD) reminds us of the enduring legacy, resilience, and leadership of African women. However, as we celebrate, we must also confront a lingering truth: far too many pregnant and breastfeeding women in Africa are still left behind in HIV prevention efforts. Pregnant and breastfeeding women are not merely recipients of care, they are architects of community wellbeing, leaders within households and societies, and central to the intergenerational health equity we must pursue.

The theme for PAWD 2025, “Advancing Social and Economic Justice for African Women through Reparations”, reminds us of the critical need to address systemic social and economic inequalities hindering women’s empowerment and advancement. PAWD 2025 coincides with the World Breastfeeding Week 2025, themed “Prioritize Breastfeeding: Create Sustainable Support Systems.” Therefore, we are also called to translate that legacy into concrete action for the next generation, starting from pregnancy and the earliest days of life. This year, we call for an intentional shift to integrate HIV prevention, including PrEP (Pre-Exposure Prophylaxis), Prevention of Mother-to-Child Transmission (PMTCT), and Early Infant Diagnosis (EID) into the broader maternal and child health ecosystem. Doing so is not only scientifically sound; it is a moral and human rights imperative, and a step toward redressing historic injustices through maternal health equity.

A Gendered Lens on HIV Prevention

The African Union Commission (AUC) has long championed the rights of African women and girls. AU frameworks, including the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol), the AU Strategy for Gender Equality and Women’s Empowerment, and the Catalytic Framework to End AIDS, TB, and Malaria by 2030, guarantees equitable and affordable access to HIV prevention and treatment services. Nonetheless, gender inequality continues to drive HIV vulnerability, especially among adolescent girls, young women, and mothers. On a continent where women bear the brunt of both unpaid care work and HIV infections, we must place pregnant and breastfeeding women at the heart of HIV prevention strategies.

Pan-African Women’s Day is more than a celebration; it is a policy moment. We should use this occasion to strengthen the link between reproductive health, HIV prevention, and gender equity. In our communities, we have witnessed firsthand ways midwives and frontline workers can transform maternal care when equipped with the tools, training, and trust to do so. We need to reimagine HIV prevention not as a siloed programme, but as a foundational component of respectful, comprehensive, gender-responsive maternal health.

Breastfeeding as a Health Justice Issue

The 2025 World Breastfeeding Week theme urges us to prioritise breastfeeding through sustainable systems- systems that must also prioritise the health and HIV status of the mother and child. Offering long-acting PrEP like CAB-LA, ensuring routine HIV testing during antenatal care, and integrating EID into immunisation schedules are essential to building that system. This is how we ensure that breastfeeding is not only a biological bond, but also a protective, empowering act, free of fear, stigma, or silence. Sustainable breastfeeding support must include comprehensive maternal diagnostics and wraparound care. Let us also ensure that every woman is met with dignity, discretion, and informed choice  whether through access to long-acting PrEP, timely testing, or compassionate postpartum support.

A United African Response

We must elevate community engagement, involve Traditional and Religious leaders, and support healthcare workers who are often themselves women and the first and sometimes only line of care for pregnant and breastfeeding women. Pan-African leadership on all levels, from governments to grassroots, must ensure that every mother has access to life-saving HIV prevention tools. Transforming outcomes for mothers and babies requires systems change, built on multisectoral partnerships. From ministries to midwives, from labs to legislatures, we must align our investments with our aspirations, for a future where no woman is left behind.

The AUC Women, Gender, and Youth Directorate and Africa REACH Leadership Council stand together to say: African women should live, lead, and breastfeed without the shadow of HIV. As we celebrate Pan-African Women’s Day and Breastfeeding Week, let us continue to advocate for and implement policies that lead to health emancipation. May we renew our collective resolve to ensure that African women can live, lead, and nourish the next generation, in health, in dignity, and in freedom from HIV.

Happy Pan-African Women’s Day!

On World Mental Health Day, LifeLine International proudly announces the appointment of H.E. Mrs Toyin Ojora Saraki, Founder & President of the Wellbeing Foundation Africa, as its Honorary Global Patron. This appointment highlights H.E. Mrs Saraki’s consistent and unwavering commitment to health and wellbeing, particularly in the areas of mental health and suicide prevention.

H.E. Mrs Saraki’s appointment comes at a critical time as mental health challenges and suicide rates, particularly for young people and across countries in Africa, are rising. According to the World Health Organization (WHO), suicide is the third leading cause of death for young people aged 15-29. Globally, suicide claims about 720,000 lives each year, with 73% of suicides occurring in low-and middle-income countries where access to mental health services and support remains limited. These stark statistics underscore the urgent need for enhanced mental health services and crisis support, particularly in regions where resources are scarce.

As Honorary Global Patron, H.E. Mrs Saraki will leverage her global influence and leadership as a global health advocate to further LifeLine International’s mission of reducing deaths by suicide and expanding access to life-saving telephone and online crisis support services. Her commitment to improving health outcomes, especially for vulnerable and marginalised populations, aligns seamlessly with LifeLine International’s vision of ensuring that by 2050, every person, regardless of their location, has access to high-quality crisis support.

CEO of LifeLine International, Thilini Perera, remarked: “We are honoured to welcome H.E. Mrs Toyin Ojora Saraki as our Honorary Global Patron. Her exceptional leadership and tireless advocacy for health equity will greatly enhance our efforts to prevent suicide and expand access to crisis support. We are confident that her involvement will bring transformative change to mental health and suicide prevention globally.”

H.E. Mrs Saraki’s work will be instrumental in addressing the importance of prioritising mental health and wellbeing in Africa, where suicide rates are the highest globally. Her voice will serve as a powerful advocate for young people, women, and communities most in need of support, helping to break down the barriers that prevent access to mental health care.

In accepting the role, H.E. Mrs Toyin Saraki stated:  “I am truly humbled to take on the role of Honorary Global Patron for LifeLine International. Mental health is an essential component of wellbeing, and we must ensure that every individual has access to the support they need, especially in times of crisis. I look forward to working with LifeLine International to extend our reach and impact, ensuring that no one faces these challenges alone.”

With H.E. Mrs Saraki’s guidance, LifeLine International, which has 200 LifeLine Centres operated by 31 Members in 27 countries, is poised to make significant strides in addressing the global suicide crisis. By combining her stewardship with LifeLine’s life-saving work, the organisation will expand its efforts to provide accessible, community-driven mental health support and crisis intervention on the frontlines.

LifeLine International remains steadfast in its mission to ensure that every life is valued and saved, and H.E. Toyin Saraki’s patronage will undoubtedly amplify this crucial work.