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The Breast Health Global Initiative (BHGI) strives to develop, implement and study evidence-based, economically feasible, and culturally appropriate Guidelines for International Breast Health and Cancer Control for low- and middle-income countries (LMCs) to improve breast health outcomes and access to breast cancer screening, detection and treatment for women.


The Breast Health Global Initiative (BHGI), co-sponsored by Fred Hutchinson Cancer Research Center and Susan G. Komen for the CureĀ®, pioneered development of comprehensive resource-sensitive, evidence based clinical Guidelines for International Breast Health and Cancer Control to improve breast cancer outcomes in low- and middle-resource countries (LMCs) through the collaboration of an alliance of dedicated organizations and individuals. A vibrant global network and 'go to' for information, BHGI is innovating development of Learning Laboratories to define critical in-country methodology for breast cancer care programs for LMCs through global collaborations. Join the global network to learn more.

BHGI Alliance of Organizations

Click here to see the BHGI global health alliance of organizations.

Principles of BHGI Guidelines

  • Economically disadvantaged countries have differing financial needs, resource limitations, social constraints and competing illness profiles that frame how national breast health care programs should be implemented.
  • Evidence-based guidelines from wealthy countries define optimal goals for resource-constrained countries, although these countries commonly lack the fundamental infrastructure that is required for direct implementation.
  • Health care systems cannot be transformed at once.
  • Improvements in early detection, diagnosis and treatment of breast cancer require organized, sequentially implemented steps to achieve improved outcome.
  • The development of international evidence-based breast health care guidelines oriented to LMCs are a crucial step toward improving breast health care and cancer treatment in these countries.
  • It is possible to define evidence-based "best practices with limited resources" for breast healthcare for use in countries where access to healthcare is challenged, breast cancer awareness is limited and cultural barriers need to be overcome.
  • GUIDELINES for economically disadvantaged countries may require that alternate strategies for care to those adopted in wealthy countries to allow sequential steps in improvement provided that those alternate strategies are not defining a "lowered" standard of care for that country.