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implementation process are common

to both. Compared to other health

topics, a comprehensive NCCP is

based on a very complex set of

interventions along the continuum of

cancer prevention and care where

each area will require specific

stakeholder involvement, budget

allocation and implementation

processes. Planning and implementing

cancer prevention strategies goes

beyond the health sector and requires

multisectoral involvement and

ownership. There is also overlap

between some components of cancer

prevention with the planning in

infection control by immunization

programmes (HPV, HBV). The same

applies to cervical cancer screening

and reproductive health programme

planning. HIV programmes may

include cancer control components

in their planning since cancer risk

among HIV positive populations is

higher than in the general

population. Planning to strengthen

health-care delivery for cancer

management will also need to be

imbedded into the planning of

WHO's priority areas such as

universal health coverage and

increasing access to essential

medical products. Most countries

have cancer plans and policies which

reflect an understanding about what

is needed to control cancer, however

implementation is remaining a major

challenge. On the other side, cancer

control planning is not yet

adequately reflected in most CCS

documents (Table 1). More progress

could be achieved by closely linking

cancer control planning with the

national CCS planning process and

involving the partners of WHO such

as IAEA in synchronizing CCS and

NCCP planning . The dynamic of the

implementation of the NCD action

plan 2013-2020 is an opportunity to

CANCER CONTROL PLANNING

18 CANCER CONTROL 2015

Table 1: Categories and areas prioritized in the 143 strategic agendas

Categories and areas of collaboration No. of CCSs % of

that prioritized all

the area CCSs

1. Communicable Diseases

HIV/AID, TB, Malaria, Sexually Transmissible Infections (STIs) 118 83%

Neglected Tropical Diseases (NTDs) 76 53%

Vaccine preventable diseases and polio 95 66%

Emerging and re-emerging diseases 63 44%

2. Non communicable Diseases (NCDs)

Health promotion, risk factors and healthy settings

(incl. nutri-tion/physical activity for NCD prevention) 135 94%

FTCT/tobacco control 93 65%

Mental health and substance abuse 99 69%

Violence/traffic accident and injury prevention 98 69%

Physical disability 29 20%

Care Model 41 29%

Ocular health (visual impairment and blindness…) 17 12%

3. Health through the Life Course

Reproductive health services 76 53%

Maternal and new born care 108 76%

Child and adolescent health 103 72%

Life-course, ageing and continuum of care 40 28%

Nutrition (malnutrition etc.) 78 55%

4. Health Systems and Services

Strengthening MoH Governance, leadership and health policy 133 93%

Health in all policies

(& multisectoral collaboration for health) 84 59%

Planning, monitoring and evaluation 96 67%

Human Resource for Health development 127 89%

Health information systems 128 90%

Hospital management 28 20%

Universal health coverage/ health financing 122 85%

Quality service delivery based on Primary Health Care 129 90%

Organization of health services including decentralization 112 78%

Medicines

(production, procurement, Good Manufacturing Practices...) 108 76%

Vaccines and biologicals (production, logistics, cold chain etc.) 41 29%

Laboratories, technologies and safe blood 100 70%

Traditional medicines 25 17%

Operational research 86 60%

5. Preparedness, surveillance and response

Emergency preparedness and response 118 83%

Disease surveillance and early warning systems

(in context of emergencies) 62 43%

Occupational health and safety, climate change 54 38%

Air quality 11 8%

Food and water safety; waste management, sanitation 96 67%

International Health Regulations 2005 92 64%

Source: Global Analysis of CCS, CCO/WHO, 2012

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