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