Promoting Public Health Through State Cancer Control Plans: A Review of Capacity and Sustainability

Abstract

The Centers for Disease Prevention and Control’s National Comprehensive Cancer Control (CCC) Program oversee CCC programs designed to develop and implement CCC plans via CCC coalitions, alliances, or consortia of program stakeholders. We reviewed 40 up-to-date plans for states and the District of Columbia in order to assess how capacity building and sustainability, two evidence-based practices necessary for organizational readiness, positive growth, and maintenance are addressed. We employed an electronic key word search, supplemented by full text reviews of each plan to complete a content analysis of the CCC plans. Capacity is explicitly addressed in just over half of the plans (53%), generally from a conceptual point of view, with few specifics as to how capacity will be developed or enhanced. Roles and responsibilities, timelines for action, and measurements for evaluation of capacity building are infrequently mentioned. Almost all (92%) of the 40 up-to-date plans address sustainability on at least a cursory level, through efforts aimed at funding or seeking funding, policy initiatives, and/or partnership development. However, few details as to how these strategies will be implemented are found in the plans. We present the Texas plan as a case study offering detailed insight into how one plan incorporated capacity building and sustainability into its development and implementation. Training, technical assistance, templates, and tools may help CCC coalition members address capacity and sustainability in future planning efforts and assure the inclusion of capacity building and sustainability approaches in CCC plans at the state, tribal, territorial, and jurisdiction levels.

Challenges and opportunities in the creation and implementation of cancer control plans in Africa

“…Building on the US government’s domestic engagement in comprehensive cancer-control planning [10], the US National Cancer Institute (NCI), Center for Global Health (CGH) launched the International Cancer Control Leadership Forum (ICCLF) Program in 2013. The ICCLF convened multi-stakeholder country teams from multiple regions for technical training and assistance on cancer-control principles and strategies.…”

Creating and Implementing a Community Engagement Strategy for the 2022–2027 Illinois Comprehensive Cancer Control Plan Through an Academic–State Public Health Department Partnership

“…Comprehensive cancer control (CCC) plans are blueprints that identify region-specific cancer priorities and health equity strategies to address cancer prevention and control (1)(2)(3). The Centers for Disease Control and Prevention's (CDC's) National Comprehensive Cancer Control Program, established in 1998, supports CCC development and provides funding, guidance, and technical assistance to US territories and freely associated states, the District of Columbia, and tribes and tribal organizations, to design and implement plans (4).…”

“…The Centers for Disease Control and Prevention's (CDC's) National Comprehensive Cancer Control Program, established in 1998, supports CCC development and provides funding, guidance, and technical assistance to US territories and freely associated states, the District of Columbia, and tribes and tribal organizations, to design and implement plans (4). Plans guide cancer prevention and control activities with the goal of reducing cancer incidence and death rates by addressing all parts of the cancer continuum (1)(2)(3)5). Although including goals, objectives, and strategies is standard across plans, each plan is unique to its region, and content varies in scope, priorities, and length.…”

“…Statewide coalitions are responsible for creating CCC plans, and these plans generally span a 5-year period (3). When working on the development of CCC plans, coalitions are encouraged to engage people with diverse perspectives, such as community members, advocacy groups, people representing multiple sectors, and working partners (1,2,(5)(6)(7). Meaningful community engagement can advance cancer health equity by informing practice, research, and policy with input from people who are typically marginalized and by identifying community-aligned solutions (8).…”

Success Rates for the Objectives of US State Cancer Control Plans: A First Look

“…Several articles have addressed general topics, such as the implementation of evidence-based practices or the inclusion of specific material such as genomics, capacity/sustainability, or end-of-life content. [3][4][5][6][7][8][9] Other articles have focused on general outcomes such as better quantified goals coupled with associated costs of implementation, comparing state-level recommendations to federal recommendations, identifying keys to success, 2 and developing core domains. [10][11][12] The only reports I was able to find on explicitly measuring success rates of cancer control objectives are as follows.…”