Webinar: Tutorial for NCCP Reviews

8 January 2018

“We unite the cancer community to reduce the global cancer

burden, to promote greater equity, and to integrate cancer
control into the world health and development agenda.”
Cancer Control Planning
Core Elements

Brenda Kostelecky, PhD

Lead, Cancer Control Planning and Policy

January 2018
What is a National Cancer Control Plan (NCCP)?

A strategic plan to control cancer

based on the country’s cancer
burden, cancer risk factor burden
and the resources available to
implement the plan in the context of
the culture and health care system
in that country
(Union for International Cancer Control)

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Why develop a plan?

3
Benefits of an NCCP
Increase the use of evidence to guide policy and program decisions
Maximize use of resources
Communicate cancer challenges, needs, and path forward to the
community, policymakers, and partners
• Increase financial, political and social support
• Coordinate efforts in cancer and other health areas to build on
partner efforts and avoid duplication
Ensure accountability
Improve health outcomes

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Common challenges

Support and funding

• Cancer control
• Cancer planning
• Research Underlines the
• Infrastructure and resources importance of cancer
o Access to data, data quality
planning
o Facilities, equipment, and workforce
Competing priorities
Cultural norms and context
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Cancer control is a “whole-of-society” challenge

Needs to be embraced by government, civil society, private

sector, professionals, patients, and public;
Interventions need to take into account social determinants of
health, public health, and existing health services and systems;
This takes time and sustained effort
Addressing social determinants involves virtually all government
agencies/ministries
The importance of government support for broad-based cancer control
(fully supported by civil society, professionals and the public) through
legislation including universal health care, tobacco control policies, and
social policy reforms can’t be minimized.
Chokshi & Farley. New Engl. J Med 2012.367: 295-7
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NCCP Process and Outcomes
• Partnership
• Incorporation of
evidence
• Consensus
• Accountability
• Communication
• Monitoring and
evaluation Process

Outcomes

• Plan development
• Plan implementation
• Improved cancer
prevention and control
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Partnerships

Combine resources Maximize support Promote coordination

Increase
Reduce disparities Enhance sustainability
comprehensiveness

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Essential elements of an NCCP

Outlines vision and mission

Articulates goals, objectives, and strategies
Uses available data and evidence to identify needs and guide
strategies
Sets up clear monitoring and evaluation of plan
Outlines a plan for financing, developing additional sources of
revenue, and leveraging existing resources

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Features of a quality NCCP

Developed by a multi-stakeholder, multi-level team

• Government, civil society, academics, community groups, non-health
sectors
Takes into account unique country context and social determinants of
health
Communicates clearly to intended audiences including policymakers,
care providers, the public
Implemented and measured

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cancer.gov cancer.gov/espanol
National Cancer Control Plans

A Comprehensive Review

André Ilbawi, MD
Medical Officer, Cancer Control
World Health Organization
[email protected]
 Outline

• Context: why now?, how did we get here?

• Understanding the methodology

• Lessons learned from an initial review

• Next steps
 Outline

• Context: why now?, how did we get here?

• Understanding the methodology

• Lessons learned from an initial review

• Next steps
 WHA Cancer Resolution 2017

• Resolution 2017: Brazil Malaysia

Cancer prevention and Colombia
France
Canada
Costa Rica
control in the context of an Russia Panama
Thailand Peru
integrated approach Zambia Congo
USA Nigeria
– 18 sponsors and >40 countries India Georgia
& 11 NGOs speaking in support Luxembourg ++

of the resolution
• Calls on all partners to assist
with NCCP
Horizon of National Cancer Control Planning
2005 Resolution
• 2005: Promote NCCP development

Region 2000 2015

Africa 21% 83%

2017 Resolution Americas 50% 79%

Eastern
54% 80%
Mediterranean
Europe 60% 92%
South-east Asia 83% 91%
Western Pacific NR 96%
Total 49% 87%
WHA Cancer Resolution
 WHA Cancer Resolution

• Recommended actions for

countries
– Develop & implement NCCP
– Reduce risks through strategies
such as imposing higher taxes on
tobacco
– Strengthen health systems for
cancer control focusing on equity
and access
– Ensure that cancer workforce has
appropriate skills
– Improve data to inform decision-
making
 Cancer & Public Health

• OECD Cancer Care (2013)

1. Governance
– NCCP (targets,
timeframe, M&E, case
management, networks)
2. Practice
– Short referral & waiting
times
– Adherence to
guidelines/optimal
treatment
– Cancer screening
3. Resources
– National expenditure
– # of CT scanner
– Cancer centre/million
Current Status of Cancer Plans
 National Cancer Control Plans
Only 1 in 5 31% of Member
countries have Starting Point States do not
necessary Develop
data NCCP using inclusive strategy for planning,
have NCCP
Assess and monitoring Plan
implementation
Found NCCP on key activities according to
Health
epidemiological burden and health system capacity
system
Common NCCP Priorities
Implement Finance
1. Emphasize prevention & downstaging disease
2. Ensure high-quality services
<50% have 3.
NCCP Only 5% of global
Promote strategic evidence-based investment
that is spending in less
operational develop countries
 Outline

• Context: why now?, how did we get here?

• Understanding the methodology

• Lessons learned from an initial review

• Next steps
 National Cancer Control Plans
• Defining “ideal” plan?
• Defining the terms
Precise arrangement, following a defined pattern, for a definite
– Plan? purpose according to a value chain coherent with the policy and
the strategy. It is concrete but does not need to have all details.
Articulates mission to be accomplished and the generic
– Strategy? roadmap to achieve this mission. Includes the layout, design,
or concept used to accomplish the vision and mission.

Often contains a vision statement, explaining the

– Policy? way a government, institution or organization will
look in the future with inspirational dimensions

– Programme? Arranged selection of systematic steps, activities and

tasks and deliverables coherently within the plan.
 Methodology

• What work has been done?

 Methodology
• WHO-IAEA NCCP Self-assessment tool
1. Review existing • World Cancer Report
• Cancer Control Knowledge into Action:
documents Planning
• NCD MAP Survey
2. Organize content • NCCP 2002
• NCD MAP Checklist
into major domains • Albrecht - European Guide for Quality
National Cancer Control Programmes
– Cancer continuum • Atun - Analysis of National Cancer
Control Programmes in Europe
– Health system • Supporting national cancer control
planning : a tool kit for civil society
building blocks organisations
• Checklist of the national Multisectoral
3. Categorize specific Action Plan for NCD Prevention and
guidance into topics •
Control
ICCP- NCCP Plan development and
assessment Tool
4. Collate topics • WHO cancer resolution 2005
 Methodology

• Development of master sheet

– Over 150 topics
– Prioritize based on:
• Frequency of inclusion
• WHO / UN agency guidance
– Review process
• Internal WHO validation
• Review from key partners & collaborators
Methodology
Methodology
Methodology
Methodology
Methodology
 Outline

• Context: why now?, how did we get here?

• Understanding the methodology

• Lessons learned from an initial review

• Next steps
 Lessons Learned

1. What constitutes inclusion?

– Where to find search terms
– Point system for level of description/inclusion
 Lessons Learned

2. NCCP, NCD plan or both

– Topic:
• Either document
• Select questions – both documents
 Lessons Learned

3. Restructuring
prompts/question
– E.g. Leadership
4. Language
– Review in 2nd language vs.
online translations
5. Time
– Time consuming
– …but very interesting
 Outline

• Context: why now?, how did we get here?

• Understanding the methodology

• Lessons learned from an initial review

• Next steps
 Next Steps

• Trial
– One review in next 1-2 weeks
– Feedback on methodology & topic wording
– Follow-up discussion planned
Brief “How to”
Brief “How to”
 Next Steps

• Trial
– One review in next 1-2 weeks
– You will receive
• “How to” document in 2-3 days
• Link to “Google documents” by Monday
– Feedback
• Topics needing clarification
• Tricks to improve efficiency
• Groups
– Reconciliation group
– Data analysis group
• Questions
– Please contact: [email protected]; [email protected]
THANK YOU

André M. Ilbawi
[email protected]
General Logistics

Reviewers UICC Dispatch Reviews Reminders, Stats and

commitment Requests

Each organisation/individual UICC will dispatch randomly and Material needed: Weekly reminders will be sent to
commits to n country reviews anonymously in Group1 and keep you updated on progress of
• Link to on-line questionnaire and
Group2 Reviewers your review status versus your
the reviewers “how to” guide will
pledge.
• Organisation level be provided in the dispatch
Orgs are preferentially asked to email
• Separate emails with a list of
make a minimum pledge of 24 countries will be allocated to Statistics about our collective
reviews individuals and organisations • A link to ICCP and WHO progress will be shared every two
repository is the access point for weeks.
• Individual level
Individuals are preferentially the country plans
• Assignment of plans to team
asked to make a minimum members within a given Requests:
pledge of 6 reviews organisation will be done by the • Required for questionnaire: We need 1-2 nominations to join
Corresponds to 12-18 hours of organisation itself
• Email address the review reconciliation
review in total, for 3 months.
working group (Jan – March
• Name/organisation commitment)
• Non-English plans have been
• UICC team will cover French allocated • Country plan: Name We need 5-6 nominations to form
plans and some in Spanish and • Confirmation of: Non- an analysis working group
Portuguese as well as a number disclosure and Absence of (March – May commitment)
of English plans Conflict of Interest statements
Next steps

Gaps in review Assignment email Webinar/Tutorial Questions and

coverage Requests

2 reviewers needed for:

Tadjik
Macedonian Individual reviewers will receive an The webinar is recorded and will For any questions , requests or
assignment list corresponding to be posted as an additional support comments regarding the review
Danish
their commitment following the tool. process, please send an email to
Georgian tutorial
Greek
An additional catch up tutorial [email protected]
Japanese webinar is be planned for early
Latvian February (TBD)
Organisation focal points will The email will be active this week
Lithuanian receive an assignment list to
allocate across their team following
the tutorial
1 reviewer for:
Arabic
Croatian
Korean
Ukrainian
 Thank you

Yannick Romero, PhD

Advocacy and Networks Manager
[email protected]
www.uicc.org

Union for International Cancer Control

31-33 Avenue Giuseppe Motta, 1202 Geneva, Switzerland

T. +41 (0)22 809 1811 F. +41 (0)22 809 1810
E. [email protected] www.uicc.org