Lessons learned from the support of the International Atomic Energy Agency, International Agency for Research on Cancer and World Health Organization to develop National Cancer Control Plans in low- and middle-income countries

IF 2.2 Q3 HEALTH POLICY & SERVICES

Journal of Cancer Policy Pub Date : 2026-03-01 Epub Date: 2025-10-21 DOI:10.1016/j.jcpo.2025.100652

Lisa Montel , John Russell , Issimouha Dille Mahamadou , Mary Nyangasi , Sharon Katai Kapambwe , Alfred Karagu Maina , Valerian Mwenda , Andre Carvalho , Geraldine Arias de Göbl , Marianna Nobile , Yannick Romero , Mauricio Maza , Lisa M. Stevens

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Abstract

Background

The International Atomic Energy Agency (IAEA), International Agency for Research on Cancer (IARC) and World Health Organization (WHO) assist countries in building and strengthening their cancer control capacity. This support includes guidance to Member States to set priorities for national cancer control through the development and implementation of National Cancer Control Plans (NCCPs). Our aim was to identify the lessons learned from the support United Nations (UN) agencies provide to develop NCCPs in low- and middle-income countries (LMICs) to support the development of guidance.

Methods

We developed a questionnaire based on a review of the NCCP literature and conducted semi-structured interviews with 11 Member States that received UN agency support between 2020 and 2023 and five IAEA Programme Officers who coordinated UN support. We coded the transcripts inductively and performed a thematic analysis of the data.

Results

Three main themes were identified, each with their own barriers and enablers to develop NCCPs: coordination of NCCP development; method; and governance. We discuss each of these challenges and offer recommendations for Member States and UN agencies to further improve the development process of national cancer control strategies. We selected Kenya as a case study to show an example of good practice.

Conclusion

This paper complements a sister study conducted by the International Cancer Control Partnership which assessed challenges of developing NCCPs for countries that received a different type of support. Both studies contribute to the growing body of NCCP literature following the 2025 global review of NCCPs.

Policy summary

The lessons learned from the IAEA-IARC-WHO support to develop NCCPs will inform policies, programmes and practices in cancer control planning and implementation in LMICs, as well as the development of a common methodology for UN agencies to provide NCCP support.

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国际原子能机构、国际癌症研究机构和世界卫生组织支持中低收入国家制定国家癌症控制计划的经验教训。

背景：国际原子能机构（原子能机构）、国际癌症研究机构（癌症研究机构）和世界卫生组织（卫生组织）协助各国建立和加强其癌症控制能力。这种支持包括指导会员国通过制定和实施国家癌症控制计划来确定国家癌症控制的优先事项。我们的目的是确定从联合国机构为中低收入国家制定国家核心方案提供的支持中吸取的经验教训，以支持指南的制定。方法：我们在回顾NCCP文献的基础上编制了一份问卷，并对11个在2020年至2023年期间接受联合国机构支持的成员国和5名协调联合国支持的原子能机构项目官员进行了半结构化访谈。我们对转录本进行了归纳编码，并对数据进行了专题分析。结果：确定了三个主要主题，每个主题都有各自的障碍和推动因素来制定国家重点控制方案：国家重点控制方案发展的协调；方法;和治理。我们讨论了每一项挑战，并为会员国和联合国机构提出建议，以进一步改善国家癌症控制战略的制定进程。我们选择肯尼亚作为案例研究，以展示良好实践的例子。结论：本文对国际癌症控制伙伴关系开展的一项姊妹研究进行了补充，该研究评估了获得不同类型支持的国家发展非核心控制方案的挑战。在2025年全球NCCP回顾之后，这两项研究都为NCCP文献的增长做出了贡献。政策摘要：从国际原子能机构-国际癌症研究机构-世卫组织支持制定国家重点控制项目中吸取的经验教训将为中低收入国家癌症控制规划和实施方面的政策、规划和做法提供参考，并为联合国机构提供国家重点控制项目支持制定共同方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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