As cancer incidence rises in low- and middle-income countries (LMICs), National Cancer Control Plans (NCCPs) have become critical for guiding comprehensive responses. The NCCP Development Research Initiative (NCCP DRIVE), led by the International Cancer Control Partnership (ICCP), examined how countries navigate the complex process of NCCP development.
Through in-depth interviews with cancer planners in nine countries, the study identified six key phases in NCCP development: Initiation, Formulation, Negotiation, Communication, Implementation, and Monitoring/Evaluation. Findings reveal common challenges such as limited resources, fragmented health systems, and inadequate data, which often lead to compressed timelines and gaps in implementation planning. Despite these hurdles, countries employed strategies like integrating cancer control into existing health programs, engaging multisector stakeholders, and leveraging technical assistance and partnerships. The study underscores the importance of flexible support models, stronger data systems, and aligning cancer priorities within broader health agendas.
This research offers practical insights for policymakers and partners supporting cancer control planning worldwide. The study complements a sister paper by the International Atomic Energy Agency, which examined lessons from UN-supported NCCP development efforts. Together, the findings enrich the growing body of evidence on how to enhance cancer control planning globally, following the 2025 global review of NCCPs.