Table 1

Summary of priority actions of key national stakeholders in cancer control to reduce inequalities in access to cancer care

Stakeholder groupSample national priority actions
National policymakers
  • Develop comprehensive national cancer control programmes, plans and strategies

  • Facilitate access to cancer care for all by prioritising cost-effective programmes and financing a basic package of cancer services

  • Create a favourable policy environment to reduce exposure to carcinogens

  • Maximise cancer prevention interventions (eg, tobacco control, vaccines)

  • Promote access to palliative care and pain management

  • Promote access to rehabilitation services and psychosocial support

  • Assure the existence of a national cancer registry and that the data in that registry are comprehensive and accurate

Regional or facility health planners
  • Coordinate cancer services between facilities

  • Promote multidisciplinary care

  • Enable the training of the oncology workforce

  • Develop programmes and protocols that optimise benefits and avoid, or reduce, harmful or unnecessary cancer interventions (eg, extraneous imaging tests)

Academic societies
  • Advance the art, science and practice of oncology

  • Support development and dissemination of norms and standards for quality cancer care

  • Develop programmes to assure a well-trained oncology workforce

  • Promote awareness of cancer as a global public health priority

Clinicians/providers
  • Pursue and provide the highest quality cancer care for all

  • Ensure coordination of services between providers and delivery of services within a multidisciplinary team

  • Support and adhere to evidence-based clinical practice guidelines and research

Patients and civil society
  • Define the goals of cancer management and outcomes for patient monitoring and evaluation

  • Advocate for strong policies and programmes to support cancer control

  • Advocate for rehabilitation services, psychosocial support and equal access to high-quality care