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The need to build on recent progress

Table 5: ICP assessment of national cancer control plans

Countr y/

indicator

Existence

of NCCP Comprehensiveness

Implementation

framework

Monitoring and

evaluation

Score 0-2 Score 0-3 Score 0-3 Score 0-2

Argentina 2 2 3 2

Bolivia 0 0 0 0

Brazil 2 2 2 2

Chile 2 3 2 2

Colombia 2 2 3 2

Costa Rica 2 3 3 2

Ecuador 2 2 3 2

Mexico 2 2 1 1

Panama 2 3 1 2

Paraguay 2 2 2 1

Peru 2 3 3 2

Uruguay 2 2 3 2

Note: Higher scores mean better performance.

Source: ICP—Latin America.

by developing additional legislation. This

is one of the aims of the proposed cancer

law in Chile, still undergoing approval by

the government. Paraguay also offers an

example with Law 6.266 from December

2018 for the comprehensive care for people

with cancer, which contains a chapter on

financing. The law stipulates the creation of

a fund for cancer care that shall be funded

by state contributions and taxes (to tobacco

and alcohol). Nelson Mitsui, director of the

country’s National Cancer Institute, notes:

“The law will carry exclusive financing for

cancer patients. We expect a better future

for oncology”. Peru also has additional

mechanisms to secure funding for its Plan

Esperanza in the “Programa presupuestal

0024”, a comprehensive result-based budget

programme guiding investments in the cancer

programme.

The importance of data and

knowledge

Cancer registries play a critical role in

an effective response to cancer. Cancer

surveillance should be a precondition of

cancer planning, allowing identification

of priorities and ongoing monitoring of

effectiveness. Population-based cancer

registries involve a comprehensive and

systematic collection of morbidity data in

40 UICC and IARC, “Cancer registries: why, what and how?”