Cancer Causes & Control

, Volume 30, Issue 10, pp 1033–1044 | Cite as

Leveraging the strength of comprehensive cancer control coalitions to support policy, systems, and environmental change

  • Angela MooreEmail author
  • Aubrey Villalobos
  • Annette L. Gardner
  • Citseko Staples
  • Sarah Shafir
Original Paper


Strategies that facilitate change to policy, systems, and environmental (PSE) changes can enable behaviors and practices that lead to cancer risk reduction, early detection, treatment access, and improved quality of life among survivors. Comprehensive cancer control is a coordinated collaborative approach to reduce cancer burden and operationalizes PSE change strategies for this purpose. Efforts to support these actions occur at the national, state, and local levels. Resources integral to bolstering strategies for sustainable cancer control include coordination and support from national organizations committed to addressing the burden of cancer, strong partnerships at the state and local levels, funding and resources, an evidence-based framework and program guidance, and technical assistance and training opportunities to build capacity. The purpose of this paper is to describe the impact of public policy, public health programming, and technical assistance and training on the use of PSE change interventions in cancer control. It also describes the foundations for and examples of successes achieved by comprehensive cancer control programs and coalitions using PSE strategies.


Comprehensive cancer control Policy Coalitions Systems change 



The authors would like to thank the multitude of program staff, organizations, and volunteers across the states, tribes, and territories that have made policy, systems, and environmental changes for sustainable cancer control. We are appreciative of all the cancer control leaders who took the time to share their success stories publicly on and other platforms so others might learn and replicate elsewhere.


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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply  2019

Authors and Affiliations

  • Angela Moore
    • 1
    Email author
  • Aubrey Villalobos
    • 2
  • Annette L. Gardner
    • 3
  • Citseko Staples
    • 4
  • Sarah Shafir
    • 5
  1. 1.Division of Cancer Prevention and Control, Comprehensive Cancer Control BranchCenters for Disease Control and PreventionAtlantaUSA
  2. 2.The George Washington University Cancer CenterWashingtonUSA
  3. 3.Philip R Lee Institute for Health Policy StudiesUniversity of California, San FranciscoSan FranciscoUSA
  4. 4.Cancer Action Network, American Cancer SocietyWashingtonUSA
  5. 5.State and National Systems, American Cancer SocietyAtlantaUSA

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