Cancer Causes & Control

, Volume 21, Issue 12, pp 1995–2004 | Cite as

Models for local implementation of comprehensive cancer control: meeting local cancer control needs through community collaboration

  • Bruce Behringer
  • Staci Lofton
  • Margaret L. Knight
Original paper


The comprehensive cancer control approach is used by state, tribes, tribal organizations, territorial and Pacific Island Jurisdiction cancer coalitions to spur local implementation of cancer plans to reduce the burden of cancer in jurisdictions across the country. There is a rich diversity of models and approaches to the development of relationships and scope of planning for cancer control activities between coalitions and advocates in local communities. The national comprehensive cancer control philosophy provides an operational framework while support from the Centers for Disease Control and Prevention enables coalitions to act as catalysts to bring local partners together to combat cancer in communities. This manuscript describes multiple characteristics of cancer coalitions and how they are organized. Two models of how coalitions and local partners collaborate are described. A case study method was used to identify how five different state and tribal coalitions use the two models to organize their collaborations with local communities that result in local implementation of cancer plan priorities. Conclusions support the use of multiple organizing models to ensure involvement of diverse interests and sensitivity to local cancer issues that encourages implementation of cancer control activities.


Comprehensive cancer control Local implementation of state health plans Cancer coalitions 


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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Bruce Behringer
    • 1
  • Staci Lofton
    • 2
  • Margaret L. Knight
    • 3
  1. 1.Division of Health SciencesEast Tennessee State UniversityJohnson CityUSA
  2. 2.Division of Cancer ControlComprehensive Cancer Control Branch, Centers for Disease Control and PreventionAtlantaUSA
  3. 3.New Jersey Department of HealthOffice of Cancer Control and PreventionTrentonUSA

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