Local Comprehensive Cancer Control Toolkit

Comprehensive Cancer Control (CCC) consists of collaborative strategies to leverage community resources for cancer prevention, early detection, and treatment. Common CCC activities include implementing strategies to reduce cancer risk, promote healthy lifestyles, ensure access to screenings/diagnostic technologies, and improve the quality of treatment and support services to enhance survivorship. This toolkit offers resources, tools, and tips LHDs can use to build successful and sustainable coalitions that are organized to implement effective CCC strategies in their jurisdictions. The toolkit supplements NACCHO’s Cancer Control Action Guide based on a 2011-2012 assessment of cancer control in local health departments (LHDs).

Action Guide for Building Local Comprehensive Cancer Control Coalitions: Lessons Learned from Local Health Departments

This new action guide helps local health departments build capacity for implementing local Comprehensive Cancer Control coalitions. Based on the results of NACCHO’s 2011–2012 Cancer Control in Local Health Departments Assessment, the guide contains lessons learned from local health officials who have successfully implemented local coalitions to reduce the cancer burden in their communities.

Download the action guide here.
Data & Measurement Visibility Strategic Planning Stakeholder Engagement Capacity Cross Coalition Collaboration Leadership

How to Use This Toolkit

NACCHO's Framework for Building Successful and Sustainable Local Cancer Coalitions helps LHDs develop and lead collaborative efforts to prevent cancer in their jurisdictions through the following steps: (1) Identify essential elements of success; (2) Overcome barriers; and (3) Implement solutions that infuse essential elements and remove barriers.

Following these steps involves considering seven foundations for carrying out local cancer control and prevention coalition building efforts: (1) Capacity; (2) Stakeholder Engagement; (3) Strategic Planning; (4) Visibility; (5) Data & Measurement; (6) Leadership; and (7) Cross-Coalition Collaboration.

To access more tools and resources for cancer control, visit NACCHO’s Chronic Disease Prevention Toolkit.

Click on any of the seven foundations at left for tips and tools to carry out coalition-building efforts for local cancer control and prevention.


A coalition's success is affected in large part by available funding to support staff, advertising, and coordination of events. Some coalitions have benefited from a core planning team and coordinator that can facilitate communication among members and organize the meetings, events, and other activities essential for sustaining momentum. In the current economic climate, successful coalitions are finding ways to be creative with limited funding and a diminished workforce through fundraising, volunteerism, free advertising, and grant writing.

Stakeholder Engagement

Coalitions that possess a core team of dedicated stakeholders that share mutual goals, have a positive attitude, and are willing to volunteer when needed are able to achieve success with a limited budget and staff resources. Effective engagement of stakeholders requires fostering mutually beneficial relationships, recruiting the right stakeholders, data-driven planning and reporting, and diversity among sectors and cultures of those who serve on the coalition.

Strategic Planning

Coalitions with a plan are more efficient and effective in meeting their goals. Strategic planning benefits coalitions by formalizing a sense of purpose, providing direction, ensuring that coalition efforts are feasible and likely to make an impact, and providing a framework to determine if coalitions reach their goals.


Successful coalitions possess high visibility and name recognition, which are fundamental for garnering ongoing community and financial support. Community members and funders are more likely to support initiatives that are visible.

Data & Measurement

The effective collection, documentation, and reporting of local data are central to local coalition effectiveness.


To succeed, coalitions need an effective leader. Leadership provides the coalition with a clear vision and direction, which is essential to facilitating the growth of the coalition and keeping momentum.

Cross-Coalition Collaboration Solutions

Because community mobilization is a core function of public health, many LHDs participate in multiple disease-specific coalitions. Effective coalitions integrate or "cross-fertilize" the work of their coalitions with other initiatives and collaborative groups that are working toward the same goals.