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The paper reexamines the Alma Ata Declaration’s principles—health equity, universal access, preventive care, and community participation—as a conceptual framework to address persistent problems in cancer care. It outlines opportunities for integrating oncology into strengthened PHC systems, supported by evidence across settings, and proposes financing, workforce, community engagement, and policy alignment with universal health coverage and national cancer control plans.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/revisiting-alma-ata-a-blueprint-for-cancer-care-cancer-control-volume-32-1-14/373590/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/revisiting-alma-ata-a-blueprint-for-cancer-care-cancer-control-volume-32-1-14/373590.png","ImageObject",300,407,{"name":92,"@type":93},"Stanley","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-25","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What major challenges in cancer care does the paper identify?","Question",{"text":112,"@type":113},"It highlights disparities in access, insufficient preventive focus, fragmented PHC integration, unsustainable financing, workforce shortages, and limited community involvement.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the paper use the Alma Ata Declaration for cancer care?",{"text":117,"@type":113},"It uses Alma Ata’s principles—health equity, universal access, prevention, and community participation—as a framework to guide improvements in cancer systems.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the paper propose for integrating oncology into primary health care?",{"text":121,"@type":113},"It emphasizes strengthening PHC infrastructure to improve prevention, early detection, and survivorship care, balancing specialist resources with decentralized community-based services.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},373590,1790386226,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},2336477405376,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| Revisiting Alma Ata: A Blueprint for Cancer Care | Cancer Control Volume 32: 1-14 © The Author(s) 2025 Article reuse guidelines:\u003Cbr>[sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/10732748251363701](DOI: 10.1177/10732748251363701)\u003Cbr>[journals.sagepub.com/home/ccx](journals.sagepub.com/home/ccx)\u003Cbr>\u003Cbr>|\n| --- | --- |\n| Javier-David Benitez-Fuentes, MD, MSc 1,2 􀀁 , Rodrigo Lastra del Prado, MD, MSc2,3, Miguel Borregon-Rivilla, MD, MSc 1, Alicia de Luna Aguilar, MD, MSc2,4,\u003Cbr>Antonio-David Lazaro-Sanchez, MD, MSc, PhD2,4,\u003Cbr>Asia Ferrndez-Arias, MD 1, Paula Rodrguez Pay, MD 1, Beatriz Grau Mirete, MD 1, Teresa Quintanar Verduguez, MD 1, Elena Asensio Martinez, MD 1, Patricia Iranzo, MD, PhD2,5, Ana Callejo, MD, PhD2,6, Mara Cruellas Lapeña, MD, PhD2,3, Jacobo Gómez Ulla, MD, MSc2,7, and\u003Cbr>Alvaro Rodriguez-Lescure, MD, PhD 1 􀀁\u003Cbr>Abstract\u003Cbr>Despite significant advances in oncology, cancer care globally continues to face critical challenges, including stark disparities in access, insufficient preventive focus, fragmented primary health care (PHC) integration, unsustainable financing models, workforce shortages, and inadequate community involvement. This paper revisits the Alma Ata Declaration’s principles—health equity, universal access, preventive care, and community participation—as a conceptual framework to address these persistent issues in cancer care. We highlight opportunities to strategically integrate oncology services within strengthened PHC systems, balancing centralized specialist resources with decentralized community-based care. Evidence from diverse settings illustrates how reinforcing PHC infrastructures enhances preventive measures, early detection, and survivorship care, thus mitigating geographic and socioeconomic disparities. Sustainable financing mechanisms and targeted workforce strategies, including task-shifting and multidisciplinary training, are proposed as essential components. Effective community engagement models demonstrate improved care relevance, acceptance, and outcomes. Additionally, we emphasize the critical role of health policy alignment with universal health coverage objectives, robust pharmacoeconomic evaluations, and evidence-based national cancer control plans. Integrating Alma Ata’s principles into contemporary oncology provides a viable, scalable model to advance equitable, accessible, and sustainable cancer care globally, laying the theoretical groundwork for future research initiatives and informed policy development.\u003Cbr>Plain Language Summary\u003Cbr>Why was this study done? Despite many medical advances, cancer care remains very unequal globally. Many people worldwide still have poor access to cancer services because of high treatment costs, lack of trained medical staff, uneven healthcare |  |\n| 1 Department of Medical Oncology, FISABIO, Hospital General Universitario de Elche, Alicante, Spain 2RIO Working Group, Zaragoza, Spain\u003Cbr>3Department of Medical Oncology, Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain 4Department of Medical Oncology, Hospital General Universitario Morales Meseguer, Murcia, Spain\u003Cbr>5Department of Medical Oncology, Hospital Universitari Vall d’Hebron & Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain 6Department of Medical Oncology, Hospital Universitario de Burgos, Burgos, Spain\u003Cbr>7Department of Medical Oncology, Hospital Universitario de Badajoz, Badajoz, Spain\u003Cbr>Corresponding Author:\u003Cbr>Javier David Benitez Fuentes, Department of Medical Oncology, FISABIO, Hospital General Universitario de Elche, Alicante, Carrer Almazara 11, Elche 03203, Spain.\u003Cbr>Email: [javierdavidbenitezfuentes@gmail.com](javierdavidbenitezfuentes@gmail.com) |  |\n\nCreative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons  \nAttribution-NonCommercial 4.0 License ([https://creativecommons.org/licenses/by-nc/4.0/](https://creativecommons.org/li","cbCaijMJebGzq5uS","https://ap.wps.com/l/cbCaijMJebGzq5uS","pdf",925276,14,"English","# Abstract\n## Plain Language Summary\n## Keywords","[{\"question\":\"What major challenges in cancer care does the paper identify?\",\"answer\":\"It highlights disparities in access, insufficient preventive focus, fragmented PHC integration, unsustainable financing, workforce shortages, and limited community involvement.\"},{\"question\":\"How does the paper use the Alma Ata Declaration for cancer care?\",\"answer\":\"It uses Alma Ata’s principles—health equity, universal access, prevention, and community participation—as a framework to guide improvements in cancer systems.\"},{\"question\":\"What does the paper propose for integrating oncology into primary health care?\",\"answer\":\"It emphasizes strengthening PHC infrastructure to improve prevention, early detection, and survivorship care, balancing specialist resources with decentralized community-based services.\"}]","Revisiting Alma Ata - A Blueprint for Cancer Care - Cancer Control Volume 32 - 1-14 | PDF",1790199966,35]