Abstract
Background: National cancer control plans (NCCPs) are important documents that guide strategic priorities in cancer
care and plan for the appropriate allocation of resources based on the social, geographic and economic needs of a
population. Despite the emphasis on health equity by the World Health Organization (WHO), few NCCPs have a focus
on health equity. The Ontario Cancer Plan (OCP) IV, (2015 to 2019) is an example of an NCCP with clearly defined
health equity goals and objectives.
Methods: This paper presents a directed-content analysis of the OCP IV health equity goals and objectives, in light of the
synergies of oppression analytical framework.
Results: The OCP IV confines equity to an issue of access-to-care. As a result, it calls for training, funding, and social
support services to increase accessibility for high-risk population groups. However, equity has a broader definition. And
as such, it also implies that systematic differences in health outcomes between social groups should be minimal. This is
particularly significant given that socially disadvantaged cancer patients in Ontario have distinctly poorer cancer-related
health outcomes.
Conclusion: Health systems are seeking ways to reduce the health equity gap. However, to reduce health inequities
which are socially-based will require a recognition of the living and working conditions of patients which influence risk,
mortality and survival. NCCPs represent a way to politically advocate for the determinants of health which profoundly
influence cancer risk, outcomes and mortality.