Background: Cancer is one of the leading causes of morbidity and mortality worldwide. The number of new cases is expected to rise by about 70% over the next 2 decades. Approximately 70% of deaths from cancer occur in low- and middle-income countries. This growing cancer burden requires innovative approaches to place cancer control and care within existing health systems, while resources should be amalgamated to optimize cost-effective use. Neglect of cancer prevention and care leads to unnecessary death, suffering, and unaffordable treatment. Thus, extension of cancer prevention, diagnosis, and treatment to millions of people with or at risk for cancer is an urgent priority. Integrating cancer prevention and management into primary health care system will tackle cancer-specific priorities while addressing the gaps within the health system, optimizing the use of resources, ensures access to the community and improving coverage. According to World Health Organization regardless of resource level, all countries can implement basic components of cancer control. In the light of the rapidly increasing global cancer burden, it is becoming essential to use the limited resources available in the most effective way. In resource-constrained countries like Ethiopia without specialized services, experience has shown that much can be done to prevent and treat cancer. A strategy to integrated approach thus addresses health problems by providing services in a comprehensive manner. Aim: The purpose of this study is to make a document analysis to assess the requirement of developing strategies for strengthening integration of cancer control program in primary health care system (PHCS). Methods: Document analysis. Results: The Ethiopian National Cancer Control Program unlike most low resource countries planned with necessary implementation cost. The cancer control plan despite its presence usually lack integration in existing health system. There is a variation and significant gaps in the current state of comprehensive cancer control. Conclusion: The country requires strategies to ensure that this plan translated into fully operational interventions. Country specific approaches of integration are required. Integrated framework for cancer prevention is critical to make the most efficient use of its meager resources. This study recommends Ethiopia to develop tailored strategies to strengthen integrated and people-centered cancer control program in its primary health care system.
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