This research made an approach of the determining factors of the implementation level of strategies for early diagnosis in breast cancer, given the local framework of Decennial Plan for Cancer Control 2012-2021. This work used public policy analysis described by Jolly (2010), considering, territoriality and territorialization of public action. The methodology is based on a descriptive qualitative analysis employing intentional sampling, applying semi-structured interviews for data collection. These interviews were applied to relevant people who were involved in the implementation processes al multiple political-administrative division at the national level, departmental as Cundinamarca, and al municipality level as Soacha and Chía. This was to identify the main factors that fight against implementation processes, including issues at nationwide and at the local level. Arnong the significant obstacles for implementation was the insufficient administrative capacity of people in charge of implementation itself, lack intersectoral of coordination and poor social participation. Similarly, it was observed that the department is constituted as a transactional operator that set the relationship between global and sectorial as nationwide and municipality. lt worked as a mediatorship that powers and endorsed the instruments' implementation for a public action at the regional level.