Union Finance Minister Nirmala Sitharaman announced the establishment of day-care centers for cancer treatment at district hospitals as part of initiatives to improve access to cancer care. This announcement made during the budget speech aims to facilitate much-needed cancer treatments closer to home, especially as cancer cases are on the rise across India. The initiative is significant, with plans to set up 200 centers by 2025-26.
The initiative's relevance cannot be overstated, as approximately one in nine individuals is likely to develop cancer during their lifetime, with the Global Cancer Observatory estimating increasing cases across the country. By locating day-care centers at district hospitals, the government aims to reduce the patient load on metropolitan hospitals, making treatments more accessible to rural populations.
Dr. Abhishek Shankar, oncologist at AIIMS Delhi, raised concerns, stating, “No details have been provided on the kind of services.” He emphasized the need for facilities to offer comprehensive care, including chemotherapy and minor procedures, though radiotherapy might remain impractical at district centers due to substantial investment needs.
This budget announcement is part of broader efforts to combat growing cancer rates. The healthcare system currently faces enormous pressure; with poor infrastructure, many district hospitals lack the capacity even for biopsies, raising questions about the feasibility of these new centers. Dr. Agrawal pointed out, “70% to 80% of cancer treatment can be delivered through day-care centers,” underscoring the potential of these proposed facilities.
On the ground, community participation was evident during the ‘Umeed Ke Sitare Walkathon’ held at Sukhna Lake, Chandigarh. Over 700 individuals gathered to raise awareness about cancer, emphasizing the importance of early detection for preventing deaths. Chiefs at the event included Haryana’s Director General of Health Services, Dr. Manish Bansal, who noted, “Raising awareness and ensuring access to early detection...” was key to mitigating the cancer burden.
Cancer survivors and medical professionals shared their narratives, inspiring attendees to recognize the signs of the disease and seek preventive screenings. Statistics presented during the walkathon drove home the urgency, with Dr. Brig Rajeshwar Singh highlighting the staggering number of individuals currently battling cancer—over 30 lakh with about five lakh losing their lives annually.
Dr. Parneet Singh, senior consultant oncologist, illustrated projecting future scenarios, warning, “Cancer cases are projected to increase by 70% over the next two decades,” emphasizing the need for diligent early diagnostics.
World Cancer Day also serves as a reminder of inequalities within cancer care. Notably, only 39% of countries cover the basics needed for cancer management, leading to stark disparities, particularly between high and low-income nations, where lung cancer health services can be four to seven times more accessible.
Despite alarming figures, progress has been made as cancer death rates show decline due to advancements. The testimony shared by speakers and survivors drew attention to the possibility of change as long as communities remain engaged, raising awareness, and pushing for effective interventions. The goal remains to mobilize resources for early detection, treatment access, and support systems.
With the establishment of day-care centers on the horizon and commitment reflected during walkathons, the conversation around cancer care is gaining traction. Incorporation of these centers, if executed well, could radically change cancer treatment dynamics across India, fostering accessibility and trust among patients.