Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]Code Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6801e0553e0c9-trace').style.display = (document.getElementById('cakeErr6801e0553e0c9-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr6801e0553e0c9-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6801e0553e0c9-code').style.display = (document.getElementById('cakeErr6801e0553e0c9-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr6801e0553e0c9-context').style.display = (document.getElementById('cakeErr6801e0553e0c9-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr6801e0553e0c9-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6801e0553e0c9-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 24698, 'metaTitle' => 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'metaKeywords' => 'Cancer,Health,medicines', 'metaDesc' => ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...', 'disp' => '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 24698 $metaTitle = 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh' $metaKeywords = 'Cancer,Health,medicines' $metaDesc = ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...' $disp = '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh | Im4change.org</title> <meta name="description" content=" -Down to Earth Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; 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However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p> </p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify"> </div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p> </p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p> </p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p> </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. 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'' : 'none')">Context</a><pre id="cakeErr6801e0553e0c9-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6801e0553e0c9-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 24698, 'metaTitle' => 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'metaKeywords' => 'Cancer,Health,medicines', 'metaDesc' => ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...', 'disp' => '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 24698 $metaTitle = 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh' $metaKeywords = 'Cancer,Health,medicines' $metaDesc = ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...' $disp = '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh | Im4change.org</title> <meta name="description" content=" -Down to Earth Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-Down to Earth</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p> </p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify"> </div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p> </p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p> </p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p> </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? 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'' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr6801e0553e0c9-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6801e0553e0c9-code').style.display = (document.getElementById('cakeErr6801e0553e0c9-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr6801e0553e0c9-context').style.display = (document.getElementById('cakeErr6801e0553e0c9-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr6801e0553e0c9-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6801e0553e0c9-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 24698, 'metaTitle' => 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'metaKeywords' => 'Cancer,Health,medicines', 'metaDesc' => ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...', 'disp' => '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> &nbsp; </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> &nbsp; </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp; </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp; </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> &nbsp; </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> &nbsp; </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 24698 $metaTitle = 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh' $metaKeywords = 'Cancer,Health,medicines' $metaDesc = ' -Down to Earth &nbsp; Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...' $disp = '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p>&nbsp;</p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p>&nbsp;</p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" />&nbsp;</p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" />&nbsp;</p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p>&nbsp;</p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p>&nbsp;</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879.html"/> <meta http-equiv="Content-Type" content="text/html; 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However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p> </p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify"> </div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p> </p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p> </p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p> </p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? 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$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 24698, 'metaTitle' => 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'metaKeywords' => 'Cancer,Health,medicines', 'metaDesc' => ' -Down to Earth Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...', 'disp' => '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p> </p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify"> </div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p> </p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p> </p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p> </p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 24698, 'title' => 'Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh', 'subheading' => '', 'description' => '<div style="text-align: justify"> -Down to Earth </div> <div style="text-align: justify"> </div> <p style="text-align: justify"> <em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em> </p> <p style="text-align: justify"> A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. </p> <p style="text-align: justify"> To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. </p> <p style="text-align: justify"> Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. </p> <p style="text-align: justify"> By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. </p> <p style="text-align: justify"> The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine. </p> <p> </p> <div style="text-align: justify"> <em>Insurance schemes are of little benefit</em> </div> <div style="text-align: justify"> </div> <div style="text-align: justify"> To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation. </div> <p> </p> <p style="text-align: justify"> <em>Cancer cases and increased spending required</em> </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p> <p style="text-align: justify"> Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two). </p> <p style="text-align: justify"> <img src="tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p> <p style="text-align: justify"> There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. </p> <p style="text-align: justify"> However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. </p> <p style="text-align: justify"> The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. </p> <p style="text-align: justify"> <em>Stress on early detection, treatment </em> </p> <p style="text-align: justify"> Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. </p> <p style="text-align: justify"> <em>Study findings at a glance</em> </p> <p> </p> <div style="text-align: justify"> Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries </div> <div style="text-align: justify"> Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy </div> <div style="text-align: justify"> In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses </div> <div style="text-align: justify"> In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets </div> <div style="text-align: justify"> 40 per cent of India's cancer burden is related to tobacco </div> <p> </p>', 'credit_writer' => 'Down to Earth, 29 April, 2014, http://www.downtoearth.org.in/content/why-cancer-survival-rate-india-low-30-cent', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'why-cancer-survival-rate-in-india-is-a-low-30-per-cent-jyotsna-singh-24879', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 24879, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 24698 $metaTitle = 'LATEST NEWS UPDATES | Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh' $metaKeywords = 'Cancer,Health,medicines' $metaDesc = ' -Down to Earth Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment...' $disp = '<div style="text-align: justify">-Down to Earth</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients</em></p><p style="text-align: justify">A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality.</p><p style="text-align: justify">To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states.</p><p style="text-align: justify">Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis.</p><p style="text-align: justify">By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country.</p><p style="text-align: justify">The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.</p><p> </p><div style="text-align: justify"><em>Insurance schemes are of little benefit</em></div><div style="text-align: justify"> </div><div style="text-align: justify">To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.</div><p> </p><p style="text-align: justify"><em>Cancer cases and increased spending required</em></p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 1.jpg" alt="Cancer 1" width="579" height="855" /> </p><p style="text-align: justify">Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).</p><p style="text-align: justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Cancer 2.jpg" alt="Cancer 2" width="651" height="382" /> </p><p style="text-align: justify">There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer.</p><p style="text-align: justify">However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study.</p><p style="text-align: justify">The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India.</p><p style="text-align: justify"><em>Stress on early detection, treatment </em></p><p style="text-align: justify">Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care.</p><p style="text-align: justify"><em>Study findings at a glance</em></p><p> </p><div style="text-align: justify">Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries</div><div style="text-align: justify">Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy</div><div style="text-align: justify">In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses</div><div style="text-align: justify">In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets</div><div style="text-align: justify">40 per cent of India's cancer burden is related to tobacco</div><p> </p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'
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Why cancer survival rate in India is a low 30 per cent -Jyotsna Singh |
-Down to Earth Study published in The Lancet indicates what the country will need to spend to provide basic cancer screening and care to patients A report published in the international journal, The Lancet, has drawn attention to poor infrastructure and treatment facilities for cancer patients in India, which is leading to high cancer mortality. To deliver even a basic cancer screening and treatment package in rural India, 15 states would need to find an additional US $1.6 million a year, (not taking into account inflation), and eight of these states would need an additional US $16 million ever year, the report states. Roughly one million new cases of cancer are added every year in India, which is one-fourth of that recorded in Europe. However, nearly 70 per cent cancer patients die in India. This ratio indicates that fewer than 30 per cent of Indian patients with cancer survive five years or longer after diagnosis. By contrast, in North America and western Europe, five-year survival for patients with all types of cancers is about 60 per cent, says the three-part report. The first part of the report gives a macro picture of cancer-related morbidity and mortality in India. The second part focuses on research in India and the third part looks at implications of policies in the country. The authors conclude that delayed diagnoses and inadequate, incorrect, or sub-optimum treatment are the chief factors for poor cancer survival in India. Nearly 92 per cent patients from rural households first consult private practitioners, 79 per cent of whom are not qualified in allopathic medicine.
Insurance schemes are of little benefit To improve the situation, investments are to be made in building adequate infrastructure. The authors estimate that 45,000 new health facilities are needed in rural areas. The additional amount to be incurred by the states, as authors propose, will be required for cost-effective population-based packages of clinical care of cancer. According to the authors, private financing is not the solution, since this approach will only drive cost escalation, inequity, and fragmentation.
Cancer cases and increased spending required
Public sector and community-based insurance schemes, too, fail to address the challenges posed by cancer because they focus on inpatient care. There is one Central government-run scheme, Rashtriya Swasthya Bima Yojana, and 17 state-specific schemes (Rajiv Aarogyasri Scheme in Andhra Pradesh and Chief Minister's Comprehensive Health Insurance Scheme in Tamil Nadu, to name two).
There are some community-run initiatives, too, such as those of Self-Employed Women's Association, and Action for Community Organisation, Rehabilitation and Development. However, most of these initiatives were not designed to address the complexity and cost of cancer care. RSBY, for example, focuses on inpatient care, and not chronic illnesses like cancer. However, investment in high-technology, and methods to take treatment to the peripheral part of the country, is missing in the country. Palliative care, childhood cancer, surgery, radiotherapy, health systems and services research, and outcomes research do not attract much attention to study. The effort of all research and investment in infrastructure should lead to reduction suffering due to cancer. The country looks ill-equipped for the same. The average economic cost of treating a typical cancer patient in a government facility in India has been calculated at about Rs 36,812 (US $593). India's annual income per person is only US $1,219, and 27.5 per cent of the population lives on or below US $0.4 per day. The advanced nature of most cancers and their effect on household finances make cost-effective screening an important part of delivering affordable cancer care in India. Stress on early detection, treatment Some states, like Tamil Nadu, have achieved effective screening coverage. The authors point out that what works in Tamil Nadu will work in other states too and that replication of good practices should begin. One major recommendation of the authors is a cost-effective cancer screening programme across the country. Setting up basic infrastructure will ensure quick detection and better care. Study findings at a glance
Indian states have 2-5 million people per radiotherapy machine, compared to fewer than 250 000 people per machine in high-income countries Nearly 92 per cent of patients from rural households first present with cancer to private practitioners, most of whom (79 per cent) are not qualified in allopathy In West Bengal, households affected by cancer spent the equivalent of 36-44 per cent of the annual expenditures on inpatient expenses In West Bengal, households with a family member diagnosed with cancer also had 2-3 per cent lower workforce participation rates and higher rates of borrowing and selling of assets 40 per cent of India's cancer burden is related to tobacco
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