Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation

Introduction: The World Health Organization has declared a Global Initiative for Childhood Cancer which aims at achieving a cure rate of atleast 60% globally. To achieve this significant planning and policy making would be needed in most LMICs including India. In this setting, having a Universal Hea...

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Main Authors: Anukriti Srivastava, Nita Radhakrishnan, Archit Pandharipande, Zeenat Brar, Amit Pandey
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Public Health and Primary Care
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Online Access:https://journals.lww.com/10.4103/jphpc.jphpc_36_23
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author Anukriti Srivastava
Nita Radhakrishnan
Archit Pandharipande
Zeenat Brar
Amit Pandey
author_facet Anukriti Srivastava
Nita Radhakrishnan
Archit Pandharipande
Zeenat Brar
Amit Pandey
author_sort Anukriti Srivastava
collection DOAJ
description Introduction: The World Health Organization has declared a Global Initiative for Childhood Cancer which aims at achieving a cure rate of atleast 60% globally. To achieve this significant planning and policy making would be needed in most LMICs including India. In this setting, having a Universal Healthcare Scheme, that tracks patients from first symptom to diagnosis to treatment and provides free treatment is a laudable effort by the Government of India. Aims and Objectives: In this paper, we describe our experience of managing children with cancer on Pradhan Mantri Jan Arogya Yojana (PMJAY) or Ayushman Bharat scheme at our center over a period of 5 years. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers. Methods: The data of children aged between 0-18 years who underwent treatment for cancer with financial support from PMJAY scheme between Jan 2018 to December 2022 (5 years) was analyzed from hospital records. Results: 59 out of 485 children treated for cancer were eligible for PMJAY (Ayushman Bharat Scheme). Only 12% of patients were found to be eligible, even when parent’s card was taken as primary proof. Overall >85% of the families who enrolled in to this scheme were highly satisfied as there were no out of pocket expenses incurred due to early initiation into the program. All patients were enrolled on treatment and 57 children completed treatment successfully. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers. Conclusions: PMJAY is a people-centric scheme which provides a complete package from diagnosis to completion of treatment. The program when implemented in its totality would continue to strengthen India’s response towards the Global Initiative for Childhood Cancer.
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spelling doaj-art-49914ee36c71408cb4603021a7789b472025-01-14T06:09:46ZengWolters Kluwer Medknow PublicationsJournal of Public Health and Primary Care2772-36662772-36742024-12-015314915210.4103/jphpc.jphpc_36_23Universal Health Care for Childhood Cancer in India: Challenges and Solutions for ImplementationAnukriti SrivastavaNita RadhakrishnanArchit PandharipandeZeenat BrarAmit PandeyIntroduction: The World Health Organization has declared a Global Initiative for Childhood Cancer which aims at achieving a cure rate of atleast 60% globally. To achieve this significant planning and policy making would be needed in most LMICs including India. In this setting, having a Universal Healthcare Scheme, that tracks patients from first symptom to diagnosis to treatment and provides free treatment is a laudable effort by the Government of India. Aims and Objectives: In this paper, we describe our experience of managing children with cancer on Pradhan Mantri Jan Arogya Yojana (PMJAY) or Ayushman Bharat scheme at our center over a period of 5 years. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers. Methods: The data of children aged between 0-18 years who underwent treatment for cancer with financial support from PMJAY scheme between Jan 2018 to December 2022 (5 years) was analyzed from hospital records. Results: 59 out of 485 children treated for cancer were eligible for PMJAY (Ayushman Bharat Scheme). Only 12% of patients were found to be eligible, even when parent’s card was taken as primary proof. Overall >85% of the families who enrolled in to this scheme were highly satisfied as there were no out of pocket expenses incurred due to early initiation into the program. All patients were enrolled on treatment and 57 children completed treatment successfully. We also identify and report few suggestions for universal implementation of this scheme in order for better coverage for children with cancers. Conclusions: PMJAY is a people-centric scheme which provides a complete package from diagnosis to completion of treatment. The program when implemented in its totality would continue to strengthen India’s response towards the Global Initiative for Childhood Cancer.https://journals.lww.com/10.4103/jphpc.jphpc_36_23cancerindiauniversal health care
spellingShingle Anukriti Srivastava
Nita Radhakrishnan
Archit Pandharipande
Zeenat Brar
Amit Pandey
Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
Journal of Public Health and Primary Care
cancer
india
universal health care
title Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
title_full Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
title_fullStr Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
title_full_unstemmed Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
title_short Universal Health Care for Childhood Cancer in India: Challenges and Solutions for Implementation
title_sort universal health care for childhood cancer in india challenges and solutions for implementation
topic cancer
india
universal health care
url https://journals.lww.com/10.4103/jphpc.jphpc_36_23
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