Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study
Abstract Background Cancer poses a significant global public health challenge, with India experiencing a growing burden. Hospital-based cancer registries (HBCRs) are crucial for effective cancer surveillance and control; however, many HBCRs become inactive over time. Inactive HBCRs in this study are...
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| Format: | Article |
| Language: | English |
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Springer
2025-08-01
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| Series: | Discover Public Health |
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| Online Access: | https://doi.org/10.1186/s12982-025-00862-6 |
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| author | Shubharanjan Jena Venkatarao Epari Krushna Chandra Sahoo Sunil Agrawala Raghul Durairaj |
| author_facet | Shubharanjan Jena Venkatarao Epari Krushna Chandra Sahoo Sunil Agrawala Raghul Durairaj |
| author_sort | Shubharanjan Jena |
| collection | DOAJ |
| description | Abstract Background Cancer poses a significant global public health challenge, with India experiencing a growing burden. Hospital-based cancer registries (HBCRs) are crucial for effective cancer surveillance and control; however, many HBCRs become inactive over time. Inactive HBCRs in this study are defined as registries that ceased cancer case data collection and reporting for at least one year due to operational or institutional challenges. This study explores multi-stakeholder perspectives on the challenges faced by HBCRs and suggests strategies for their sustainability in India. Methods A qualitative phenomenological approach was adopted, with in-depth interviews of oncologists, data managers, and medical social workers from four inactive HBCRs in Eastern India selected via convenience sampling. Within these sites, purposive sampling ensured diverse stakeholder perspectives in cancer care and registry management. Results The study identified multiple barriers to sustainability, including structural (limited resources, inadequate staffing), technological (lack of digital infrastructure), and organizational (low institutional priority, competing clinical workloads) factors. Conclusion Recommendations to address these challenges include standardizing legislation, enhancing digital infrastructure, and fostering stakeholder collaboration. Strengthening HBCRs through capacity building, digital innovation, and sustained funding can enhance cancer data quality and ultimately improve cancer surveillance and patient outcomes in India. |
| format | Article |
| id | doaj-art-e6bac45e0c3e4c8a94cb3348a9543234 |
| institution | Kabale University |
| issn | 3005-0774 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Springer |
| record_format | Article |
| series | Discover Public Health |
| spelling | doaj-art-e6bac45e0c3e4c8a94cb3348a95432342025-08-24T11:08:38ZengSpringerDiscover Public Health3005-07742025-08-0122111110.1186/s12982-025-00862-6Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative studyShubharanjan Jena0Venkatarao Epari1Krushna Chandra Sahoo2Sunil Agrawala3Raghul Durairaj4Department of Community Medicine, Institute of Medical Sciences & Sum Hospital, Siksha ‘O’ AnusandhanDepartment of Community Medicine, Institute of Medical Sciences & Sum Hospital, Siksha ‘O’ AnusandhanHealth Technology Assessment in India (HTAIn), Dept. of Health Research, Ministry of Health & Family Welfare, Govt. of IndiaDepartment of Surgical Oncology, Institute of Medical Sciences & Sum Hospital, Siksha ‘O’ AnusandhanIndian Institute of Public HealthAbstract Background Cancer poses a significant global public health challenge, with India experiencing a growing burden. Hospital-based cancer registries (HBCRs) are crucial for effective cancer surveillance and control; however, many HBCRs become inactive over time. Inactive HBCRs in this study are defined as registries that ceased cancer case data collection and reporting for at least one year due to operational or institutional challenges. This study explores multi-stakeholder perspectives on the challenges faced by HBCRs and suggests strategies for their sustainability in India. Methods A qualitative phenomenological approach was adopted, with in-depth interviews of oncologists, data managers, and medical social workers from four inactive HBCRs in Eastern India selected via convenience sampling. Within these sites, purposive sampling ensured diverse stakeholder perspectives in cancer care and registry management. Results The study identified multiple barriers to sustainability, including structural (limited resources, inadequate staffing), technological (lack of digital infrastructure), and organizational (low institutional priority, competing clinical workloads) factors. Conclusion Recommendations to address these challenges include standardizing legislation, enhancing digital infrastructure, and fostering stakeholder collaboration. Strengthening HBCRs through capacity building, digital innovation, and sustained funding can enhance cancer data quality and ultimately improve cancer surveillance and patient outcomes in India.https://doi.org/10.1186/s12982-025-00862-6Hospital-based cancer registryChallengesDigitalisationSustainability |
| spellingShingle | Shubharanjan Jena Venkatarao Epari Krushna Chandra Sahoo Sunil Agrawala Raghul Durairaj Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study Discover Public Health Hospital-based cancer registry Challenges Digitalisation Sustainability |
| title | Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study |
| title_full | Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study |
| title_fullStr | Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study |
| title_full_unstemmed | Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study |
| title_short | Inactive hospital based cancer registries in eastern India exploring challenges and pathways to sustainability a qualitative study |
| title_sort | inactive hospital based cancer registries in eastern india exploring challenges and pathways to sustainability a qualitative study |
| topic | Hospital-based cancer registry Challenges Digitalisation Sustainability |
| url | https://doi.org/10.1186/s12982-025-00862-6 |
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