Cost of treatment of Cervical Cancer
in a referral center in Nepal
Baral S., Silwal SR., Pandit S., Gauchan S., Jha AK.
A country with 30 million people.
Low Income country.
GDP estimated to be NPR 130,000 per annum.
50,000 to 70,000 cancer patients per year.1
28% of the total patients treated with radiochemotherapy at BPKMCH were Cervical
MK, Acharya SC. Oncology in Nepal. South Asian J Cancer 2012;1:5-8
2 Department data: Dept. of Radiation Oncology, BPKMCH
• 4 Centers with Teletherapy facility.
• 4 Centers with Brachytherapy facility.
• All of the centers within ~150 km range in a
country with a width of more than 1200 kms.
• Long travel, Long waiting list for the patients.
• BP Koirala Memorial Cancer Hospital, Chitwan
• Radiation Services started in 1999 AD
• Dedicated Cancer Center
• 2 linear accelerators with IMRT capability, HDR
Brachytherapy, Telecobalt machine.
• Telephone interview
• 25 patients/families
• Those who had completed recently.
• Had received EBRT ± Chemotherapy followed
• Structured Questionnaire
• The country needs more cancer centers to cater the
diverse population of Nepal.
• BPKMCH is doing its best to provide cervical cancer
treatment to the patients.
• Though the government is providing subsidy in
‘hospital expenses’ – it hasn’t brought down the cost of
• Recall bias cannot be ignored.
• The amount said were in round figures.
• The decrease in family income because of
having more than 2 accompanying family
members hasn’t been considered.