Childhood cancer in India: Health Ministry vows to 'break the barrier' on survival
Synopsis
Key Takeaways
The Union Health Ministry has pledged to 'break the barrier' in childhood cancer care, committing to a framework where every diagnosed child survives, said L. Swasticharan, Deputy Director General of the Directorate General of Health Services (DGHS), at a workshop in New Delhi on Thursday, 21 May. The event, organised by the Indian Childhood Cancer Initiative (ICCI), focused on shaping a roadmap for a dedicated National Childhood Cancer Programme.
Where India Stands on Childhood Cancer
According to ICCI and supporting studies, approximately 75,000 new childhood cancer cases are diagnosed in India every year, with a survival rate of around 60% — well below outcomes achieved in high-income countries. Swasticharan described childhood cancer as 'the low hanging fruit' in terms of government programmes aimed at patient survival, citing the existing scope within the Non-Communicable Diseases (NCD) programme. 'The NCD programme already has a cancer component. The priority is that a childhood cancer patient should be detected early and ensuring financial support and medical care,' he said.
Key Policy Gaps and Proposals
A critical gap identified at the workshop is the absence of a formal disease registry. 'Setting up a registry for childhood cancer — declaring it a notifiable disease — is an issue. We are still working with ICMR on this. The aim is not to miss any patient,' Swasticharan noted. He also called for adopting models developed by Kerala and Tamil Nadu, which have successfully engaged self-help groups and leveraged Pradhan Mantri Jan Arogya Yojana (PM-JAY) financing structures to improve access.
Swasticharan stressed that post-treatment survivor support must become a policy priority. 'All our heroic acts of curing a patient should continue and not end with survival. We need to take up survivor support by engaging community and multi-stakeholder coalitions,' he said.
WHO's Case for Investment
Bishnu Giri, Technical Officer (Cancer Control) at WHO's South-East Asia Region, made a pointed economic argument for prioritising childhood cancer spending. 'Expenditure on childhood cancer is not a fancy or wasteful expenditure, as there is huge monetary gain of $3 from every dollar spent on the disease. The gain is even more in developing nations, apart from social gains,' he said. Giri called for sustainable financing through flexible funding sources to improve care and outcomes.
Abhishek Kunwar, National Professional Officer for NCD at WHO India, urged integration over fragmentation — arguing that a separate standalone programme is unnecessary if childhood cancer is woven effectively into existing NCD infrastructure. He outlined capacity building, task-sharing, decentralised care, and cost-effective financing as essential pillars.
Industry and Clinical Voices
Ramandeep Arora, paediatric oncologist at Max Hospital and member of the ICCI governing council, said clinical facilities and medical expertise are now available domestically. 'A National Childhood Cancer Programme and an MoU with the WHO to make India a partner will further bring in global best practices and technology to the country,' he said, adding that only modest government support is needed to scale outcomes on the ground.
The workshop drew attention to a September 2022 report by the Parliamentary Standing Committee on Health and Family Welfare (Rajya Sabha, 139th Report), which formally recognised the need for a dedicated childhood cancer policy framework. The report noted that the government agreed the Ministry must work towards a National Childhood Cancer Comprehensive Management Policy covering early diagnosis, shared care, and integrated paediatric oncology palliative care across public health facilities.
What Comes Next
The ICCI, launched in 2023 as a national multi-stakeholder platform, is now consolidating workshop inputs to present a structured roadmap to government decision-makers. Stakeholders called on all participants to share ground-level experiences so that key inputs can be embedded into the existing health system. With ICMR consultations ongoing and parliamentary backing on record, the push for a formal National Childhood Cancer Programme appears closer than at any previous point — though a timeline for policy notification has not yet been announced.