State Cancer Institute – Directorate of Medical Education , Rajasthan

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Providing Comprehensive Care to Cancer Patients

Problem

• Need for comprehensive care and management of cancer patients
• Costly diagnostics facilities for MRI, CT Scan, WB PET-CT Scan, Bone scan and Molecular test
• Unaffordable anti cancer drugs including targeted therapy , TKI, Immunotherapy, SBRT and Gamma knife
• Scattered facilities around the tertiary hospital
• Limited trained and professional staff for the treatment of cancer 

Solution

• Establishment of State Cancer Institute for making all facilities available under a roof
• Implanted diagnostic facilities covered under government aided schemes
• Free drug supply in hospitals for cancer treatment
• Trained manpower via video conference and professional courses at foreign nations health centers
• Provided free of charge schemes of healthcare for Rajasthan government employees 

Challenges

• Issue surrounding expensive drugs for the patients 
• Increased time needed for a long treatment for patients
• Less manpower to handle patients struggling with cancer 
• Lack of specialized infrastructure for cancer treatment 
• No free treatment to people outside of the state of Rajasthan

Outcomes

• Increased number of patients taking treatment for cancer
• Rise in number of patients treated with stem cell transplant
• Expansion of cancer care in the form of collection of data by cancer registry
• Costly and expensive drugs administered to needy patients
• All patients irrespective of economic status have accessibility state of art cancer treatment

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Case Study

Providing Comprehensive Care to Cancer Patients

Introduction 

The State Cancer Institute (SCI) was established by the Directorate of Medical Education to offer comprehensive cancer treatment and management in the state of Rajasthan. It involved the state providing a significant fund for SCI research as well as the procurement of drugs and equipment.

Problems 

Prior to the project’s implementation, diagnostics facilities were exceedingly expensive. The cost of the anti-cancer medications, such as targeted treatment, TKI, etc was unaffordable. The tertiary hospital’s facilities were dispersed throughout, and it had a small number of professionals who were qualified to treat cancer.

Solutions

The project included establishment of SCI so that all facilities are available under a roof and implanted free of charge diagnostic facilities covered under government aided schemes. Employees were trained via video conference and professional courses at foreign nations health centers. Schemes of healthcare for Rajasthan government’s employees were provided.

Outcomes

The project’s outcomes included a rise in the number of cancer patients receiving treatment as well as receiving stem cell transplants. The provision of cancer care has grown to include data collecting via cancer registries.

Challenges 

The initiative faced difficulties due to the demand for costly medications and prolonged patient care. Less staff was available to assist cancer patients in need and there was no specialist infrastructure for cancer care.

Innovation

One of the project’s novel features was how practically the whole state’s population was covered by a government-sponsored programme. For the delivery of services at all levels of health care, the spoke and hub model was established. At tertiary care facilities, cutting edge equipment and technology were installed.

Opportunities

The project involves expanding civil works for cancer treatment. A new, more advanced system will be built in the future to treat cancer. Additionally, it may result in the appointment of medical specialists.

Summary 

Through this project, patients, regardless of economic background, had access to cutting-edge cancer therapy and care. At government hospitals, there were free diagnostic services and chemotherapeutic treatments accessible.

For more information, please contact:
Dr Ghanshyam Bairwa, Commissioner at COMMISSIONER.DME@RAJASTHAN.GOV.IN

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