In Nepal, the incidence of cancer in both males and females increased drastically in the last decade and is predicted to increase as well in the near future. The increase in Cancer burden could be a serious concern due to an underdeveloped national cancer control program. Around 50–60% of cancer patients require radiotherapy at some point during their illness which establishes it as an integral component of comprehensive cancer care. The current status of radiation facilities in the country is so scarce that it will be impossible to address the issue with available resources. It is high time for the authority to formulate a national cancer control program including the development of radiotherapy equipment and human resources. This article discusses the number of radiotherapy facilities, available equipment, and trained manpower in Nepal. Whether the available facilities are as per standard recommendation and will those be enough to handle the increasing load of cancer patients requiring radiotherapy in the future has been emphasized. Along with those challenges, the opportunities for developing radiotherapy facilities in Low Middle-Income countries like Nepal have been stressed out.
Published in | International Journal of Clinical Oncology and Cancer Research (Volume 7, Issue 2) |
DOI | 10.11648/j.ijcocr.20220702.11 |
Page(s) | 17-20 |
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Copyright © The Author(s), 2022. Published by Science Publishing Group |
Radiotherapy in Nepal, Challenges, Opportunities
[1] | Shrestha G, Thakur RK, Singh R, Mulmi R, Shrestha A, Pradhan PMS. Cancer burden in Nepal, 1990-2017: An analysis of the Global Burden of Disease study. PLoS One. 2021 Aug 3; 16 (8): e0255499. doi: 10.1371/journal.pone.0255499. PMID: 34343216; PMCID: PMC8330909. |
[2] | World Health Organization (WHO). Union for International Cancer Control. Nepal fact sheet: GLOBOCAN 2018. [cited 12 Jun 2020]. Available: https://gco.iarc.fr/today/data/factsheets/populations/524- nepal-fact-sheets.pdf |
[3] | Karn, Ambuj. (2017). Current status of availability of radiotherapy machines in Nepal. Journal of Clinical Oncology. 35. e18042-e18042. 10.1200/JCO.2017.35.15_suppl.e18042. e18042. |
[4] | Grover S, et al. A systematic review of radiotherapy capacity in low- and middle-income countries. Front Oncol. 2014; 4: 380. [PubMed: 25657930]. |
[5] | INTERNATIONAL ATOMIC ENERGY AGENCY, Radiotherapy Facilities: Master Planning and Concept Design Considerations, Human Health Reports, 2014. |
[6] | Hanna, TP. Radiation oncology in the developing world. In: Halperin, EC., et al., editors. Principles and Practice of Radiation Oncology. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 552-559. |
[7] | Barton MB, Frommer M, Shafiq J. Role of radiotherapy in cancer control in low-income and middle-income countries. Lancet Oncol. 2006; 7 (7): 584–595. [PubMed: 16814210] |
[8] | Jeremic B, et al. Patterns of practice in palliative radiotherapy in Africa—Case revisited. Clin Oncol (R Coll Radiol). 2014; 26 (6): 333–343. [PubMed: 24746747] |
[9] | Atun R, Jaffray DA, Barton MB, Bray F, Baumann M, Vikram B, Hanna TP, Knaul FM, Lievens Y, Lui TY, Milosevic M, O'Sullivan B, Rodin DL, Rosenblatt E, Van Dyk J, Yap ML, Zubizarreta E, Gospodarowicz M. Expanding global access to radiotherapy. Lancet Oncol. 2015 Sep; 16 (10): 1153-86. doi: 10.1016/S1470-2045(15)00222-3. PMID: 26419354. |
[10] | Van Der Giessen PH, Alert J, Badri C, Bistrovic M, Deshpande D, Kardamakis D, Van Der Merwe D, Da Motta N, Pinillos L, Sajjad R, Tian Y, Levin V. Multinational assessment of some operational costs of teletherapy. Radiother Oncol. 2004 Jun; 71 (3): 347-55. doi: 10.1016/j.radonc.2004.02.021. PMID: 15172152. |
[11] |
Samiei, M. Challenges of Making Radiotherapy Accessible in Developing Countries, 2013. Available from: |
[12] | Nag S, et al. Recommendations for implementation of high dose rate 192 Ir brachytherapy in developing countries by the Advisory Group of International Atomic Energy Agency. Radiother Oncol. 2002; 64: 297–308. [PubMed: 12242118] |
[13] | Datta NR, Samiei M, Bodis S. Are state-sponsored new radiation therapy facilities economically viable in low- and middle-income countries? Int J Radiat Oncol Biol Phys. 2015; 93 (2): 229–240. [PubMed: 26232854] |
[14] | Gyawali, B., Sharma, S., Shilpakar, R., Dulal, S., Pariyar, J., Booth, C. M., & Sharma Poudyal, B. (2020). Overview of Delivery of Cancer Care in Nepal: Current Status and Future Priorities. JCO Global Oncology, 6, 1211–1217. https://doi.org/10.1200/go.20.00287 |
[15] | Zubizarreta EH, et al. Need for radiotherapy in low and middle income countries—The silent crisis continues. Clin Oncol (R Coll Radiol). 2015; 27: 107–114. [PubMed: 25455407]. |
[16] |
Samiei, M. [Cited March 25, 2016] Challenges of Making Radiotherapy Accessible in Developing Countries, 2013. Available from: |
[17] | Adhikari, K. P. (2020). Medical Physics in Nepal: A Narrative on its Development. MEDICAL PHYSICS INTERNATIONAL. Retrieved from http://www.mpijournal.org/pdf/2020-03/MPI-2020-03-p440.pdf |
[18] | Ngwa W, et al. Closing the cancer divide through Ubuntu: Information and communication technology-powered models for global radiation oncology. Int J Radiat Oncol Biol Phys. 2016; 94 (3): 440–449. [PubMed: 26867873] |
APA Style
Saloni Chawla, Subhash Thakur. (2022). Challenges and Prospects for Providing Radiotherapy Services in Nepal. International Journal of Clinical Oncology and Cancer Research, 7(2), 17-20. https://doi.org/10.11648/j.ijcocr.20220702.11
ACS Style
Saloni Chawla; Subhash Thakur. Challenges and Prospects for Providing Radiotherapy Services in Nepal. Int. J. Clin. Oncol. Cancer Res. 2022, 7(2), 17-20. doi: 10.11648/j.ijcocr.20220702.11
AMA Style
Saloni Chawla, Subhash Thakur. Challenges and Prospects for Providing Radiotherapy Services in Nepal. Int J Clin Oncol Cancer Res. 2022;7(2):17-20. doi: 10.11648/j.ijcocr.20220702.11
@article{10.11648/j.ijcocr.20220702.11, author = {Saloni Chawla and Subhash Thakur}, title = {Challenges and Prospects for Providing Radiotherapy Services in Nepal}, journal = {International Journal of Clinical Oncology and Cancer Research}, volume = {7}, number = {2}, pages = {17-20}, doi = {10.11648/j.ijcocr.20220702.11}, url = {https://doi.org/10.11648/j.ijcocr.20220702.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20220702.11}, abstract = {In Nepal, the incidence of cancer in both males and females increased drastically in the last decade and is predicted to increase as well in the near future. The increase in Cancer burden could be a serious concern due to an underdeveloped national cancer control program. Around 50–60% of cancer patients require radiotherapy at some point during their illness which establishes it as an integral component of comprehensive cancer care. The current status of radiation facilities in the country is so scarce that it will be impossible to address the issue with available resources. It is high time for the authority to formulate a national cancer control program including the development of radiotherapy equipment and human resources. This article discusses the number of radiotherapy facilities, available equipment, and trained manpower in Nepal. Whether the available facilities are as per standard recommendation and will those be enough to handle the increasing load of cancer patients requiring radiotherapy in the future has been emphasized. Along with those challenges, the opportunities for developing radiotherapy facilities in Low Middle-Income countries like Nepal have been stressed out.}, year = {2022} }
TY - JOUR T1 - Challenges and Prospects for Providing Radiotherapy Services in Nepal AU - Saloni Chawla AU - Subhash Thakur Y1 - 2022/04/09 PY - 2022 N1 - https://doi.org/10.11648/j.ijcocr.20220702.11 DO - 10.11648/j.ijcocr.20220702.11 T2 - International Journal of Clinical Oncology and Cancer Research JF - International Journal of Clinical Oncology and Cancer Research JO - International Journal of Clinical Oncology and Cancer Research SP - 17 EP - 20 PB - Science Publishing Group SN - 2578-9511 UR - https://doi.org/10.11648/j.ijcocr.20220702.11 AB - In Nepal, the incidence of cancer in both males and females increased drastically in the last decade and is predicted to increase as well in the near future. The increase in Cancer burden could be a serious concern due to an underdeveloped national cancer control program. Around 50–60% of cancer patients require radiotherapy at some point during their illness which establishes it as an integral component of comprehensive cancer care. The current status of radiation facilities in the country is so scarce that it will be impossible to address the issue with available resources. It is high time for the authority to formulate a national cancer control program including the development of radiotherapy equipment and human resources. This article discusses the number of radiotherapy facilities, available equipment, and trained manpower in Nepal. Whether the available facilities are as per standard recommendation and will those be enough to handle the increasing load of cancer patients requiring radiotherapy in the future has been emphasized. Along with those challenges, the opportunities for developing radiotherapy facilities in Low Middle-Income countries like Nepal have been stressed out. VL - 7 IS - 2 ER -