Population Based Cancer Registry, Kathmandu, Lalitpur and Bhaktapur Districts (Kathmandu Valley)

PROJECT STATUS
Active: With the aim of identifying incidence, pattern and mortality of cancer cases in Nepal, Population Based Cancer Registry (PBCR) has been initiated from January 1, 2018 at Kathmandu, Lalitpur and Bhaktapur districts. Data has been obtained from the facilities like hospitals, pathology laboratories, civil registration, and Department of Health Service social welfare section. With the cooperation of Ministry of Federal Affairs and Local Development, coordination is done with the mayor and health coordinators in the municipality and/or village council, through their help Female Community Health Volunteers (FCHVs), health in charges and medical doctors are trained about the PBCR registry tool and data of the new cancer cases and cancer mortality in the community is extracted through them. Interim analysis was completed and report has been dessiminated. The major findings showed higher cancer incidence in Females (31.3%) than in Males (24.7%). In Females the leading site is breast followed by lungs, cervix, thyroid and gall bladder and in males lungs, lip and oral cavity, colon and rectum, stomach and pharynx. The annual report is expected to complete by September 2019.

PROJECT DURATION
2017 onward

ESTIMATED BUDGET
NA

COLLABORATION
World Health Organization, Ministry of Health and Population (MoHP), Government of Nepal, Tata Memorial Centre in Mumbai, India and International Agency for Research on Cancer (IARC)

DISTRICT (S)
Kathmandu, Lalitpur and Bhaktapur District

BACKGROUND

Population Based Cancer Registry (PBCR) is the core component for cancer control strategy. Very limited numbers of studies have been done in cancer in Nepal. Although Hospital based registry have generated some basic cancer data, they did not provide the general idea of any geographically defined population as well as did not give national figure. Population based cancer registry gives an accurate picture of cancer burden. Evidence on cancer incidence as well as cancer related mortality from the population based cancer registries would be important to produce a closer burden of disease (BoD) estimates for Nepal. BoD estimates currently are produced by WHO and IHME at a regular basis for countries across the globe but in many instances they are based on information from neighboring countries in the region. One of the major lacking data sources of Nepal to estimate the burden of disease is information on cancer incidences as well as Information on cancer deaths which is a major priority tasks for Nepal so as to produce a better estimate of BoD for Nepal. Cancer being the fifth leading cause of death in Nepal accordingly poses a high priority for initiating population based cancer registry.

OBJECTIVE (S)

The aim of the project to initiate and establish PBCR at Kathamndu, Lalitpur and Bhaktapur districts (Kathmandu Valley) so as to provide information on incidence of cancer, patterns, trends and mortality of cancer

EXPECTED OUTPUT (S)

The registry will generate evidence on the incidence on various types of cancer, patterns and trends of disease and mortality related to cancer. In addition this project will help to refine BoD estimates with the use of the local data. The evidences generated from the project will help plan and implement various cancer control programs at the national level. Furthermore, this project will be a strong source and evidence to plan and start PBCR system nationwide subsequently.