The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries, while strengthening the capabilities of governments and the private sector in those countries to create and sustain high-quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org
CHAI, in partnership with its India affiliate William J Clinton Foundation (WJCF), works in close partnership with and under the guidance of the Ministry of Health and Family Welfare (MoHFW) at the Central and States' levels on an array of high priority initiatives aimed at improving health outcomes. Currently, CHAI works across projects to expand access to quality care and treatment for HIV/AIDS, Hepatitis-C (HCV), tuberculosis, cancer, and immunization.
With an estimated annual mortality of ~800,000 and an incidence of more than 1.7 million new cases in 2020 (source: PBCR Report, ICMR), cancer has rapidly grown into one of the leading drivers of mortality and morbidity in India. Cervical cancer, with an annual mortality of ~60,000 and an incidence of ~100,000 (source: ICMR), is the second leading cause of cancer, by incidence and mortality, among women. In India, ~90% of cervical cancer cases are detected at a late stage (III and above), leading to a high Mortality Incidence Ratio (MIR) of more than 60%. Five-year survival rate for early-stage cervical cancer is 73.2%, whereas the prognosis for advanced stage is poor, with five-year survival rate at 7.9%. Poor screening and treatment are predominant barriers to cancer care in the patient’s journey, leading to late-stage detection of cancer in India.
CHAI has initiated a program on secondary prevention of cervical cancer through improving access to and strengthening screening and treatment (of pre-cancerous cervical lesions) services. The program is currently being implemented in the state of Madhya Pradesh, where CHAI is extending support to the state government to initiate and strengthen cervical cancer screening and treatment of cervical pre-cancerous lesions and has been embedded in the states program on improving management of non-communicable diseases including common cancers. CHAI is supporting the state in training of service providers on screening of common cancers and treatment of cervical dysplasia; ensuring availability of consumables and equipment for screening of common cancers and treatment of cervical dysplasia; strengthening referral systems to reduce loss to follow-up; and creating demand generation enablers to create awareness towards screening and treatment of common cancers in the community.
With the objective of expanding access to quality cancer care across India on cervical cancer prevention, CHAI is engaging with and working towards scaling the program in other states in India such as Tamil Nadu, Uttar Pradesh, Uttarakhand, Punjab and Chhattisgarh CHAI seeks to collaborate with state governments to support initiatives on secondary prevention of cervical cancer, including supporting access to devices for treatment of initiatives on secondary prevention of cervical cancer, including creating awareness prevention, strengthening access to screening services and supporting access to devices for treatment of cervical pre-cancerous lesions, with a shared objective of preventing deaths from cervical cancer.