Need of Techno-Preneurship and Innovations for Community-Level Cancer Screening in Arunachal Pradesh

Abstract

It is estimated that noncommunicable diseases cause 71% of all death in the world (World Health Organization in India: first to adapt the global monitoring framework on noncommunicable diseases (NCDs). World Health Organization (WHO), Geneva, 2015, [1]). Key noncommunicable diseases are cancer, cardiovascular diseases, and respiratory-related. 61.8% of death in India is due to NCDs. NFHS 4 data shows one-third population faces catastrophic health expenditures and faced distress financing mainly because of hospitalization (Key indicators of social consumption in India: health. NSS 71st round. GoI, Ministry of Statistics and Programme Implementation, New Delhi, 2014, [2]). Out of Pocket Expenditures on hospitalization especially on cancer is highest in India. State diseases burden study 2016, highlighted that in Arunachal Pradesh premature death was 63.7% (SDBS, 2016) and NCDs causing 52.9% death (Indian Council of Medical Research in A report on the cancer burden in North East India, 2012–14, [3]). ICMR 2012–14 reported that in per 100,000 female population Papumpare district of Arunachal Pradesh had the highest Cancer incident (249.0) in the Population-Based Cancer Registration (PBCR) in India. Whereas In per 100,000 male population Papumpare district of Arunachal Pradesh had the second-highest incident of Cancer (230.4) after Aizawl (270.7) in Mizoram (Indian Council of Medical Research in A report on the cancer burden in North East India, 2012–14, [3]). The footfall for NCD screening in the public health system in Arunachal Pradesh during April 2018–Sept 2019 reported 7003 and highest screening was on Oral Cancer (2875) (Ayushman Bharat Health and Wellness Centers (ABHWC) in first 18th months of implementation (April 2018–Sept 2019), [4]). The screening demand generation can be increased if more affordable and accessible technology-based screening services are provided at community-level especially at doorstep along with proper behavior change communications on the risk factors. The paper tried to investigate the Cancer burden and screening services in Arunachal Pradesh and had also objective to oversee the community-level demand and supply gap of screening services in Arunachal Pradesh. Secondary data analyzed to meet these objectives. There is high demand for tech-entrepreneurship to meet the demand for screening services of cancer diseases in the community.