Bhubaneswar: Experts in Odisha called for a shift from conventional cancer care that focuses mainly on symptoms, diagnosis and treatment to a people-centred approach that also addresses social and environmental factors affecting patients.The experts said universal and continuous cancer care is essential to improve outcomes, reduce distress and ensure patients receive support beyond hospital visits. They said a people-centred approach would help reduce the burden on families, improve adherence to treatment and ensure that cancer care in the state becomes more responsive to the realities patients face.“Cancer care cannot end with chemotherapy or surgery. Patients need sustained support that includes counselling, nutrition guidance, rehabilitation and help navigating financial and social challenges,” said Dr Ghanashyam Biswas, a senior medical oncologist based in Bhubaneswar.He said each cancer is different, and the needs of each patient’s treatment and support system are also different. “While 1 patient needs chemotherapy, another needs immunotherapy. Here, people-centric cancer care is needed,” said Biswas.Late detection and gaps in follow-up care remain major hurdles, particularly for patients from rural and low-income backgrounds. “When screening is delayed or treatment is interrupted due to travel, cost or stigma, survival chances drop. A people-centred model links early detection with long-term follow-up and community support,” said Dr Niranjan Mishra, a public health expert.He also highlighted the role of environmental and occupational exposures, tobacco use and lifestyle factors in cancer risk, urging stronger prevention measures alongside treatment expansion. “Awareness campaigns must be paired with practical access — screening closer to home, timely referrals and clear information for families,” said Mishra.Susanta Kumar Swain, additional director of health services (non-communicable diseases), said Odisha govt expanded efforts to improve cancer care through awareness drives, strengthening diagnostic and treatment facilities, and organising cancer screening camps.He said income, support systems and living conditions play a crucial role in the journey of cancer recovery. While state-run hospitals provide free treatment to poor patients, Ayushman Bharat health cards help patients get treatment at private hospitals. “Govt is also creating support systems for patients. The govt is preparing all fields for providing people-centred cancer care,” he added.He said the focus is on improving access and encouraging early detection, especially for common cancers. The govt tied up with an organisation that set up ‘Home Away Home’ for children suffering from cancer. “These shelter homes provide accommodation, food and good living conditions during their treatment,” he added.Health activists welcomed the initiatives and stressed the need for continuity of care, including patient navigation services, palliative care integration and coordinated referral systems. “A system that follows the patient from screening to diagnosis, treatment and survivorship is what will make cancer care truly equitable,” said Aswini Darjee, a cancer survivor and an activist.
