Cancer is on the rise in Nepal, and with it, the urgency to improve diagnosis, treatment, and care. For decades, cancer care was limited in the country, both in terms of infrastructure and expertise. But thanks to the tireless efforts of pioneers like Dr. Sudip Shrestha, the field has taken major strides forward. As one of Nepal’s leading oncologists and a central figure in developing modern cancer care, Dr. Shrestha’s work highlights both the progress made and the significant challenges that still remain.
A Growing Concern
Cancer is now one of the leading causes of death in Nepal. The most common types include cervical, breast, lung, stomach, and oral cancers. Risk factors such as tobacco use, poor diet, limited screening, and lack of awareness contribute to late diagnoses and lower survival rates.
Until recently, most patients had to travel abroad primarily to India or Thailand for treatment. This was expensive, emotionally exhausting, and inaccessible for many. The need for quality, affordable, and accessible cancer care within Nepal became undeniable.
Dr. Sudip Shrestha: A Driving Force in Oncology
Dr. Sudip Shrestha has been at the forefront of this transformation. With over two decades of experience in oncology and a vision to localize world-class cancer care, he has played a pivotal role in bringing advanced diagnostic and treatment services to Nepal.
As the Executive Chairman of Nepal Cancer Hospital and Research Center (NCHRC), Dr. Shrestha has overseen the development of a state-of-the-art facility offering chemotherapy, radiotherapy, surgery, and palliative care under one roof. He is also known for his emphasis on evidence-based treatment, multi-disciplinary teams, and patient-centered care.
Key Advances in Cancer Treatment in Nepal
1. Improved Infrastructure
Modern cancer centers like NCHRC have changed the game. Facilities now offer linear accelerators for radiation therapy, modular operation theatres, advanced chemotherapy units, and nuclear medicine departments.
2. Early Detection and Screening Programs
Efforts to detect cancer early are gaining momentum. Programs targeting cervical cancer screening and breast cancer awareness are expanding. Dr. Shrestha and his team have led outreach programs to educate and screen underserved populations.
3. Skilled Human Resources
There has been significant growth in the number of trained oncologists, radiologists, pathologists, and oncology nurses. Dr. Shrestha is also committed to training the next generation of cancer specialists through partnerships and mentorships.
4. Use of Technology
Telemedicine, electronic health records, and digital imaging are being used more widely, making remote consultations and follow-ups more feasible. This has been critical for reaching patients in rural and remote areas.
5. Access to Essential Medications
The availability of chemotherapy drugs and targeted therapies has improved. Nepal now stocks many essential cancer medicines locally, reducing delays in treatment.
Persistent Challenges
Despite progress, Nepal still faces several hurdles:
1. Late Diagnoses
Most patients still present with advanced-stage cancer. Lack of awareness, social stigma, and limited screening are key contributors. Many people ignore symptoms or seek alternative treatments until it’s too late.
2. Urban-Rural Disparity
Cancer centers are concentrated in urban areas, especially Kathmandu. Rural populations face difficulties in accessing timely care, resulting in poorer outcomes.
3. Cost of Treatment
Although more affordable than treatment abroad, cancer care in Nepal is still expensive for the average citizen. Financial constraints often force families to delay or abandon treatment.
4. Limited Research and Data
There is a lack of comprehensive cancer registries and clinical research. Dr. Shrestha has advocated for stronger cancer data systems to inform national strategies and treatment guidelines.
5. Palliative and Supportive Care Gaps
Pain management and end-of-life care are still underdeveloped. There is a shortage of trained palliative care professionals, and psychosocial support is not widely available.
The Role of Policy and Collaboration
Government support has been increasing, with more funding allocated to cancer care and screening. Still, systemic coordination is needed to scale impact.
Dr. Shrestha has consistently emphasized the importance of public-private partnerships and international collaboration. Through alliances with regional and global cancer centers, Nepal is slowly integrating global best practices into local care models.
A Vision for the Future
Dr. Sudip Shrestha envisions a Nepal where no one has to travel abroad for quality cancer care. He believes in:
- Expanding cancer centers beyond Kathmandu
- Strengthening early detection programs
- Subsidizing treatment for low-income patients
- Establishing a national cancer registry
- Fostering research and innovation
Final Thoughts
The landscape of cancer treatment in Nepal is shifting. From a country once dependent on foreign hospitals, Nepal is now home to growing centers of excellence like the one led by Dr. Sudip Shrestha. But the fight is far from over.
Cancer doesn’t just test the body it tests systems, policies, and willpower. Through leadership, collaboration, and continuous investment, Nepal can close the gap between what is and what is possible.
And with figures like Dr. Shrestha leading the charge, the hope for a stronger, more self-reliant cancer care system in Nepal is not just a dream it’s already in motion.
