Unpacking the Relationship Between Socioeconomic Status and Cervical Cancer

Cervical cancer is not just a global health issue; it’s a battle that real women are fighting every day. Despite all the strides we’ve made in medicine and healthcare awareness, let’s talk about how the money in your pocket can impact your life and the lives of women around the world. Join me in exploring the deeply human side of cervical cancer, and we’ll take a closer look at how this issue plays out in India.

Imagine this, it’s the fourth most common cancer among women worldwide, and every year, around 570,000 brave women face a new diagnosis, with nearly 311,000 losing their lives to this disease. But hold on, these are not just numbers; these are stories of real people with hopes, dreams, and families.

What’s heart-wrenching is that around 85% of cervical cancer cases and a staggering 87% of cervical cancer-related deaths happen in low and middle-income countries, as reported by the World Health Organization (WHO). This isn’t just about percentages; it’s about women who are struggling to access healthcare resources like screenings and vaccines, which can save their lives.

Now, picture this, a groundbreaking study published in The Lancet shows that women with limited financial means often can’t get those all-important regular screenings. In low-income countries, only 19% of women aged 30-49 have had a cervical cancer screening in the last three years, compared to 63% in high-income countries. This isn’t just a gap in numbers; it’s a gap in care, compassion, and, ultimately, in lives.

According to the American Cancer Society, the odds of surviving cervical cancer are nearly four times lower in low-income countries than in high-income ones. This is not just a statistic; it’s a tragedy unfolding, highlighting how economic disparities can lead to heart-wrenching consequences in terms of healthcare access and awareness.

In some parts of the world, people don’t have access to vital information about cervical cancer and its prevention. For instance, in some sub-Saharan African countries, only 20% of women are aware of the importance of regular screenings and HPV vaccinations. This isn’t just a lack of knowledge; it’s a lack of hope for a healthier future.

Now, let’s shift our focus to the situation in India, where we can feel the impact of economic disparities in the battle against cervical cancer.

In India, cervical cancer is the second most common cancer among women. To truly understand the connection between money and cervical cancer here, we must look through the lens of real people, each with a unique story.

Picture this, a study by the Indian Council of Medical Research (ICMR) reveals that the number of cervical cancer cases is twice as high in rural areas compared to urban cities. This isn’t just about numbers; it’s about real women who often can’t access healthcare resources and awareness programs, women who are fighting for their lives in the face of these challenges.

The National Family Health Survey (NFHS) tells us that only 54% of Indian women aged 15-49 have completed at least secondary education. This lack of education often leads to delayed diagnosis and limited awareness about cervical cancer. This isn’t just about schooling; it’s about the dreams and aspirations of these women, which are hindered by a lack of knowledge.

Despite efforts to provide vaccines and screenings, data from the Ministry of Health and Family Welfare reveals unequal access. It’s often the women in cities who have better access, while those in rural areas are left at a disadvantage. According to NFHS data, only 10% of women aged 15-49 have had a cervical cancer screening in the last three years. This isn’t just about numbers; it’s about unequal opportunities, unfulfilled dreams, and women who deserve better.

Research published in the Indian Journal of Medical and Paediatric Oncology tells us that many women in India can’t complete their cervical cancer treatment because of the financial burden. The high costs and lack of insurance make it nearly impossible for them to access proper care. This isn’t just about money; it’s about health and the very real human struggle to get the treatment they need to survive.

Now, let’s talk about the heroes and heroines who are making a difference in this fight:

The Indian government’s Mission Indradhanush is all about giving HPV vaccines to girls and women in underserved areas. This is a vital step in reducing cervical cancer cases, saving lives, and providing hope.

NGOs like CAPED India and the Indian Cancer Society are on the frontlines, conducting extensive awareness programs, especially in rural areas. They want to empower women with knowledge about cervical cancer prevention, the importance of regular screenings, and the available vaccination options. This is about giving people hope, inspiring change, and saving lives.

Initiatives like the Ayushman Bharat scheme aim to make healthcare more accessible and affordable. They want to ensure that women from economically disadvantaged backgrounds can access timely diagnosis and treatment. This is about real people getting the care they deserve, about dreams being fulfilled, and lives being saved.

In conclusion, cervical cancer and socioeconomic status are not just abstract concepts; they are deeply personal issues that affect real lives. The statistics we’ve discussed are not just numbers; they represent the struggles, hopes, and dreams of countless women. But there’s hope on the horizon. With vaccination programs, awareness campaigns, and better healthcare access, we’re working together to ensure that money doesn’t decide a woman’s health fate. It’s a collective responsibility, driven by compassion, to make sure that economic constraints don’t stand in the way of a brighter, healthier future for women everywhere.

About Author

Manmohan Shah is an intern with CAPED India and is currently pursuing MBA from SOIL Institute of Management.



He initiated TQM as a management way in SRF and the Company has so far earned the Deming Prize for two of its businesses, for the tyre cord in 2004 and for the Chemicals Business in 2012.

Mr. Bharat Ram was elected President of Confederation of Indian Industry (CII) during 2000-2001 and continued to play important roles as Chair and Member of various council of CII till March 2015. He co-chaired the Indo German Consultative Group (IGCG) which consisted of eminent citizens from both the countries from 2002 till 2014.

Mr. Bharat Ram is actively involved in social development activities. Currently he is Chairman of:

  • SRF Foundation, the social wing of SRF, which manages its own schools and also supports education in villages;
  • The Lady Shri Ram College (LSR) for Women in Delhi which has consistently been rated as one of the two best colleges of India;
  • The Shri Ram Schools; and
  • CAF (India) – Charities Aid Foundation (India); and
  • A governing body member of CAPED– a registered Society for spreading cancer awareness program

He is on the governing body of SPIC Macay, a society for the promotion of the Indian Classical Music. He is himself an accomplished sitar player, having learnt it from Pt. Ravi Shanker.

Mr. Arun Bharat Ram has won many awards and accolades, The Jamshedji Tata Award, which was conferred on him by the Indian Society for Quality (ISQ) for the year 2006 and the Officer’s Cross of the Order of Merit, presented by the Federal Government of Germany in 2008. Mr. Bharat Ram schooled at the Doon School, Dehra Dun and graduated in Industrial Engineering from the University of Michigan, U.S.A.

Prior to his current appointment, Dr. Vaid practiced and coordinated the Department of Medical Oncology at the Rajiv Gandhi Cancer Institute and Research Centre (RGCI) in Rohini, Delhi, India. In addition to his active medical oncology practice, Dr. Vaid has participated in many national and international clinical trials as a principal and sub-investigator. His clinical interests include Hemato-Oncology and Bone Marrow Transplant. He has also taken keen interest in treating breast cancer, lung cancer and genitor-urinary cancers.

Dr. Vaid established the bone marrow transplant services in the private sector in Delhi starting with Rajiv Gandhi Cancer Institute & Research Centre during the last decade and has cumulatively carried out the largest number of bone marrow transplants in the private sector in Delhi. Currently at Medanta, he leads a large team which comprises of hemato-oncologists, pediatric transplant specialists, hemato pathologists specializing in transplant pathology, transfusion specialists, and molecular pathologists required for HLA typing and post transplant chimerism monitoring.

Dr. Vaid lectures nationally and internationally and has contributed to numerous peer-reviewed articles, book chapters and abstracts. His work has appeared in Journal of Clinical Oncology, Journal of Thoracic Oncology, World Journal of Gastroenterology and Hepatobiliary Pancreatic Diseases International. Dr. Vaid currently chairs the Indian Council of Medical Research Subcommittee on formulating guidelines for treatment of Hodgkin’s Disease in India. He is recognized as Teacher and Examiner for superspeciality course of Medical Oncology by National Board of Examinations and the Bombay University and a reviewer of thesis for award of PhD degree in Life Sciences, Chhatrapati Shahu Ji Maharaj University, Kanpur, India. He is an editorial board member for the following journals “Research & Reviews: A Journal of Medicine” and “Research & Reviews: A Journal of Toxicology”, and “South Asian Journal of Cancer”.

He was conferred the prestigious “Padma Shree” Award, one of the highest civilian award in India, by the President of India in 2009 for his contribution to the field of medicine on 14th April, 2009.
Prior to Stellaris, Alok was a Partner at another VC firm, Helion Ventures, where he led enterprise software and services investments. Before his career in venture capital, Alok was the Chief Operating Officer (COO) of SAP India and had been associated with SAP since the year 2004 in various leadership roles in the United States and in India. Before SAP, Alok also worked with Siebel Systems, The McKenna Group, McKinsey & Company and Cadence Design Systems.

Alok has completed his MBA from INSEAD (France), MS in Computer Sciences from University of Texas, Austin and his B.Tech in Computer Science from IIT Delhi.

Alok is interested in cricket, light & classical Indian music, hiking and long distance running. In addition, Alok is passionate about mathematical puzzles and used to run a weekly blog at http://alokgoyal1971.com/.

Alok’s association with cancer started in 2007 when his mother was diagnosed with a late stage Ovarian Cancer. He saw his mother battle with cancer for more than four years, during which time he was the primary care giver.

Committees / Ambassador Radhika is a part of many committees in CII and is also Pinkathon Ambassador. Social Initiatives

  • Radhika has participated in plays as a lead singer to raise funds for NGO’s like Azad Foundation and CAPED.
  • Mamma Mia Again, ABBA songs Musical, was staged at The Shri Ram Center, Delhi in December 2016 to raise funds for Azad Foundation.
  • I have a Dream, ABBA songs Musical, was staged at Apparel House, Gurgaon to raise funds for CAPED in April 2017.
  • I have a Dream, ABBA songs Musical, was staged at The Shri Ram Center, Delhi to raise funds for CAPED in December 2017.
  • She was also instrumental in staging a play, Khushi Ek Ehsaas, by the visually impaired children of JPM School to raise funds for Blind Relief Association at Kamani Auditorium in January 2016.

Hobbies

  • Radhika learns music at Theme.
  • She also loves to run and has completed 3 half Marathons in India in 2017.

Amitav worked for Bristol Myers Squibb based in Princeton for 5 years. He has been involved with his family-run business since 1994.

Amitav was educated at the Doon School and went on to study Economics at St. Stephens College, Delhi University. He has an MBA from UNC Chapel Hill, USA. He sits on the board of Central Square Foundation, AVPN India and several other non/for-profit organisations in India.

In 2010, he became an Aspen Fellow, in 2015 he became an Ashoka Fellow and 2017 he was incubated as an N/Core Fellow.

Organizational Positions
  • Vice President, Fertility Preservation society of India/ 2014 – 2018
  • Coordinator, Deptt of Obstetrics and Gynaecology, Artemis Hospital, Gurgaon, April 2007 – Nov 2009
  • Coordinator, (North India), Clinical Research Committee, Federation of Obstetrics & Gynecology Society of India (FOGSI) 2003-2008
  • Executive Member, Adolescent committee, Association of Obstetrics & Gynaecologists of Delhi (AOGD ) 2006 – 2007
  • Executive Member, Association of Gynaecologic Oncologist of India,2009 -2011
  • Chairperson, Gynaec. Oncology Committee, Gurgaon Obstetrics and Gynaecology Society, 2011
  • Executive Member, Gynaec.Oncology Committee, Association of Obstetrician & Gynaecologists of Delhi (AOGD) 2012 -2014
  • Executive Member, Gurgaon Obstetrics and Gynaecology Society (GOGS), 2012 -2013
  • Coordinator – Young Women Club ( National Project under the aegis of National Adolescent Health Committee, FOGSI) 2012 -2013
  • Treasurer, Asia Oceania Research Organization in Genital infections and Neoplasia ( AOGIN) –India, 2011 -2015
  • Executive member, Gynaec Oncology Committee, Federation of Obstetrics & Gynecology Society of India (FOGSI).2012 -2015
  • Peer Reviewer for the Journal of Federation of Obstetrics & Gynecology Society of India (FOGSI).
  • Peer Reviewer for The Indian Journal of Gynaecologic Oncology.
  • Invited as a trainer by Vattikuti Foundation, Michigan, USA for – Gynaec. Robotic Surgery Training of Gynaecologists at KIMS Vattikuti Institute of Robotic Surgery, Hyderabad
  • Executive member, AOGD(Association of Obsterician and Gynaecologist of Delhi ) 2013 – 2014
  • Executive member, AOGD(Association of Obsterician and Gynaecologist of Delhi ) 2014-2015
  • Executive member,GOGS 2013
  • Executive member, Gynaec.Oncology Committee, Association of Obstetrician & Gynaecologists of Delhi (AOGD) 2013 -2014
  • Executive member, Gynaec.Endoscopy Committee, Association of Obstetrician & Gynaecologists of Delhi (AOGD) 2013 -2014
  • Executive member, International academic exchange committee(FOGSI) 2013 – 2015
  • Executive member, Delhi Society of Gynaec endoscopists.2014- 2015
  • Co-Chairperson, Gynaec.Oncology Committee, Association of Obstetrician & Gynaecologists of Delhi (AOGD) 2015 -2016
  • Executive member, Gynaec Oncology Committee, Federation of Obstetrics & Gynecology Society of India (FOGSI).2015 -2017