India’s breast cancer screening crisis: Experts urge urgent action as rates plummet below 1.3%

In India, Kerala leads with the screening rate of 4.5 per cent, followed by Karnataka and Maharashtra

breast cancer screening Representative Image

A recent study published in BMC Public Health has revealed a concerning statistic: only 1.3% of Indian women aged 45 and above undergo breast cancer screening—one of the lowest rates globally. This alarming figure has prompted health experts to call for immediate policy reforms, widespread awareness initiatives, and improved infrastructure to promote early detection.

In stark contrast, nations like the US and several European countries boast screening rates above 80%. Even some African countries report higher participation, with an average of 4.5%. Within India, Kerala leads with a modest 4.5% screening rate, followed by Karnataka (2.9%) and Maharashtra (2.05%), while Delhi records less than 1%.

Experts attribute the dismal figures to a combination of factors including lack of awareness, prevailing social stigma, misconceptions about mammograms, and poor accessibility—especially in rural areas. Many women remain unaware that early detection of breast cancer can lead to survival rates exceeding 90%.

Dr Ashish Gupta, Chief of Medical Oncology at Amerix Cancer Hospital, emphasised the role of misinformation and cultural taboos in delaying screenings, reported PTI. 

Rural India faces even greater challenges. The absence of nearby diagnostic centers often forces women to travel long distances, making screening both time-consuming and costly. Additionally, myths surrounding mammogram safety and discomfort further discourage women from participating.

Steps to be taken by the govt

1. Nationwide awareness campaigns about the benefits of early detection

2. Mobile mammography units in remote and underserved areas

3. Free government-led screening programs to remove financial barriers

4. Integration of screenings into routine health check-ups

Dr Shubham Garg of Dharamshila Narayana Superspeciality Hospital stressed the importance of early education. “Breast health awareness should start at the school level. Teaching girls how to perform self-examinations can empower them to prioritize screenings after 45,” he said. He also recommended including cancer screenings in workplace wellness programs.

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