CANCER CARE AT TEACHING HOSPITAL, BATTICALOA Dr.A.Parthiepan Surgical Oncologist
Targets to be achieved
Eastern Province
Trincomalee
Batticaloa
Ampara
Frequent displacement during war time
Battered by 30 years of war
Majority of the population are below the poverty line
Tsunami 2004 . East was severely affected
Repeated Floods
Highest number of cancer patients are being noted in the Eastern province‌ Ministry of Health of Sri Lanka
(Daily News.13 September 2011)
Teaching Hospital ‌ Cancer care 
How this hospital is handling this alarming problem
Teaching Hospital Batticaloa
The largest tertiary centre in the entire Eastern Province
It caters 2 million population
Bed strength 931
30 Consultants
Teaching Hospital Batticaloa ‌
ď‚ž Only
hospital has medical and surgical oncologist in this province
Regarding cancer care
Teaching Hospital Batticaloa ….
Medical oncology unit … 2009 ……15 beds only
Surgical oncology unit ….2010 …….15 beds only
Medical and Sugical oncology clinics
Dedicated Breast Clinic (2010)
Out patient chemaotherapeutic services (2011) Counseling service
Statistics - 2011 Type
No. of Patients No. of patients Medical ward Surgical ward 1798 480
Ward admission Out patient 428 clinic Breast Clinic
384 418 ( 180 new patients )
Shortcomings Space Theatre ICU Radiation Palliation Home
hospice Transit home
Current facilities are grossly inadequate
Solutions Space Theatre
New cancer unit
ICU Radiation Palliation…? Transit
home …….? Home hospice ….?
Palliative care & Transit home
Patients under palliative care No.of admission 2011 (130)
Palliative care center for cancer patients in Colombo
Patients transferred for Radiation Treatment 2011 (192)
Why a transit home for the cancer patients is needed?
Most of the patients are very poor they can’t even pay the bus fare
To prevent defaults
Limited number of beds in the new unit
Radiation facilities will be provided in the new cancer unit
patients undergo out patient chemotheraphy
Without accommodation radiation treatment is not possible
Land for palliative care unit and transit home ď‚ž
Proposed building plan
Estimate of the building For single story 37 million Sri Lankan rupees (288, 000 USD)
Home Hospice Services
ď‚ž
Significant number of patients like to spend their last days with loved ones at home environment
ď‚ž
Available resources Staff .. Doctors Nurses
What we need
ď‚ž
Vehicle to visit home
Vehicle for the home hospice services Cost is about 24000 USD
Hospice
In the Eastern Province …..
Establishing palliative care unit with transit home facility
Home hospice services
Other Projects ď‚žFacility
for Frozen section in the Pathology Department
Other Projects…
Livelihood projects for cancer survivor patients
Creation of cancer fund for emergency needs of poor patients
Other Projects…
Training of 3 Nurse navigators and 2 counselors $ 800 each ($ 4,000)
Support for development of tumor registry Lap top computer $ 800 Nurse coordinator $1,200/year
Other Projects….
Help provide educational opportunities for training physicians and health care staff Internet access for educational material Mentoring medical students
Batticaloa Gate
Kallady Bridge
Thank You
Clock TowerBatticaloa