Batticaloa Cancer Care

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

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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