ASHAs Trained To Help Detect Cancer Early In Delhi

In an important step towards cancer prevention, the National Association for Reproductive and Child Health of India (NARCHI), along with the Institute of Obstetrics and Gynaecology at Sir Ganga Ram Hospital, has launched a new initiative to train ASHA (Accredited Social Health Activist) workers to detect cancer at an early stage.

The training, which began during the 31st annual NARCHI conference on August 8, focused on helping ASHAs identify early signs of cervical and breast cancer. This programme has started in Delhi and will gradually expand to cover all districts of the capital.

ASHAs received guidance on recognising symptoms, referring suspected cases for diagnosis, and using simple tools—both paper-based and mobile—to track and follow up with patients. They were also trained in communication skills to help reduce the stigma and fear around cancer in communities.

Speaking on the occasion, Dr. Mala Srivastava, President of NARCHI (Delhi Chapter), said, “If we can detect cancer at Stage 1, survival chances increase to over 90%, especially in breast, cervical, and oral cancers. By empowering ASHAs, we are putting women at the centre of cancer prevention.”

India reports nearly 1.3 million new cancer cases every year, with over 8 lakh deaths, many due to late diagnosis. Experts say that only one in five cases is detected in the early stage. This initiative aims to change that by reaching people at the grassroots level.

Dr. Chandra Mansukhani, Vice President of NARCHI (Delhi), added, “One trained ASHA can become a strong link between her community and healthcare services. Early detection means simpler, more affordable treatment and better outcomes.”

With each ASHA connected to nearly 1,000 people in her area, the programme could bring cancer awareness to over 1 million people in its first year in Delhi alone. Experts believe this can lead to a major shift in how India tackles cancer.

Dr. Geeta Mendiratta, Chairperson of the Institute of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, stated, “When doctors and communities work together, Stage 1 can become the default stage for diagnosis. We must take medical knowledge to where people live.”

Dr. Kanika Jain, Secretary of NARCHI (Delhi), and Dr. K. Gujral, Advisor at Sir Ganga Ram Hospital, were also present at the event.

Health experts highlighted that more than 2,000 people in India die of cancer daily, and many of these deaths could be prevented with early detection. For example, early-stage breast cancer can often be treated with a simple surgery and radiation, which is much less expensive and painful than late-stage treatments.

In the coming months, ASHAs will organise screening camps in neighbourhoods and schools, guided by hospital teams to ensure proper diagnosis.

Cervical cancer is particularly dangerous because it shows no clear symptoms in the early stages. Some warning signs include unusual vaginal bleeding, strange discharge, pain in the lower abdomen, and pain during intercourse. Women noticing these symptoms are encouraged to seek medical advice without delay.

Signs of breast cancer may include a lump in the breast or underarm, changes in breast size or skin, unusual nipple discharge, or constant tiredness. Recognising these early signs can save lives.