The Binaytara Foundation (BTF) has implemented a comprehensive approach to enhance women’s cancer care access, focusing on cervical cancer screening, chemotherapy services, advocacy, and the establishment of a women’s cancer center. Through these multifaceted initiatives, the Binaytara Foundation demonstrates a strong commitment to improving women’s cancer care access, particularly in underserved regions. By combining screening programs, treatment services, advocacy, and expert collaboration, BTF strives to reduce cancer disparities and enhance health outcomes for women.

INITIATIVES:

Early Detection

Cervical Cancer Screening Programs

Recognizing the critical need for early detection, BTF initiated cervical cancer screening programs in Janakpur, Nepal. Since 2020, we have screened thousands of women for cervical cancer under Project SISTER (Survey, Identify, Screen, Treat, Educate, Report). These programs employ visual inspection with acetic acid (VIA), a cost-effective method suitable for low-resource settings. To extend reach, BTF organizes health camps in rural and underserved areas, providing screenings and educating women about cervical cancer prevention. These initiatives aim to increase screening uptake and facilitate early intervention.

Treatment

Chemotherapy Services at the 25-Bed Hospital

In 2018, BTF established a 25-bed cancer hospital in Janakpur, Nepal, offering chemotherapy services to women diagnosed with cancer. The hospital provides treatment for various cancers, including breast, cervical and other gynecological cancers, ensuring that women receive timely and appropriate care. By delivering these services locally, BTF reduces the need for patients to travel long distances, thereby improving treatment adherence and outcomes.

To ensure adherence to best practices in women’s cancer care, BTF conducts weekly virtual tumor boards. These sessions involve experts who specialize in women’s cancers, such as Dr. Mark Pegram from Stanford University and Dr. Siddhartha Yadav from Mayo Clinic, who collaborate with local healthcare providers to discuss complex cases and develop optimal treatment plans. This collaborative approach enhances the quality of care provided to women and facilitates knowledge transfer to local practitioners.

Advocacy

Advocacy and Plans for a Women’s Cancer Center

BTF actively advocates for improved access to women’s cancer care through partnerships with local communities, government entities, and healthcare institutions. These efforts have led to an agreement with the Government of Nepal to develop a 200-bed cancer hospital in Janakpur, serving over six million people in Madhesh Province. Within this facility, BTF plans to establish a dedicated Women’s Cancer Center, focusing on comprehensive care, including prevention, early detection, treatment, and support services tailored to women’s unique needs.

PERSONNEL

Chair: Tara Shah

Members: Dr. Elizabeth Lynn Meyering, Dr. Mark Pegram, Dr. Wendy Wang, Dr. Sid Yadav

Global Health and Health Disparities Interns: Geneva Bengtson, Dibbya Biswa