Community health workers trained in cancer triage, navigation and home palliative care
Millions of community health workers already visit homes for vaccines and maternal care. Training them to recognise cancer warning signs, guide patients through the system and support home pain care would reach people no hospital does.
Community health worker programmes are the backbone of primary care in much of the world but rarely include cancer. A cancer module covering red-flag symptoms, referral, treatment adherence follow-up, and home palliative support (pain reassessment, morphine adherence, caregiver training) would connect the last mile to cancer services. Kerala's community palliative network and several African pilots show feasibility.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
- Pain relief and palliative care are unavailable to most · Most people who die of cancer worldwide do so without adequate pain relief.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
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