Bhutan is taking critical steps to improve childhood cancer care in light of rising concerns about survival rates and timely diagnosis. The recent data from the National Cancer Registry reveals that from 2019 to 2022, 58 cases of childhood cancer were recorded, with a nearly equal gender distribution. These alarming statistics highlight the need for immediate and sustained attention to childhood cancer, a largely treatable condition if diagnosed early.

The Bhutan Cancer Control Strategy 2019-2025 emphasises the importance of ensuring early diagnosis, prompt treatment, and eliminating delays. This strategy aims to mobilise resources, build capacity, and remove financial barriers that prevent children from accessing essential cancer care.

At the heart of this initiative is Bhutan’s alignment with the World Health Organization (WHO) Global Initiative for Childhood Cancer, which aims to achieve a global survival rate of at least 60 percent by 2030. The health ministry’s target of achieving 100 percent cancer screening coverage by the 13th Plan is an ambitious and yet necessary goal. Every child diagnosed with cancer represents not only a life at risk but also an opportunity for the healthcare system to respond with efficiency and compassion.

However, gaps remain in our national cancer care infrastructure, particularly in the areas of diagnosis and treatment. The referral process, which currently sends young cancer patients abroad for treatment, places an additional strain on families and points to the need for stronger domestic capabilities.

Plans to improve Bhutan’s capacity for childhood cancer care are underway. One paediatrician is set to receive specialised training in haemato-oncology, and two medical officers are being trained in oncology this year. These initiatives represent a crucial step towards building a sustainable and self-reliant healthcare system. Moreover, the establishment of a shared care network through the South-East Asia Childhood Cancer Network will further enhance our capacity by enabling local doctors and nurses to manage paediatric cancer cases more effectively.

Such a collaborative network, coupled with ongoing efforts to raise awareness through partnerships with organizations like the Bhutan Cancer Society, will help educate the public and reduce the stigma surrounding cancer.

Our approach to addressing childhood cancer must be grounded in proactive healthcare policies and long-term investments in medical training and infrastructure. As the health ministry strengthens its resolve, the government must continue to prioritise the development of a robust cancer care system that leaves no child behind. If we can ensure timely diagnosis and access to care, we can meet—and perhaps even exceed—the global targets set by the WHO.

The road ahead is challenging, but with strong political will, community involvement, and investment in our healthcare system, we can secure a brighter future for every child battling cancer. The stakes are high, and we cannot afford to delay.