Cervical Cancer in Bangladesh.

Abstract

Bangladesh is a densely populated country having a population of 165,158,616asper the census2022.Among them83,347,206 are female and here majority of them (113,063,587) lives in rural area.1 The allocation of health sector budget is 2.34% of gross domestic product and in the year 2018, share of 75.3% of the total health expenditure was from private sector with an annual growth of 0.93%.2 There is no national cancer registry of the country. As per GOLOBOCAN 2020, the age-standardized incidence rate ofcancer ofBangladesh is calculated as 106.2 and the case load of cancer in Bangladesh was 1,56,775 and the cancer death was 1,08,990.3 Cervical cancer is the fourth most common cancer globally among women. In the year 2020, an estimated 6,04,000 new cases and 3,42,000 deaths were recorded. Alarmingly 90% of these new case and deaths occurred worldwide in 2020 were in lowand middle-income countries. The annual number of global new cases of cervical cancer has been projected to increase between 2018 and 2030 from 570,000 to 700,000 and the annual number of deaths projected to increase from 311,000 to 400,000.4 In Bangladesh, cervical cancer is the secondmost common cancer of female (12%).3 The number of new cases was 8,068 (10.6 per 100,000 women) and deaths was 5.214 (7.1 per 100,00 women) in 2018.3 The prediction was that without any intervention a total of 505,703 women in Bangladesh will die from cervical cancer by the year 2070 and the number will rise to 1,042,859 by 2120.5 The Government of Bangladesh (GOB) is giving due emphasis to noncommunicable disease (NCD) to achieve the target of sustainable development goalwhere cervical cancer management is considered as an important component of NCD. Both the government and private sectors are working together to fight against cervical cancer.