Namkha Dorji

Quality improvement initiatives on colposcopy and treatment of cervical pre-cancer services in Bhutan: Experiences, challenges, and way forward

Bhutan has achieved 90-70-90 global targets by 2023, way ahead of the global targets of elimination of cervical cancer by 2030. However, cervical cancer remains the most prevalent cancer, among women in Bhutan. While all healthcare screening, diagnosis and treatment of cervical cancers are provided free of cost, sustainability in terms of financing and human resources and ensuring quality of services are the major challenges. Development of a national standard guideline is a major intervention towards improving the quality of colposcopy services and treatment of precancer in the country. In this article, we discuss the summary of the consensus-based practical guideline on colposcopy and treatment of cervical pre-cancers in Bhutan, challenges faced and potential way forward.

Bhutan achieves the 90-70-90 targets on the path to elimination of cervical cancer: Experience, challenges and way forward

Cervical cancer is the most common form of cancers among females in Bhutan. The Royal Government of Bhutan has achieved the 90-70-90 global milestones towards elimination of cervical cancer. However, challenges remain in improving the quality of services, and addressing sustainability issues. With continued political commitment, dedicated efforts of health professionals and public support, Bhutan is committed in our efforts towards elimination of invasive cervical cancer by 2030, in alignment with the World Health Organization's global target. This review article presents the efforts, challenges and way forward towards elimination of cervical cancer in Bhutan.

Management of cervical cancer in pregnancy in a low resource setting: a rare case report

Cervical cancer in pregnancy is a rare event. Diagnosis and management of cervical cancer in pregnancy is complicated and challenging in a low resource setting. Herein, we present a case of cervical cancer (FIGO stage IB3) diagnosed at 28 This is the first case report on cervical cancer in pregnancy from Bhutan. It highlights the diagnostic and management challenges in a low resource country.