India’s incidence of breast cancer may be less than in developed countries, but its mortality is much more. In adult women of the 30 to 69 age group, this is now one of the top two or three causes of mortality. The introduction in 2017, of universal screening for breast cancer as part of public provision of comprehensive primary health care was a huge and highly welcome step forward. Eight years later, we take stock of where we have reached in implementing this policy and the challenges being faced, and why our understanding of primary health care needs to go far beyond what we offer as primary level health services.
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