• Lack of comprehensive pediatric oncology centers: One of the major gaps in specialized pediatric oncology care in India is the lack of comprehensive centers dedicated solely to pediatric oncology. Many tertiary hospitals have limited facilities and resources specifically designed for the treatment of children with cancer.
• Inadequate availability of specialized healthcare professionals: Another gap lies in the shortage of specialized healthcare professionals such as pediatric oncologists, pediatric surgeons, and pediatric radiation oncologists. This leads to a lack of expertise in the diagnosis and treatment of pediatric cancer.
• Insufficient infrastructure and technology: Many tertiary hospitals lack the necessary infrastructure and advanced technology required for optimal pediatric oncology care. This includes the absence of dedicated pediatric oncology wards, specialized equipment, and advanced diagnostic and treatment facilities.
• Inadequate supportive care services: Supportive care services like psychosocial support, pain management, and palliative care are essential for pediatric oncology patients. However, there is a lack of such services in many hospitals, impacting the overall quality of care provided.
• Limited access to clinical trials and experimental treatments: Due to limited availability, many pediatric cancer patients in India face difficulties in accessing clinical trials and experimental treatments that could potentially improve their outcomes.
• Financial barriers for families: The high cost of pediatric oncology treatment, including diagnostic tests, surgeries, chemotherapy, and radiation therapy, poses a significant financial burden on families. Limited financial support programs further exacerbate the gaps in specialized care.

Addressing these gaps requires increased investment in pediatric oncology infrastructure, training and recruitment of specialized healthcare professionals, and enhanced support services for patients and their families.