Access to health care in Brazil is fraught with challenges, particularly for cancer treatment, which remains difficult to obtain for many, especially the country’s most impoverished and marginalized populations. Millions of Brazilians live in favelas, where overcrowding and inadequate infrastructure complicate the delivery of health care and the maintenance of sanitary conditions. Similarly, those in remote areas often face lengthy and costly journeys to reach health care facilities for essential treatments. Although Brazilian law mandates that cancer treatment must begin within 60 days of diagnosis, research reveals a stark gap between policy and reality—60.11% of women living with breast cancer patients are still unable to start treatment within this time frame.

While various organizations are working to improve access to life-saving cancer care for all Brazilians, treatment centers remain concentrated primarily in the southern and northeastern regions of the country. This geographic disparity poses significant challenges for those living in more remote areas, particularly in the Northeast and Central-West regions, where health care infrastructure is less developed. As a result, many patients from these regions face the added burden of traveling outside their municipalities to attend appointments and receive necessary treatments.

Interregional Disparities

Significant disparities in cancer treatment access exist across Brazil’s regions and states, with treatment generally more accessible in the wealthier southern states than in the North or Northeast. This disparity aligns with regional economic conditions: the five richest states are located in the Southeast and West, while the five most impoverished are in the Northeast.

More than half of cancer patients in the Northeast and West regions have to travel outside of their home municipality to receive treatment. For patients in more vulnerable areas, this presents a formidable barrier; many lack personal transportation or funds for public transit, making access to care prohibitively difficult. These logistical and financial challenges can have dire consequences—when patients cannot reach treatment centers promptly, they risk worsening health outcomes or even death due to delayed care.

Poverty

Poverty, along with factors such as race and household position, significantly influences whether a woman with breast cancer in Brazil can access the necessary treatment. There is a clear need for broader access to breast cancer care across the country. Research has shown that factors like age, wealth, location and race all play a role in determining how quickly women receive treatment.

In particular, vulnerable, nonwhite women from the Northeast are disproportionately affected, facing greater barriers to care compared to their wealthier counterparts. These socioeconomic and racial disparities mean that poverty remains one of the primary obstacles preventing underprivileged Brazilian women from seeking or receiving timely treatment for breast cancer.

Geographic and Infrastructural Barriers

Indigenous Brazilians face numerous challenges that exacerbate their health outcomes, including living in remote areas with limited access to nearby health care facilities or educational institutions. These geographic and infrastructural barriers, coupled with their overrepresentation in poverty statistics, make it difficult for many Indigenous groups to access cancer treatment. This disparity is starkly reflected in health statistics. Indigenous men from Goiás in the Midwest, for example, are twice as likely to die from liver, stomach and colorectal cancers compared to the general population. Similarly, Indigenous women from the same region are 30% more likely to die from cervical, stomach or liver cancer.

Fundação Laço Rosa

In Brazil, numerous campaigns aim to raise awareness about cancer risks and advocate for patients’ rights, with organizations like Fundação Laço Rosa playing a crucial role. This nonprofit supports breast cancer patients through educational and empowering initiatives. It runs campaigns that educate underprivileged women about their rights as breast cancer patients, providing valuable information on navigating treatment and health care systems. 

Additionally, Fundação Laço Rosa offers support through acts of kindness, such as donating wigs to women undergoing chemotherapy, helping restore their dignity and confidence during a challenging time. Fundação do Câncer is also responsible for many educational campaigns that aim to educate people on preventing cancer. Some of these campaigns include showcasing the dangers of vaping and awareness of multiple types of cancer, such as skin and breast cancer.

Conclusion

Access to cancer treatment in Brazil remains a critical challenge, exacerbated by regional disparities, socioeconomic inequality and racial barriers. While efforts by organizations like Fundação Laço Rosa provide much-needed support, significant gaps persist, particularly for marginalized groups such as women in poverty and Indigenous communities. Greater investment in health care infrastructure, transportation and equitable policies is essential to ensure that all Brazilians, regardless of location or socioeconomic status, can access timely and life-saving cancer care.

– Callum Bennett

Callum is based in Colchester, Essex, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr