・ Lack of education and cancer awareness among the general population

・ High rate of non-compliance with treatment due to inability to pay

・ Lack of a centralized medical data-collection system to record outcomes

・ Need for female providers

・ Itinerant nature of city slum dwellers leading to lack of medical follow-up

・ Higher rates of infectious co-morbidities

・ Cultural challenges of modesty preventing pelvic examination and screening

・ High rate of gender based violence

・ Distance from healthcare facility