・ 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 |