e18043 Background: Access to cancer care remains the greatest challenge world over. One of the solutions include task shifting , decentralization and empowerment of alternate oncology workforce, with health system strengthening. “Pendharkar model “ of cancer care delivery is widely being followed across four states in India and is expanding to two more. It has sustainably created alternate oncology workforce with community oncology leaders. Methods: The model involved creating nodal cancer units in government run district hospitals and creating a physician point of contact for cancer in every unit. The method involved training these general physicians over one month and giving them techno-mentoring backup over every cancer patient they see. They were supposed to play multiple roles including early diagnosis, patient care including chemotherapy, palliative care. One of their role being advocacy and public education. Results: The model led to training of more than 140 physicians and starting of cancer units in about 125 hospitals, with population coverage of more than 200 million population across five states of India. Through their training and mentorship backup they were encourag
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