Lok Sabha Question No. 141 (STARRED), answered on 2017-03-10
Subject: Chronic Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JANARDAN SINGH SIGRIWAL

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 141 TO BE ANSWERED ON THE 10 TH MARCH, 2017 CHRONIC DISEASES

## *141. SHRI JANARDAN SINGH SIGRIWAL:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether there has been an increase in the number of people suffering chronic diseases in the country and if so, the details thereof;
- (b) whether the Government proposes to further step up the heal thcare facilities to the patients with chronic diseases and if so, the details thereof; and
- (c)  the  steps  taken/fund  allocated  by  the  Government  to  improve  the  ov healthcare facilities in the country, State/ UT - wise?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## ( SHRI JAGAT PRAKASH NADDA )

(a) to ( c):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 141* FOR 10 TH MARCH, 2017

(a) As perIndian Council of Medical Research (ICMR) ,estimated incidence s ofcancerpatients in India are 13,28,229, 13,88,397 & 14,51,417 for years 2014, 2015 & 2016 respectively .

The  results  available  from  15  States/UTs  of  an  ongoing ICMR  India Diabetes(ICMR - INDAB) Study on the prevalence of diabetes indicate overall prevalence of Diabetes varyingfrom 4% to 13%.

A ccording to the Report of National Commission on Macroeconomics and Health, there were 380 lakh cases of Cardiovascular Diseases (CVDs) in the year 2005 and these were estimated to rise to 641 lakh cases in the year 2

As  per  National  Family  Health  Survey -IV,  about  8.8%  women  and 13.4% men in the age group of 15 - 49  years were estimated to be having higher than normal Blood pressure

( b)and (c) : While health is a state subject, the Central Governmen supplements  the  efforts  of  the  State  Governments  to  provide  health including tertiary level health care for NCDs.

The Government of India is implementing National Programme for Pre vention  and  Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  a Stroke  (NPCDCS)  for  interventions  up  to  District  level  under  the  Nati Health  Mission.  It  has  focus  on  awareness  generation,  screening  and  e diagnosis  of  persons  with  high  level  of risk  factors  and  their  treatment  and referral (if required) to higher facilities for appropriate manag , development of Human Resourceand setting up of infrastructure such as NCD clinics for Non - communicable Diseases. G uidelines for implementation o f the National Dialysis Programme were developed and shared with theStates. Un der the  programme,  more  than  1 lakh  patients  have  undergone  about  11  lakhs dialysis sessions in various district hospitals in the country.

Government of India is implementing population level screening for diabetes,  hypertension  &  common  cancer  viz.  oral,  breast  and  cervix under which Operational Guidelines have beenshared with State Governments with the  request  to  submit  their  proposal  in  their  State  specific  Pro gramme Implementation Plans (PIP) under NHM .

The Central Government, through its hospitals ,augments the efforts of the State Governments for providing health services in the country. Under PMSSY ,6 new AIIMS have been made operational.  U pgradation of i dentified Government medical  colleges /  institutions,  for  higher specialty facilities has been undertaken .

Under Tertiary Care Cancer Centre (TCCC) Scheme, Government of India is assisting States to set up / establish State Cancer Institute TCC C sin different parts of the country.

AMRIT (Affordable Medicines and Re li able Implants for Treatment) stores are being set up by M/s HLL Life Care Limited, a CPSE, where essential lifesaving medicines for Cancer and CVDs are being provided at a substantial discount vis - à- vis the Maximum Retail Price.

Under National Health Mission, up to district level interventi the  States  are  being  supported  to  provide accessible, affordable  and  quality health care.

Brief  details of  the  funds  allocated  under  NHM,  NCD  flexipool  under NHM and released under TCCC scheme areat Annexure I & II.

## ANNEXURE - I

## Statement showing State/UT wise Allocation of funds for the year 2016 -17 under NCD Flexible Pool and NHM  (in Rs. Cr)

| Sl. No   | Name of State             |   Allocation under NCD Flexipool |   Allocation under NHM |
|----------|---------------------------|----------------------------------|------------------------|
| 1        | Andaman & Nicobar Islands |                             1.21 |                  47.51 |
| 2        | Andhra Pradesh            |                            17.49 |                 596.79 |
| 3        | Arunachal Pradesh         |                             7.81 |                 162.62 |
| 4        | Assam                     |                            44.44 |                 937.39 |
| 5        | Bihar                     |                            36.08 |                1129.08 |
| 6        | Chandigarh                |                             0.42 |                  22.3  |
| 7        | Chattisgarh               |                            14.85 |                 478.19 |
| 8        | Dadra & Nagar Haveli      |                             1.09 |                  18.85 |
| 9        | Daman & Diu               |                             0.78 |                  15.08 |
| 10       | Delhi                     |                             6.72 |                 207.01 |
| 11       | Goa                       |                             0.46 |                  19.74 |
| 12       | Gujarat                   |                            21.32 |                 676.51 |
| 13       | Haryana                   |                             7.6  |                 242.46 |
| 14       | Himachal Pradesh          |                             6.48 |                 209.03 |
| 15       | Jammu & Kashmir           |                            14.59 |                 391.14 |
| 16       | Jharkhand                 |                            15.11 |                 487.41 |
| 17       | Karnataka                 |                            21.34 |                 702.94 |
| 18       | Kerala                    |                             9.24 |                 303.32 |
| 19       | Lakshadweep               |                             0.21 |                   6.73 |
| 20       | Madhya Pradesh            |                            35.4  |                1105.63 |
| 21       | Maharashtra               |                            37.68 |                1246.56 |
| 22       | Manipur                   |                             5    |                 119.41 |
| 23       | Meghalaya                 |                             5.31 |                 128.47 |
| 24       | Mizoram                   |                             2.85 |                  94.65 |
| 25       | Nagaland                  |                             3.66 |                 105.8  |
| 26       | Orissa                    |                            19.55 |                 709.01 |
| 27       | Puducherry                |                             0.52 |                  37.52 |
| 28       | Punjab                    |                             8.35 |                 280.89 |
| 29       | Rajasthan                 |                            35.7  |                1101.93 |
| 30       | Sikkim                    |                             1.27 |                  46.16 |
| 31       | Tamil Nadu                |                            21.45 |                 779.18 |
| 32       | Tripura                   |                             5.32 |                 137.71 |
| 33       | Uttar Pradesh             |                            71.81 |                2292.55 |
| 34       | Uttarakhand               |                             8.9  |                 266.59 |
| 35       | West Bengal               |                            24.85 |                 856.54 |
| 36       | Telangana                 |                            12.5  |                 434.01 |
| Total    |                           |                           527.36 |               16396.7  |

## State - wise funds released for setting up/establishing SCIs and TCCCs under NPCDCS (1) Funds released during the financial year 2014 - 15:

| S No.   | State/UTs       | Name of the Institute                                     | SCI/ TCCC     |   Amount Released (inCrore) |
|---------|-----------------|-----------------------------------------------------------|---------------|-----------------------------|
| 1       | Karnataka       | Kidwai Memorial Institute of Oncology(RCC), Bangaluru     | SCI           |                       67.5  |
| 2       | Kerala          | Government Medical College, Kozhikode                     | TCCC          |                       25.03 |
| 3       | Tripura         | Cancer Hospital(RCC), Agartala                            | SCI           |                       55    |
| 4       | Gujarat         | Gujarat Cancer Research Institute,                        | Ahmedabad SCI |                       67.5  |
| 5       | West Bengal     | Government Medical College, Burdwan                       | TCCC          |                       22.24 |
| 6       | Jammu & Kashmir | Sher- i - Kashmir Institute of Medical Sciences, Srinagar | SCI           |                       47.25 |
| 7       | Tamil Nadu      | Cancer Institute (RCC) Adyar, Chennai                     | SCI           |                       67.38 |
| Total   | Total           | Total                                                     | Total         |                      351.9  |

## (2) Funds released during the financial year 2015 - 16:

| S No.   | State/UTs        | Name of the Institute                                     | SCI/ TCCC    |   Amount Released (in Crore) |
|---------|------------------|-----------------------------------------------------------|--------------|------------------------------|
| 1       | Himachal Pradesh | Indira Gandhi Medical College, Shimla                     | TCCC         |                       14.87  |
| 2       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna        | SCI          |                       33.06  |
| 3       | Mizoram          | Civil Hospital, Aizawl                                    | TCCC         |                       14.64  |
| 4       | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Sciences, Lucknow | Medical TCCC |                       11.43  |
| 5       | Rajasthan        | S P Medical College, Bikaner                              | TCCC         |                       17.123 |
| 6       | Karnataka        | Mandya Institute of Medical Sciences                      | TCCC         |                       17.257 |
| 7       | Telangana        | MNJ Institute of Oncology& RCC, HyderabadSCI              |              |                       18.12  |
| Total   | Total            | Total                                                     | Total        |                      126.5   |

| S No   | State/ UTs   | Name of theInstitute                                            | SCI/ TCCC       |   Amount Released (in Crore) |
|--------|--------------|-----------------------------------------------------------------|-----------------|------------------------------|
| 1      | Kerala       | Regional Cancer Centre, ThiruvananthapuramSCI                   |                 |                      46.957  |
| 2      | Punjab       | Govt. Medical College, Amritsar                                 | SCI             |                      51.58   |
| 3      | Delhi        | Lok Nayak Hospital                                              | TCCC            |                      25.4    |
| 4      | Punjab       | District / Civil Hospital, Fazilka                              | TCCC            |                      20.119  |
| 5      | Odisha       | Acharya Harihar Regional Cancer Centre, Cuttack                 | SCI             |                      35.829  |
| 6      | Nagaland     | District Hospital, Kohima                                       | TCCC            |                      10.17   |
| 7      | Haryana      | Civil Hospital, Ambala Cantt                                    | TCCC            |                       9.2253 |
| 8      | West Bengal  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad | TCCC            |                      10.9793 |
| 9      | Maharashtra  | Rashtra Sant Tukdoji Regional Cancer Research Centre, Nagpur    | Hospital & TCCC |                      15.3196 |
| 10     | Rajasthan    | SMS Medical College, Jaipur                                     | SCI             |                      40.6683 |
| Total  | Total        | Total                                                           | Total           |                     266.248  |