Lok Sabha Question No. 2285 (UNSTARRED), answered on 2017-07-28
Subject: Stroke Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJESH KUMAR DIWAKAR

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

LOK SABHA UNSTARRED QUESTION NO. 2285 TO BE ANSWERED ON 28 TH JULY, 2017

## STROKE PATIENTS

## 2285. SHRI RAJESH KUMAR DIWAKER:

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

- (a) whether the Government has formulated Operational Guidelines for care and management of stroke  patients  under National  Programme  for  Prevention  and Control  of  Cancer,  Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) and if so, the details thereof;
- (b) whether World Stroke Organisation in its global conference at Hyderabad recently updated these  guidelines  for implementation,  monitoring  and  evaluation of  stroke  services  and  if  so, whetherGovernment wouldupdate those guidelines; and
- (c) the details of Non - Communicable Disease (NCD) clinics which specialises in troke care and management in the country, State/UT - wise during the last two years?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

(a) to (c): Government  of  India  has  formulated  Operational  Guidelines  for  implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disea and Stroke (NPCDCS).

NPCDS  has  been  impl emented  in  all  States/UTs  for  interventions  up  to  District  le under the National Health Mission.  NPCDCS has focus on awareness generation for behavio and life - style changes, screening and early diagnosis of persons with high level of risk and their treatment and referral (if required) to higher facilities for appropriate mana Non - communicable  Diseases  including  Stroke.  Under  NPCDCS,  diagnosis  and  treatment facilities for major NCDs including Stroke are provided through different lev els o  h althcare by setting  up  of  Cardiac  Care  Units  (CCUs)  in  District  Hospitals  and  NCD  Clinics  in  Dis Hospitals and Community Health Centres (CHCs).

A Statement showing State/UT - wise list of NCD clinics and Cardiac Care Units (CCUs) established under NPCDCS is at Annexure.

## National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

Infrastructure Details ( As on June 2017)

| S. No.   | State               | State NCD Cell   |   District NCD Cell |   District NCD Clinic |   CCU |   CHC NCD Clinic |   Day Care Center |
|----------|---------------------|------------------|---------------------|-----------------------|-------|------------------|-------------------|
| 1        | Andhra Pradesh      | 1                |                   9 |                     9 |     7 |               62 |                 0 |
| 2        | Arunachal Pradesh   | 1                |                  17 |                    17 |     0 |               21 |                 0 |
| 3        | Assam               | 1                |                  14 |                    14 |     5 |               79 |                 5 |
| 4        | Bihar               | 1                |                  24 |                    24 |     6 |                0 |                 0 |
| 5        | Chhattisgarh        | 1                |                   9 |                     9 |     1 |               57 |                 2 |
| 6        | Goa                 | 1                |                   1 |                     1 |     1 |                2 |                 0 |
| 7        | Gujarat             | 1                |                  19 |                    19 |     5 |               68 |                 2 |
| 8        | Haryana             | 1                |                  12 |                    12 |     8 |               36 |                 8 |
| 9        | Himachal Pradesh    | 1                |                  12 |                    12 |    11 |              146 |                11 |
| 10       | Jammu               | 1                |                   2 |                     2 |     2 |                5 |                 2 |
| 10       | Kashmir             |                  |                  10 |                    10 |     4 |               19 |                 4 |
| 11       | Jharkhand           | 1                |                  23 |                    21 |     1 |               68 |                 0 |
| 12       | Karnataka           | 1                |                  20 |                    20 |     5 |               48 |                 5 |
| 13       | Kerala              | 1                |                  14 |                    14 |     4 |               85 |                 4 |
| 14       | Madhya Pradesh      | 1                |                  15 |                    15 |     5 |               46 |                15 |
| 15       | Maharashtra         | 1                |                  17 |                    17 |    17 |              226 |                 5 |
| 16       | Manipur             | 1                |                   9 |                     8 |     0 |                5 |                 1 |
| 17       | Meghalaya           | 1                |                   3 |                     3 |     1 |                6 |                 2 |
| 18       | Mizoram             | 1                |                   8 |                     8 |     2 |               10 |                 2 |
| 19       | Nagaland            | 1                |                  11 |                    11 |     1 |                0 |                 2 |
| 20       | Odisha              | 1                |                  20 |                    19 |     5 |               62 |                 1 |
| 21       | Punjab              | 1                |                  22 |                    22 |    14 |              192 |                 3 |
| 22       | Rajasthan           | 1                |                  24 |                    24 |     7 |               75 |                 8 |
| 23       | Sikkim              | 1                |                   2 |                     2 |     2 |                0 |                 1 |
| 24       | Tamil Nadu          | 1                |                  32 |                    32 |    15 |              621 |                 0 |
| 25       | Telangana           | 1                |                   2 |                     2 |     0 |                0 |                 0 |
| 26       | Tripura             | 1                |                   4 |                     4 |     0 |                8 |                 0 |
| 27       | Uttar Pradesh       | 1                |                  42 |                    43 |     0 |              116 |                 0 |
| 28       | Uttarakhand         | 1                |                   9 |                     9 |     0 |                8 |                 0 |
| 29       | West Bengal         | 1                |                  10 |                    10 |     8 |               38 |                 1 |
| 30       | Andaman & Nicobar   | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 31       | Chandigarh          | 1                |                   0 |                     1 |     0 |                3 |                 0 |
| 32       | Dadar &Nagar Haveli | 1                |                   0 |                     1 |     0 |                0 |                 0 |
| 33       | Daman &Diu          | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 34       | Lakshadweep         | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 35       | Delhi               | 1                |                   0 |                     0 |     0 |                0 |                 0 |
|          | Puducherry          | 1                |                   4 |                     4 |     1 |                4 |                 0 |
| 36       | Grand Total         | 36               |                 420 |                   419 |   138 |             2116 |                84 |