Lok Sabha Question No. 3741 (UNSTARRED), answered on 2017-03-24
Subject: National Programme for Healthcare of the Elderly
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KINJARAPU RAM MOHAN NAIDU

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

LOK SABHA UNSTARRED QUESTION NO. 3741 TO BE ANSWERED ON 24 TH MARCH, 2017

## NATIONAL PROGRAMME F OR HEALTHCARE OF THE ELDERLY

## 3741. SHRI RAM MOHAN NAIDU KINJARAPU:

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

- (a)  whether  the  Government  has  formulated  a  National  Programme  for  Health  Care  of  t Elderly (NPHCE) in order to ensure that a comprehensive heal thcare is set up that is completely dedicated and tuned to the needs of the elderly;
- (b) if so, the details thereof along with the salient features of the programme;
- (c) whether the aforesaid programme is likely to be aligned with National Rural Health Mission (NRHM) so as to ensure convergence amongst them and if so, the details thereof;
- (d) the various other initiatives and programmes implemented by the Government for easy access to the preventive, curative and rehabilitative healthcare of the elderly and the funds a various  States  under  these  schemes  during  each  of  the  last  three  years  and  the  curren State/UT - wise;
- (e) whether any work has been done in the realm of healthcare for the elderly by Central Sector Enterprises (CPSEs) as part of their CSR activities as mandated by the Companies 2013; and
- (f) if so, the details thereof along with the funds al located therefor during each of the last three years and the current year, company - wise?

## ANSWER

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

- (a) & (b) T he Ministry of Health & Family Welfare had launched the 'Na tional Programme for the Health Care of Elderly' (NPHCE) during 2010 - 11 t o address various health related problems of elderly people.

The  major  objectives  of NPHCE  are  establishment  of  Department  of  Geriatric  in identified Medical Institutions as Regional Geriatric Centres for different regions of the country

Contd……..

and  to  provide  dedicated  health  facilities  in  District  Hospitals,  Community  Health  C (CHCs),  Primary  Health  Centres  (PHCs)  and Sub-Centres  (SCs)  levels  through  State  Health Society. The salient features of the programme are as follows:

- i) Setting up of Geriatric department in identified Regional Geriatric Centres (RGC) with care services and 30 bedded Geriatric ward for providin g indoor services..
2. ii) Setting up of Geriatric units at District Hospitals that will provide specialist ser bedded Geriatric Ward will also be set up for providing indoor services.
3. iii) Establishment of Rehabilitation unit at all Community Health Centr es (CHCs) and Geriatric clinic twice/week.
4. iv) Setting  up  weekly  Geriatric  clinic  by  trained  medical  Officer  at  Primary  Health  Ce (PHCs).
- v) IEC on healthy life style, home care to the bed ridden and supportive devices for th elderly persons at sub - centre level.

In addition, Two National Centres of Ageing (NCAs) have been approved to be set - up under the  tertiary  level  activities  of  the  programme,  within  the  premises  of  All  India  In Medical  Sciences  (AIIMS),  New  Delhi  and  Madras  Medic al  College  (MMC),  Chennai. The functions of the NCAs are as indicated below: -

- Health Care delivery with 200 bedded facility
- Training of Health Professionals
- Research activity
- Development of Health Professionals.
- Development of IEC material and course cur ricula.

(c) : The programme is being implemented under Non - Communicable Disease (NCD) flexible pool within the overarching umbrella of National Health Mission for Districts and below States/UTs.

(d) : At present, Government of India has launch ed a Senior Citizen Health Insurance scheme with effect from 01.04.2016, as a top up scheme of Rashtriya Swasthya Bima Yojna (RSBY The scheme will provide health coverage to senior citizen who are aged 60 years and a belonging to BPL category. Under this scheme the health coverage is for Rs. 30,000/ -per annum per senior citizen for treatment packages, over and above RSBY entitlement. The scheme wo be cashless and run on the RSBY platform as an add - on cover. The add on cover of Rs. 30,000/ -per sen ior citizen will be for treatment of senior citizen only.

The Details of funds allocated under NPHCE during 2013 - 14 to 2015 - 16 and the current year are at Annexure - I, II & III.

(e)  &  (f): No  such  work  has  been  done  by  Central  Public  Sector  Enterprises (CPSEs) for healthcare for the elderly under NPHCE.

………………..

## Annexure - I

| Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   | Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   | Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   | Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   | Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   | Funds Allocated/Released to States/UTs under National Programme for Health of the Elderly (NPHCE)   |
|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|
| S.No.                                                                                               | Name of the States                                                                                  | 2013-14                                                                                             | 2014-15                                                                                             | 2015-16                                                                                             | 2016-17                                                                                             |
| 1                                                                                                   | Andaman & Nicobar Island                                                                            | 0.00                                                                                                | 0.00                                                                                                | 0.55                                                                                                | 0.91                                                                                                |
| 2                                                                                                   | Andhra Pradesh                                                                                      | 0.00                                                                                                | 0.00                                                                                                | 14.78                                                                                               | 17.49                                                                                               |
| 3                                                                                                   | Arunachal Pradesh                                                                                   | 0.00                                                                                                | 0.00                                                                                                | 5.70                                                                                                | 7.81                                                                                                |
| 4                                                                                                   | Assam                                                                                               | 0.00                                                                                                | 1.42                                                                                                | 35.78                                                                                               | 44.44                                                                                               |
| 5                                                                                                   | Bihar                                                                                               | 0.00                                                                                                | 1.50                                                                                                | 22.34                                                                                               | 18.04                                                                                               |
| 6                                                                                                   | Chandigarh                                                                                          | 0.00                                                                                                | 0.00                                                                                                | 0.69                                                                                                | 0.42                                                                                                |
| 7                                                                                                   | Chhattisgarh                                                                                        | 0.51                                                                                                | 0.99                                                                                                | 8.47                                                                                                | 14.85                                                                                               |
| 8                                                                                                   | Dadra & Nagar Haveli                                                                                | 0.00                                                                                                | 0.00                                                                                                | 0.63                                                                                                | 0.82                                                                                                |
| 9                                                                                                   | Daman & Diu                                                                                         | 0.00                                                                                                | 0.24                                                                                                | 0.35                                                                                                | 0.39                                                                                                |
| 10                                                                                                  | Delhi                                                                                               | 0.00                                                                                                | 0.00                                                                                                | 2.23                                                                                                | 6.72                                                                                                |
| 11                                                                                                  | Goa                                                                                                 | 0.00                                                                                                | 0.00                                                                                                | 0.23                                                                                                |                                                                                                     |
| 12                                                                                                  | Gujarat                                                                                             | 0.00                                                                                                | 2.17                                                                                                | 20.98                                                                                               | 21.32                                                                                               |
| 13                                                                                                  | Haryana                                                                                             | 0.00                                                                                                | 0.78                                                                                                | 4.93                                                                                                | 3.80                                                                                                |
| 14                                                                                                  | Himachal Pradesh                                                                                    | 0.00                                                                                                | 0.12                                                                                                | 4.78                                                                                                | 3.24                                                                                                |
| 15                                                                                                  | Jammu & Kashmir                                                                                     | 0.00                                                                                                | 0.00                                                                                                | 8.16                                                                                                | 10.94                                                                                               |
| 16                                                                                                  | Jharkhand                                                                                           | 0.00                                                                                                | 1.11                                                                                                | 10.57                                                                                               | 15.11                                                                                               |
| 17                                                                                                  | Karnataka                                                                                           | 0.00                                                                                                | 1.71                                                                                                | 14.29                                                                                               | 21.34                                                                                               |
| 18                                                                                                  | Kerala                                                                                              | 0.00                                                                                                | 1.50                                                                                                | 5.18                                                                                                | 6.93                                                                                                |
| 19                                                                                                  | Lakshadweep                                                                                         | 0.00                                                                                                | 0.96                                                                                                | 0.07                                                                                                |                                                                                                     |
| 20                                                                                                  | Madhya Pradesh                                                                                      | 0.00                                                                                                | 2.15                                                                                                | 26.82                                                                                               | 35.40                                                                                               |
| 21                                                                                                  | Maharashtra                                                                                         | 0.00                                                                                                | 2.04                                                                                                | 27.54                                                                                               | 28.26                                                                                               |
| 22                                                                                                  | Manipur                                                                                             | 0.00                                                                                                | 0.00                                                                                                | 3.08                                                                                                | 2.50                                                                                                |
| 23                                                                                                  | Meghalaya                                                                                           | 0.00                                                                                                | 0.00                                                                                                | 2.46                                                                                                | 5.31                                                                                                |
| 24                                                                                                  | Mizoram                                                                                             | 0.00                                                                                                | 1.19                                                                                                | 1.42                                                                                                | 2.14                                                                                                |
| 25                                                                                                  | Nagaland                                                                                            | 0.00                                                                                                | 0.00                                                                                                | 2.63                                                                                                | 1.83                                                                                                |
| 26                                                                                                  | Orissa                                                                                              | 0.34                                                                                                | 1.16                                                                                                | 16.19                                                                                               | 19.55                                                                                               |
| 27                                                                                                  | Pudducherry                                                                                         | 0.00                                                                                                | 0.00                                                                                                | 0.29                                                                                                | 0.39                                                                                                |
| 28                                                                                                  | Punjab                                                                                              | 0.00                                                                                                | 1.11                                                                                                | 6.71                                                                                                | 8.35                                                                                                |
| 29                                                                                                  | Rajasthan                                                                                           | 0.00                                                                                                | 0.87                                                                                                | 27.04                                                                                               | 26.78                                                                                               |
| 30                                                                                                  | Sikkim                                                                                              | 0.32                                                                                                | 0.44                                                                                                | 0.95                                                                                                | 1.27                                                                                                |
| 31                                                                                                  | Tamil Nadu                                                                                          | 0.00                                                                                                | 0.42                                                                                                | 17.16                                                                                               | 21.45                                                                                               |
| 32                                                                                                  | Tripura                                                                                             | 0.00                                                                                                | 0.00                                                                                                | 2.55                                                                                                | 2.66                                                                                                |
| 33                                                                                                  | Uttar Pradesh                                                                                       | 0.00                                                                                                | 0.00                                                                                                | 54.39                                                                                               | 71.81                                                                                               |
| 34                                                                                                  | Uttarakhand                                                                                         | 0.00                                                                                                | 0.00                                                                                                | 6.62                                                                                                | 8.90                                                                                                |
| 35                                                                                                  | West Bengal                                                                                         | 0.00                                                                                                | 1.50                                                                                                | 13.03                                                                                               | 24.85                                                                                               |
| 36                                                                                                  | Telangana                                                                                           | 0.00                                                                                                | 0.00                                                                                                | 9.41                                                                                                | 9.38                                                                                                |
|                                                                                                     | Total                                                                                               | 1.17                                                                                                | 23.38                                                                                               | 379.00                                                                                              | 465.40                                                                                              |

Note: For the F.Y. 2015 -16 onwards, the funds mentioned are released under NCD Flexible Pool of NHM & include relese for Five National Programmes i.e. NPHCE, NPCB, NPCDCS, NMHP & NTCP

## Annexure - II

## Funds Allocated/Released to RGCs under Tertiary Care Activities of National Programme for Health Care of the Elderly (NPHCE)

| Rs. in Crore   | Rs. in Crore                                                 | Rs. in Crore   | Rs. in Crore   | Rs. in Crore   | Rs. in Crore   |
|----------------|--------------------------------------------------------------|----------------|----------------|----------------|----------------|
| Sl. No.        | Institute                                                    | 2013- 14       | 2014- 15       | 2015- 16       | 2016- 17       |
| 1              | Govt. Medical College, Tiruvananthapuram, Kerala             | 0.00           | 0.00           | 0.00           | 0.00           |
| 2              | Intt. Of Medical Sciences, UP                                | BHU, 0.00      | 0.00           | 0.00           | 2.25           |
| 3              | Guwahati Medical College, Guwahati, Assam                    | 0.00           | 0.00           | 0.00           | 0.88           |
| 4              | S.N Medical College Jodhpur, Rajasthan (Insttitute)          | 0.00           | 0.00           | 0.50           | 0.00           |
| 5              | Madras Medical College , Chennai,Tamil Nadu                  | 0.00           | 0.00           | 0.50           | 0.50           |
| 6              | Grants Medical College & JJ Hospital, Mumbai, Maharashtra    | 0.00           | 0.00           | 0.50           | 0.00           |
| 7              | Sher - e-Kashmir Institute of Medical Science, Srinagar, J   | &K 0.00        | 0.00           | 0.50           | 0.00           |
| 8              | All India Institute of Medical Science, New Delhi            | 0.00           | 0.00           | 0.00           | 0.00           |
| 9              | Gandhi Medical College, Bhopal                               | 0.00           | 0.00           | 1.00           | 2.47           |
| 10             | Kolkata Medical College, Kolkata                             | 0.00           | 0.00           | 1.00           | 2.47           |
| 11             | Nizam's Institute of Medical Sciences, Hyderabad             | 0.00           | 0.00           | 1.00           | 2.47           |
| 12             | S.C.B. Medical College, Cuttack                              | 0.00           | 0.00           | 1.00           | 2.47           |
| 13             | King George's Medical University, Lucknow                    | 0.00           | 0.00           | 1.00           | 2.47           |
| 14             | Rajendra Institute of Medical Sciences, Ranchi               | 0.00           | 0.00           | 0.00           | 3.47           |
| 15             | Bangalore Medical College & Research Institute, Bengaluru    | 0.00           | 0.00           | 0.00           | 3.47           |
| 16             | B.J. Medical College, Ahmadabad                              | 0.00           | 0.00           | 0.00           | 3.47           |
| 17             | Arartala Medical College, Agartala                           | 0.00           | 0.00           | 0.00           | 3.47           |
| 18             | Rajendra Prasad Government Medical College, Himachal Pradesh | 0.00           | 0.00           | 0.00           | 3.47           |
|                | Total                                                        | 0.00           | 0.00           | 7.00           | 33.33          |

| Annexure - III                                                                                                      | Annexure - III                                                                                                      | Annexure - III                                                                                                      | Annexure - III                                                                                                      | Annexure - III                                                                                                      | Annexure - III                                                                                                      |
|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|
| Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) | Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) | Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) | Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) | Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) | Funds Allocated/Released to NCAs under Tertiary Care Activities of Programme for Health Care of the Elderly (NPHCE) |
| Rs. in Crore                                                                                                        | Rs. in Crore                                                                                                        | Rs. in Crore                                                                                                        | Rs. in Crore                                                                                                        | Rs. in Crore                                                                                                        | Rs. in Crore                                                                                                        |
| Sl.                                                                                                                 | No.Name of the Institute                                                                                            | 2013- 14                                                                                                            | 2014- 15                                                                                                            | 2015- 16                                                                                                            | 2016- 17                                                                                                            |
| 1                                                                                                                   | Madras Medical College, Chennai                                                                                     | 0.00                                                                                                                | 0.00                                                                                                                | 10.00                                                                                                               | 24.00                                                                                                               |
| 2                                                                                                                   | All India Istitute of Science, New Delhi                                                                            | Medical 0.00                                                                                                        | 0.00                                                                                                                | 9.00                                                                                                                | 24.90                                                                                                               |
|                                                                                                                     | Total                                                                                                               | 0.00                                                                                                                | 0.00                                                                                                                | 19.00                                                                                                               | 48.90                                                                                                               |